Transition Specialist

2 weeks ago

Urbana, United States Carle Health Full time
Overview

$5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only

Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. Multidisciplinary Rounds are completed daily with the care team at the patient‘s bedside which assists the team for timely planning and collaboration.
Qualifications

EDUCATIONAL REQUIREMENTS
Associate‘s Degree in Nursing and Bachelor‘s Degree in Nursing required within five (5) years of start date

CERTIFICATION & LICENSURE REQUIREMENTS
Registered Professional Nurse (RN) License Illinois upon hire and Accredited Case Manager Certification within 3 years.

EXPERIENCE REQUIREMENTS
Three (3) years Related Field

ADDITIONAL REQUIREMENTS
  • Attend and satisfactorily complete all required continuing education regarding the care of acute stroke patients


SKILLS AND KNOWLEDGE
Able to establish professional relationships with all healthcare providers, work independently and collaborate, have strong communication and organizational skills and attention to detail, and able to follow and manage multiple patient cases concurrently.
Responsibilities

  • Act as a liaison working with patient/family and physician to determine next level of care
  • Conducts case review presentations to educate peers on unique or challenging cases and scope of practice issues.
  • Coordinates the transition from inpatient care to post-hospital care, working with pre- and post- hospital providers to ensure responsive and appropriate care is provided post-discharge.
  • Documents plan of care and utilization issues in appropriate locations, including but not limited to: case management/utilization review software and the multidisciplinary plan of care document on all assigned patients.
  • Evaluates effectiveness of plan of care to ensure the progression toward desired patient outcomes.
  • Initiates intervention, both pre-hospital, in-hospital, and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the health care team.
  • Initiates timely referrals to other health care team members (quality improvement, risk manager, social workers, physicians, Home Services, etc.)
  • Performs nursing activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Interacts with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.
  • Proactively investigates coverage for post-hospital needs and presents options to the patient/family and provider.
  • Provides oversight of acute setting plan of care to ensure coordination and completion of services to meet post-hospitalization needs.
  • Lead an interdisciplinary team to achieve organizational goals related to length of stay and readmissions.
  • Track avoidable days on inpatient stays.
  • Readmission assessment of inpatient stays.
  • Assess patients for post discharge needs.
  • Participate in daily white board rounds.
  • Arrange DME, Home Care, Hospice, assisting with returns to ECFs, and Transportation
  • Assist any patient/family care conferences.
  • Participate in department work groups.
  • HRHC: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Obtain prior authorizations for swing bed patients, maintain the work ques, and address denials.
  • RMH: make follow up appointments with primary care provider before patient discharges, makes post discharge phone calls to ensure patient is doing well and has what they need for success. Initial utilization review for emergency room patients being admitted.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation‘s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world‘s first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee‘s Form I-9 to confirm work authorization. | For more information: .

  • Clinical Transition Nurse Specialist

    1 week ago

    Urbana, Illinois, United States Carle Foundation Hospital Full time

    OverviewClinical Transition Specialists RN play a crucial role at Carle Foundation Hospital in the oversight, coordination, and management of functional and financial outcomes during acute illness requiring hospitalization. With a focus on proactive initial assessment of patient needs, ongoing evaluations, and initiation of discharge planning, these...

  • Clinical Transition Specialist RN ED

    4 weeks ago

    Urbana, United States Carle Full time

    Clinical Transition Specialist RN ED + Department: IP Clinical Case Mgmt - CFH + Entity: Champaign-Urbana Service Area + Job Category: Nursing + Employment Type: Full - Time + Job ID: 45875 + Experience Required: 3 - 5 Years + Education Required: Associates Degree + Shift: Day + Location: Urbana, IL + Usual Schedule: 3-12 hour shifts/week + On Call...

  • Site Support Specialist

    3 weeks ago

    Urbana, Illinois, United States Cunningham Children's Home Full time

    Cunningham Children's Home offers a unique opportunity for an experienced Direct Care Staff to join our Transitional Living program, supporting young individuals in their transition to adulthood.Job SummaryWe are seeking a skilled and compassionate individual to work every Saturday from 8a.m.-11p.m. and every Sunday from 8am.-11p.m., providing guidance...

  • Clinical Transition Specialist RN

    7 months ago

    Urbana, United States Carle Full time

    Position Summary: Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a...

  • Clinical Transition Specialist RN

    4 weeks ago

    Urbana, United States Carle Health Full time

    Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients...

  • Clinical Transition Specialist RN

    4 weeks ago

    Urbana, United States Carle Health Full time

    Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients...

  • Clinical Transition Specialist RN

    2 weeks ago

    Urbana, United States Carle Health Full time

    Overview $5,000 sign-on bonus and $5,000 relocation (for greater than 100 miles) or $2,500 relocation (for greater than 50 miles) for nurses with 1 or more years experience - External Applicants Only Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients...

  • Nurse Case Manager

    3 weeks ago

    Urbana, Illinois, United States Carle Foundation Hospital Full time

    About the RoleWe are seeking a skilled Nurse Case Manager to join our team at Carle Foundation Hospital. In this critical role, you will be responsible for overseeing the transition of patients from acute care settings to post-hospital care.Key ResponsibilitiesConduct thorough assessments of patient needs and develop personalized plans for post-discharge...

