Transitional Care - RN
Title: Transitional Care-RN
Job Code: 001600
FLSA Status: Non - exempt
Position Objective:
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.
Essential Job Duties:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- 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
