About The Position

The Transitional Care Management Coordinator (RN) implements, maintains, and provides clinical leadership for the Transitional Care Management Program for patients transitioning to home care across all primary care departments. The Coordinator provides direction and oversight to TCM staff, delegates within their scope of practice, and serves as the team’s clinical resource and escalation point. Attendance is an essential function of the job. The description outlines the general nature and level of work and is not an exhaustive list of duties, skills, or responsibilities.

Requirements

  • Associate degree in nursing required; a Bachelor of Science in Nursing is preferred.
  • Basic life support and CPR certifications.
  • Current Kentucky state Registered Nurse (RN) licensure.
  • Minimum two years of clinical experience preferred, with emphasis in primary care medicine, discharge planning, or hospital-based nursing.
  • Knowledge of clinical standards, quality assurance, and reporting.
  • Proficiency in Word, Excel, and other computer programs.
  • Sound judgment and critical thinking skills.
  • Ability to work independently and collaborate with team members.
  • Excellent written and verbal communication skills.
  • Ability to listen well and work closely with patients, staff, and providers.
  • Self-initiative and willingness to take on new responsibilities.
  • Knowledge of the Kentucky Nurse Practice Act as it applies to delegation and supervision of LPNs and unlicensed staff.
  • Physical ability to move, traverse, position oneself, remain stationary, and negotiate steps for up to eight hours per day; lift, move, and transport patients and materials; and perform tasks requiring manual dexterity, motor coordination, articulate speech, reading and understanding medical information, and visual acuity.
  • Reliable attendance.

Nice To Haves

  • Bachelor of Science in Nursing.
  • At least two years of clinical experience, especially in primary care medicine, discharge planning, or hospital-based nursing.
  • Prior leadership, preceptor, or supervisory experience.
  • Previous experience with care management or other applicable programs.

Responsibilities

  • Implement and maintain the Transitional Care Management Program for patients transitioning to home care across primary care departments.
  • Provide clinical leadership for the program.
  • Provide direction and oversight to TCM staff supporting the program.
  • Delegate within scope of practice.
  • Serve as the clinical resource and escalation point for the team.
  • Coach, delegate to, and provide constructive feedback to team members.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service