6 дней назад
RN Case Manager, Transition of Care (TOC) - PG County - Up to $5,000 sign on bonus
71 000 - 90 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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