Transitions Care Coach - RN or LPN - PRN

Everent Health & Affiliates • Hazard, KY

4d

About The Position

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

The coach works directly with patients and caregivers in patient homes and community settings to help patients manage chronic health conditions. The position is PRN and covers Jackson, Laurel, and Whitley counties. Home visits may take place in private residences, apartments, mobile homes, nursing facilities, hotels, and condominiums, including locations without elevator access.

Requirements

• Graduate of an accredited school of professional nursing as a Registered Nurse.
• Current, unrestricted Registered Nurse (RN) licensure through the applicable State Board of Nursing.
• Strong communication, interpersonal, and organizational skills to engage effectively 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 approaches to the needs of diverse patient populations and care environments.
• Experience identifying problems, managing complex situations, and developing effective solutions.
• Strong customer service skills and ability to work independently, prioritize responsibilities, and manage an assigned caseload.
• Ability to exercise sound judgment and discretion and maintain confidentiality in accordance with HIPAA and organizational policies.
• Ability and willingness to conduct home visits in varied settings, including locations where elevators may not be available.
• Ability to drive for extended periods without restriction or adverse effects.
• Excellent written and verbal communication skills and strong attention to detail.
• Proficiency with computer systems and electronic documentation platforms; computer access is required for PRN team members, and strong computer skills are required for all team members.
• Ability to provide and receive constructive feedback professionally.
• Commitment to comply with Bluegrass Care Navigators Employee Health, infectious disease prevention, and vaccination policies.
• Licensed driver with an automobile in good working order and 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 is preferred.

Responsibilities

• Provide individualized education and support to eligible patients across care settings and environments.
• Build trusting relationships with patients and guide them toward improved health outcomes.
• Educate, encourage, and support patients in managing chronic health conditions and using self-management strategies.
• Help patients identify goals and overcome barriers to better health outcomes.
• Navigate resources and coordinate care to support patients and successful transitions of care.
• Work directly with patients and caregivers in patient homes and community settings.
• Manage an assigned caseload and prioritize responsibilities.
• Maintain confidentiality in accordance with HIPAA and organizational policies.

What This Job Offers

• Education Level: No Education Listed