RN-Transitional Care Unit (Full-time, Day, 7am to 7:30pm)

CarePoint Health Management Associates•Bayonne, NJ

16d

About The Position

Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems Neurosurgery & Spine Care - including Stealth Navigation and precision-guided treatment Women’s Health & Maternity -comprehensive services tailored for every stage Imaging & Diagnostics - AI-enhanced systems for faster, more accurate results Outpatient & Specialty Care - coordinated care across multiple disciplines Our Hospitals Explore our hospitals and discover care that’s high-tech, high-touch, and close to home: Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care. Bayonne University Hospital, A full-service community hospital offering personalized acute care. Hoboken University Hospital, A local leader in women’s health, family medicine, and outpatient services. The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City. The Transitional Care Unit Registered Nurse (RN) is responsible for assessing, planning, implementing and evaluating the delivery of care. The professional nurse assumes the responsibility and accountability for the delegation of patient care to other members of the health care team, which may include coordination of services with rehabilitation staff to maximize the patient’s independence to return to their prior residence.

Requirements

12-hours shift, 7am to 7:30pm, Rotational Weekend Saturday and Sunday
Associates Degree in Nursing required; Bachelor’s Degree in nursing preferred.
Must possess licensure as a Registered Nurse in the State of New Jersey
1-2 years of relevant experience
Completion of an BLS, ACLS (American Heart Association), and IV certification.
Must demonstrate excellent communication and interpersonal skills.

Nice To Haves

Bachelor’s Degree in nursing preferred.

Responsibilities

Identifies patient/family education needs and ensures that patient/family members have adequate information to participate in transition planning.
Evaluates and analyzes physical and psychosocial assessment data.
Interprets laboratory/diagnostic tests.
Conducts a comprehensive patient/family assessment and transition/home care planning evaluation upon program enrollment to initiate and maintain the patient's transitional plan of care.
Initiates and maintains communication and collaboration with physicians, social workers, care team leaders, staff nurses, other care giving disciplines, and patients/families to develop, implement, and evaluate a transition plan of care for each patient.
Assesses complexity of care needs and potential/actual issues or gaps in care.
Arranges post-discharge medical and community referrals for patients with health problems requiring further evaluation and/or additional services.
Advocates for patients and families within the health care system with community providers and across the continuum of care.
Identifies, tracks, and conducts root cause analyses on readmissions to address programmatic and system-wide improvements.
Works with physicians, providers, researchers, and Transitional Care leadership to identify broader system issues affecting patient care.
Perform other duties as needed or assigned.