  • Nurse Care Specialist

    3 days ago

    Urbana, Illinois, United States TotalMed Staffing Full time

    About the RoleAs a Nurse Care Specialist, you will provide specialized care for patients transitioning from critical care. This role involves assessing, monitoring, and treating patients in the Step Down Unit setting. The ideal candidate will collaborate with the interdisciplinary team to ensure optimal outcomes.

  • Surgical Care Specialist

    1 week ago

    Urbana, Illinois, United States TotalMed Full time

    About the Role:The Surgical Care Specialist will be responsible for delivering exceptional patient care in a fast-paced medical-surgical environment. Key responsibilities include assessing patient needs, developing and implementing individualized care plans, and collaborating with healthcare teams to ensure seamless patient transitions. This role requires...

  • Travel Nurse RN Specialist

    3 weeks ago

    Urbana, Illinois, United States Uniti Med Full time

    Job DescriptionWe are seeking a skilled Travel Nurse RN Specialist to join our team in Urbana, Illinois. As a Travel Nurse RN Specialist, you will have the opportunity to work in a fast-paced environment and utilize your expertise to provide high-quality patient care.About Uniti MedAt Uniti Med, we prioritize providing an exceptional travel experience for...

  • Medical Imaging Specialist for Travel Assignment

    4 weeks ago

    Urbana, Illinois, United States Uniti Med Full time

    Job TitleMedical Imaging Specialist for Travel AssignmentAbout the JobWe are seeking a skilled Medical Imaging Specialist to join our team on a travel assignment in Urbana, Illinois. This 12-week opportunity requires a commitment of 36 hours per week, with 10-hour shifts and a flexible schedule.Compensation PackageThe pay package for this position includes a...

  • Travel Nurse RN Neurology Specialist

    3 weeks ago

    Urbana, Illinois, United States Care Team Solutions Full time

    Job Title: Travel Nurse RN Neurology SpecialistAbout the Job:Care Team Solutions is seeking a skilled travel nurse RN neurology specialist to join our team for a 13-week assignment in Illinois. This is an excellent opportunity for a dedicated professional to make a difference in patient care while enjoying a fulfilling career.Responsibilities:As a travel...

  • Pediatric Hospitalist Physician Specialist

    3 weeks ago

    Urbana, Illinois, United States Curative Full time

    About CurativeCurative is seeking a talented Pediatric Hospitalist Physician to join our team. This rewarding opportunity offers the chance to work with a diverse range of patients and contribute to the growth of our organization.Job OverviewThis locum tenens assignment provides a unique chance to gain experience in pediatric hospital medicine while enjoying...

  • Cardiac Care Specialist

    3 weeks ago

    Urbana, Illinois, United States Lancesoft Inc Full time

    Lancesoft Inc is seeking an experienced Cardiac Care Specialist to join our team. This role involves providing high-quality patient care and ensuring the best possible outcomes for patients with acute and chronic cardiac conditions.Estimated Salary: $120,000 - $180,000 per yearJob Description:We are looking for a highly skilled Registered Nurse with...

  • Registered Nurse

    2 days ago

    Urbana, Illinois, United States Host Healthcare Full time

    Opportunity OverviewWe are seeking an experienced Registered Nurse to join our team as a NICU Care Specialist in Urbana, IL. This is a rewarding opportunity for professionals who want to make a difference in the lives of critically ill newborns and their families.About the JobThis NICU Care Specialist role involves providing high-quality patient care to...

  • Cardiac Care Specialist

    3 weeks ago

    Urbana, Illinois, United States AMN Healthcare Full time

    Job OverviewA leading healthcare organization is seeking a skilled Cardiac Care Specialist to join their team in Champaign-Urbana. As a Telemetry nurse, you will be responsible for providing high-quality patient care to acute and chronically ill cardiac patients.About the RoleThe ideal candidate will have experience working with telemetry patients and...

  • Travel Allied Healthcare Specialist

    3 days ago

    Urbana, Illinois, United States CoreMedical Group Full time

    **CoreMedical Group Overview:**At CoreMedical Group, we understand the importance of providing top-notch care to our patients. That's why we're seeking a skilled Travel Allied Healthcare Specialist to join our team for a Med/Surg Card-Pulm Unit assignment in IL.**Estimated Weekly Payment:** Approximately $1500, based on hourly wages, meal & incidental...

  • Pediatric Anesthesiology Specialist Wanted

    3 weeks ago

    Urbana, Illinois, United States RecruitWell Full time

    We are seeking a skilled Pediatric Anesthesiology specialist to join our team at RecruitWell. This is an excellent opportunity for an experienced professional to work in a dynamic environment and make a meaningful contribution to the care of pediatric patients.Job SummaryAs a Pediatric Anesthesiology specialist, you will be responsible for providing...

  • Travel Nurse RN Specialist for Labor and Delivery in Urbana, IL

    3 weeks ago

    Urbana, Illinois, United States Genie Healthcare Full time

    Job Opportunity:We are seeking a skilled Travel Nurse RN Specialist to join our team in Labor and Delivery at a reputable healthcare facility in Urbana, IL.About the Job:This is a 13-week contract with a guaranteed 36 hours per week, working 12-hour night shifts. As a Travel Nurse RN Specialist, you will be responsible for providing high-quality patient care...