Transitional Care Manager RN

Trinity Health • Grand Rapids, MI

12d • Onsite

About The Position

Performs assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members. Assesses and develops a care plan in collaboration with the admitting, attending and consulting physician, the member and other health care practitioners. Effectively assesses members to ensure provision and transition to an appropriate level of care, to minimize inpatient re-admissions, and to ensure that members’ medical, environmental and psychosocial needs are met across the continuum of care.

Requirements

• Graduation from an accredited BSN program
• Current Michigan Registered Nurse (RN) license
• BLS certification
• Valid Michigan driver’s license
• Three (3) years of acute care or case management experience

Nice To Haves

• Two (2) years of utilization management or HMO experience

Responsibilities

• Keep members, family members, and other stakeholders informed and engaged; request additional support when needed
• Serve as a liaison between administration, members, physicians, and other healthcare providers
• Develop, implement, and evaluate outcome-based plans of care in collaboration with members, based on assessed needs and member input
• Document assessments, reassessments, care plans, and other pertinent information in accordance with Trinity Health Alliance of Michigan charting standards, nursing standards, and organizational policies
• Initiate onsite hospital visits and rounds as needed to assess patient progress and collaborate with members of the care team

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level