The Care Transitions nurse is a member of a multidisciplinary team and serves as an advocate, liaison, and educator for complex patients at high risk of recurrent hospital and Emergency Department admissions. The role supports patients in making a smooth transition and achieving a successful recovery after discharge from the hospital or Emergency Department. The nurse provides individualized assistance to patients, families, and caregivers to identify and address barriers to quality, timely medical and psychosocial care that may contribute to readmissions. The nurse follows patients during hospital admission and for 30 days after discharge. Home and community visits are expected. The role is part of Montrose Regional Health’s Case Management department, whose case managers help patients understand their options concerning their care and act as liaisons between patients and treatment or care options. The position is located in Montrose, Colorado, and is a full-time day position.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree