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 the scope of practice, and serves as a clinical resource and escalation point for the team. The role requires clinical judgment, communication, collaboration, initiative, and the ability to coach and provide constructive feedback to team members. Attendance is an essential function. The posting notes that its description is not an exhaustive list of all duties, skills, and responsibilities.

Requirements

  • Associate degree in nursing required; a Bachelor of Science in Nursing is preferred.
  • Current Kentucky state Registered Nurse (RN) licensure.
  • Basic life support and CPR certifications.
  • 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 other team members.
  • Excellent written and verbal communication skills, including the 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.
  • Ability to coach, delegate to, and provide constructive feedback to team members.
  • Ability to meet the stated physical guidelines, including moving and positioning, remaining stationary, negotiating steps, lifting and transporting patients and materials, manual dexterity and motor coordination, articulating speech, reading and understanding medical information, and visual acuity.

Nice To Haves

  • Bachelor of Science in Nursing.
  • At least two years of clinical experience, particularly 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, maintain, and provide clinical leadership for the Transitional Care Management Program for patients transitioning to home care across primary care departments.
  • 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.
  • Work closely with patients, staff, and providers and collaborate with other team members.
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