Transitions Care Coach - RN or LPN - PRN

Bluegrass Care Navigators • Hazard, KY

1d • Hybrid

About The Position

The Transitions Care Coach provides individualized education and support to eligible patients across various care settings and environments. This role focuses on building trusting relationships with patients while guiding them toward improved health outcomes through education, encouragement, resource navigation, care coordination, and ongoing support. The Transitions Care Coach collaborates with patients to identify goals, overcome barriers, and promote self-management strategies that support optimal health outcomes and successful transitions of care.

Requirements

• Graduate of an accredited school of professional nursing (Registered Nurse).
• Current, unrestricted licensure as a Registered Nurse (RN) through the applicable State Board of Nursing.
• Strong communication, interpersonal, and organizational skills with the ability to effectively engage with patients, families, caregivers, and healthcare professionals.
• Knowledge of medical terminology and healthcare processes.
• Demonstrated ability in patient education, coaching, and teaching principles.
• Ability to adapt and adjust approach based on the needs of diverse patient populations and care environments.
• Experience identifying problems, managing complex situations, and developing effective solutions.
• Strong customer service skills with the ability to work independently and prioritize responsibilities.
• Ability and willingness to conduct home visits in a variety of settings, including private residences, apartments, mobile homes, nursing facilities, hotels and condominiums, including environments where elevators may not be available.
• Ability to drive for extended periods of time without restriction or adverse effects.
• Excellent written and verbal communication skills with strong attention to detail.
• Proficiency with computer systems and electronic documentation platforms; computer access required for PRN team members and strong computer skills required for all team members.
• Commitment to compliance with Bluegrass Care Navigators (BCN) Employee Health, infectious disease prevention, and vaccination policies.
• Must be a licensed driver with an automobile in good working order, that is insured in accordance with state minimum requirements.

Nice To Haves

• Minimum of 1–2 years of experience in home health, healthcare, care coordination, or a community-based healthcare organization.

Responsibilities

• Provide individualized education and support to eligible patients across various care settings and environments.
• Build trusting relationships with patients.
• Guide patients toward improved health outcomes through education, encouragement, resource navigation, care coordination, and ongoing support.
• Collaborate with patients to identify goals, overcome barriers, and promote self-management strategies.
• Conduct home visits in a variety of settings, including private residences, apartments, mobile homes, nursing facilities, hotels, and condominiums.
• Manage an assigned caseload.
• Exercise sound judgment, discretion, and maintain confidentiality in accordance with HIPAA and organizational policies.
• Provide and receive constructive feedback in a professional manner.

What This Job Offers

• Career Level: Mid Level