Registered Nurse - Transition Support

Trinity Health•Ann Arbor, MI

3d•Remote

About The Position

The Transition Support Call RN specializes in providing information and post-discharge support for the patient in identifying concerns and problems and building relationships. This position is a Part-Time, benefited position, scheduled 40 hours per bi-weekly pay period. The Transition Support Call RN provides information and guidance to the patient/caregiver for effective care transitions, improved self-management skills and enhanced patient-practitioner communications. Call-back intervention service is based on THAA Care Transition Program's methodology that encourages the patient to assume a more active role in their care and facilitate new behaviors and communication skills for patients to feel confident in their ability to respond successfully to common problems that arise during care transitions. This is achieved by coordinating care and service for defined patient populations during post discharge phone contact within the first post discharge week. The Transition Support Call RN works collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the Health System’s resources. The Transition Support Call RN is an essential part of THAA Care Transitions Program.

Requirements

Current Michigan Nursing License
Graduation from accredited nursing program: Effective January 1, 2013 all new hires must have a BSN degree or must agree in writing to obtain their BSN within five (5) years from date of hire.

Responsibilities

Providing information and post-discharge support for the patient in identifying concerns and problems and building relationships.
Providing information and guidance to the patient/caregiver for effective care transitions, improved self-management skills and enhanced patient-practitioner communications.
Coordinating care and service for defined patient populations during post discharge phone contact within the first post discharge week.
Working collaboratively with an interdisciplinary team to improve patient care through the effective utilization of the Health System’s resources.