Transitional Care - RN

Luminis Health • Lanham, MD

11h • $35 - $53

About The Position

To design, implement, and foster care transition processes for our most vulnerable patients to maintain and enhance their health status and independence. This employee will be a specialist in navigating at-risk pediatric and adult patients across care settings. The employee will work with inpatient and outpatient clinical resources, community-based organizations, and families to build supportive networks to maintain or improve health status of individuals and populations. The position demands creativity, energy, and commitment to build a program for targeted patients.

Requirements

• Three years of nursing experience in general medicine, ideally including inpatient and outpatient settings.
• Current Maryland Board of Nursing license.
• CPR through the American Heart Association (BLS for Healthcare Providers level).

Nice To Haves

• Bachelor of Science in Nursing

Responsibilities

• Collaborates with care coordinators, inpatient and outpatient clinicians, the emergency department, patients, families, nursing facilities, pharmacy, home health agencies, hospice, community organizations, etc., to form lasting relationships that support a network of resources for targeted patients.
• Participates in the design of protocols that guide the navigation of targeted patients across all care settings.
• Coordinates the treatment plan and progress reports with clinicians to ensure engagement and success.
• Directly assess the needs of targeted inpatients and their families, and work with care coordination team members to meet those needs.
• Serves as a clinical resource for nurse navigators and Care Management Team.
• Participates in the preparation/achievement of annual goals and objectives for the Care Transitions Program.
• Identifies educational needs of patients and families and evaluate and improve educational media and content.
• Build supportive relationships and networks to maintain or improve health status of individuals and populations.
• Promotes own professional growth and development and applies to improve overall program success.

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs

What This Job Offers

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