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6 дней назад

RN Case Manager, Transition of Care (TOC) - PG County - Up to $5,000 sign on bonus

71 000 - 90 500$
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
RN Case Manager, Transition of Care (TOC) (Clinical Care Coordination): Coordinating post-discharge care for members transitioning from hospitals and acute care settings back into the community with an accent on clinical assessment, care planning, medication reconciliation, and member follow-up. Focus on conducting discharge visits, identifying behavioral health needs, collaborating with inpatient and community care teams, and preventing hospital readmissions.

Location: Prince George’s County, United States; member visits may take place in homes, skilled nursing facilities, inpatient rehabilitation facilities, shelters, and hospitals.

Salary: $71,000–$90,500 annual; eligible for up to a $5,000 sign-on bonus.

Company

hirify.global provides coordinated healthcare services supporting members through acute care transitions and ongoing community-based care.

What you will do

  • Coordinate Transition of Care assignments and outreach with hospital case managers.
  • Complete member intake, self-efficacy assessments, condition-specific screeners, and appropriate clinical exams.
  • Participate in inpatient rounds and post-discharge case conferences to support discharge planning.
  • Develop post-discharge care plans with care coordinators and behavioral health specialists.
  • Conduct home visits and weekly follow-ups for four weeks, addressing clinical and non-clinical needs.
  • Perform medication reconciliation, document care, close quality gaps, and track Transition of Care metrics.

Requirements

  • Graduate of an accredited school of nursing.
  • Registered Nurse (R.N.) qualification.
  • 3+ years of professional experience.
  • Ability to provide member-facing care in community and healthcare settings.
  • Medical clearance is required, including evidence of immunity to MMR, Hepatitis B, and Varicella, plus a TB screen, unless an approved medical or religious accommodation applies.

Culture & Benefits

  • Health insurance, life insurance, and retirement benefits.
  • Participation in the company equity program.
  • Paid time off, including vacation and sick leave.
  • Commitment to diversity and equal employment opportunity.

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