
Transitions of Care Nurse
Posted Jul 30

Posted Jul 30
This is a fully remote position, open to applicants in United States.
• Perform thorough evaluations of patients moving from hospital care to home care.
• Create and execute tailored care plans in partnership with healthcare teams.
• Track patient advancements and modify care plans as needed to ensure the best possible outcomes.
• Provide education to patients and their families regarding post-discharge care and available resources.
• Foster communication among patients, caregivers, and healthcare professionals.
• Record all patient interactions and care plans in the electronic health record (EHR).
• Engage in quality improvement projects to enhance the delivery of care.
• Remain informed about best practices in transitions of care and healthcare regulations.
• Current RN license in the state of Georgia.
• At least 2 years of nursing experience, ideally in acute care or case management.
• Strong understanding of transitions of care processes and patient-centered care principles.
• Exceptional communication and interpersonal abilities for effective patient engagement.
• Proficient in electronic health record (EHR) systems.
• Capacity to work autonomously and manage time efficiently in a remote environment.
• Empathetic demeanor with a dedication to enhancing patient health outcomes.
• Certification in case management (CCM) or transitions of care is preferred.
• Competitive salary
• Flexible schedule
• Paid time off
• Vision insurance
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