Care Transitions RN - Case Management - Full Time - Days
About The Position
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 for recurrent hospital and Emergency Department admissions. The nurse supports patients in making a smooth transition and achieving a successful recovery after hospital or Emergency Department discharge. The role provides individualized assistance to patients, families, and caregivers to identify and overcome barriers that could hinder quality, timely medical and psychosocial care or contribute to hospital readmissions. The nurse follows patients from hospital admission through 30 days after discharge. Home and community visits are expected. The position is part of Montrose Regional Health's Case Management department, which helps patients understand care options and serves as a liaison between patients and their treatment or care options. Montrose Regional Health is a not-for-profit healthcare organization serving the Uncompahgre Valley.
Requirements
- Graduation from an accredited registered nursing program with at least an Associate Degree in Nursing.
- Current, unrestricted nursing license in Colorado or a compact state.
- At least two years of experience.
- BLS certification required upon hire.
Nice To Haves
- Bachelor of Science in Nursing (BSN).
- Nurse navigator experience and/or patient educator experience.
Responsibilities
- Serve as an advocate, liaison, and educator for complex patients at high risk for recurrent hospital and Emergency Department admissions.
- Support patients in transitioning from hospital or Emergency Department discharge and achieving a successful recovery.
- Provide individualized assistance to patients, families, and caregivers.
- Identify and help overcome barriers to quality and timely medical and psychosocial care that may contribute to hospital readmissions.
- Follow patients from hospital admission through 30 days after discharge.
- Conduct home and community visits.
Benefits
- Mentoring
- Student loan employer contributions up to $10,800 tax free
- Ability to earn an additional $5.00 per hour through participation in the Clinical Ladder program
- Relocation assistance
- Continuing education
- 401(k) retirement plan with employer match
- Multiple health plan options
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
