Registered Nurse Transitions-of-Care Coordinator (Pulmonary Medicine)

TL;DR

Registered Nurse Transitions-of-Care Coordinator (Pulmonary Medicine): Serving as a central resource for patients, families, and medical teams to ensure seamless communication and coordination of complex pulmonary care. Focus on managing transitions for patients with chronic respiratory diseases, performing clinical assessments, and facilitating follow-up care.

Location: Must be based in South Portland, Maine (On-site)

Salary: $40–$46 per hour

Company

hirify.global is a specialized healthcare provider focused on pulmonary medicine and respiratory care.

What you will do

• Identify hospitalized pulmonary patients appropriate for transitions-of-care services, with emphasis on COPD and ILD.
• Collaborate with inpatient teams, pharmacy, and primary care providers to coordinate follow-up appointments and diagnostic testing.
• Contact patients within 24–72 hours of discharge to assess recovery and reinforce discharge instructions.
• Perform medication reconciliation and reinforce inhaler technique and medication adherence.
• Facilitate referrals to pulmonary rehabilitation, home health, and community resources.
• Monitor for clinical deterioration and collaborate with providers to facilitate intervention.

Requirements

• Registered Nurse with an active, unrestricted Maine license.
• Bachelor of Science in Nursing (BSN).
• Current American Heart Association Basic Life Support (BLS) certification.
• Minimum of two years of clinical nursing experience.
• Strong clinical assessment and telephone triage skills.
• Proficiency with electronic health record systems and Microsoft Office applications.

Nice to have

• Experience in pulmonary medicine, hospital medicine, or case management.
• Experience caring for patients with COPD, ILD, asthma, or other chronic respiratory diseases.
• Familiarity with pulmonary rehabilitation, home oxygen therapy, and insurance authorization processes.

Culture & Benefits

• Health, Dental, and Vision Insurance.
• 401K with company match.
• Paid Time Off (PTO) and paid holidays.
• Profit sharing and paid parental leave.
• Tuition reimbursement.
• Standard Monday–Friday daytime schedule with no routine evening, weekend, or holiday responsibilities.