About The Position

The Transition Care Coordinator/Patient Navigator RN specializes in guiding patients through complex care transitions, such as moving from hospital to home, rehabilitation, or long-term care, ensuring continuity, safety, and quality of care.

Requirements

  • Current FL RN License
  • Current BLS Certification from the American Heart Association
  • Requires thorough knowledge of Medical and Surgical Quality Assessment and Performance Improvement activities, medical terminology, JCAHO standards and other regulatory requirements, policies and procedures.
  • Ability to effectively communicate verbal and in writing.
  • Ability to write legibly (Clinical Areas)

Nice To Haves

  • Two (2) years of experience in acute care nursing preferred, prefer critical care of Med/Surg experience and/or Home Health experience.
  • Bachelor's Degree preferred.

Responsibilities

  • Provides Care Transition services to patients and effective interactions with caregivers as needed.
  • Manages the care of assigned patients through the healthcare system based on the patient's individual needs.
  • Prepares, executes, and reinforces post-discharge care plan.
  • Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
  • The Transition Care Coordinator provides patients and caregivers with necessary information and support during the transition from the hospital to home.
  • Assist them to successfully manage their health care needs following hospitalization.
  • Follow each patient for at least 30 days post hospital discharge.
  • Performs other related duties as required.
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