Care Transition Nurse

3 weeks ago

Wallingford, United States Hartford HealthCare Full time

Description

Job Schedule: Part Time
Standard Hours: 24
Job Shift: Shift 1
Shift Details: IN-person - 24 hours - Friday-Saturday-Sunday or Saturday-Sunday-Monday - 8am to 4:30pm iincluding 1 major and 2 minor holidays per year covering weekend Intake for Fairfield and Watertown regions

Work where every moment matters.
 
Every day, almost 30,000 Hartford HealthCare Colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network as a Care Transition Nurse (LPN).  

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years.  Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient.  As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home.  Most importantly, our employees are appreciated for the real differences they make in both the lives of their clients and their clients’ families. 

Responsible for successfully capturing all appropriate data to ensure a safe transition from all referral sources to HHCAH.  Facilitates continuous throughput of patients to homecare services from all points of entry by utilizing effective verbal communication, reviewing technology that supports patient placement activities, and swift clinical decision making. Liaison between all points of entry (acute care facilities, sub-acute care facilities, long term and assisted living facilities as well as other direct admissions from the community), the Clinical Home Care Team, clinical leadership, and other stakeholders throughout the system.  Applies nursing knowledge as the foundation for clinical triage, placement decisions and communications.  Supports execution and improvement of scheduling standard work.  Owns all follow up w/ Case Mgt, partners with Rec Cycle for financial clearance and supports regional dispatching.

Works closely with patients to provide best scheduling options.   Monitors timeliness and appropriateness of referrals, partnering with Intake/Insurance Transition Support and Transitional Care Coordinator to support transition to HHCAH and ensuring appropriate discipline visits. Responsible for initial assessment of patient home care qualifications including but not limited to authorization of services, identification of physicians, appropriate home care assignment

Develop effective relationships with multiple stakeholders including but not limited to System Case Management teams, Insurance/Intake Transition Support and Transitional Care Coordinators to enhance patient transition and assignment.

Identify and assure home care clinical needs are in place prior to patient admission to home care services including but not limited to procedural supplies (foley, NPWT, pleural catheter, etc), Community MD verification, community resource needs and appropriate services ordered.

Increase effective patient timeliness to care by identifying barriers in assignment processes and collaborate with clinical management in the resolution of these issues.  Achieve seamless delivery of services by appropriately involving colleagues, physicians, nurses and other staff to ensure commitment, communication and cross-functional linkage.

Participates in Performance Improvement activities within the Agency.  Plays a key role in the quality, clinical, financial and patient satisfaction outcomes

Participate in daily clinical huddles, participates in Lean Daily Management, and daily and weekly case conferences with the clinical teams as needed

Qualifications

Education

LPN/According to state licensure regulations

Experience

Minimum of 3 years home care case management experience with strong knowledge base in navigating medical comorbidities

Licensure, Certification, Registration

LPN, According to state licensure regulations

Knowledge, Skills and Ability Requirements:

Experience with word processing, Office Suite and Epic preferred

Demonstrated ability to support a highly fluid dynamic operational environment.

Demonstrated ability to manage multiple priorities and identify clinical critical patient needs.

Excellent prioritization and communication skills.

Demonstrated excellence in critical thinking, communications and conflict resolution skills.

Demonstrated ability to implement, support and effectively monitor change required.

Ability to collaborate with all layers of the management/administrative/clinical teams within Hartford HealthCare and the community

Hartford Healthcare at Home offers a team-oriented structure, a comprehensive continuing education program and an excellent benefits package.

 We believe in high standards.  These standards allow us to bring out the very best in our clients and our staff.

We take great care of careers.

 

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

  • Transition and Admissions Program Manager

    2 days ago

    Wallingford, Connecticut, United States Aware Recovery Care Full time

    Join Our TeamAware Recovery Care is seeking an Admissions Liaison to join our dynamic team! As a key member of our admissions department, you will play a critical role in ensuring a smooth transition into our care program for incoming clients. We are looking for a highly organized and detail-oriented individual who is passionate about making a difference in...

  • Transition and Admissions Coordinator for Substance Abuse Treatment

    4 weeks ago

    Wallingford, Connecticut, United States Aware Recovery Care Full time

    Aware Recovery Care is a reputable organization dedicated to providing comprehensive care services for individuals struggling with substance abuse. We are seeking a skilled Transition and Admissions Coordinator to join our team.Job SummaryThe successful candidate will be responsible for ensuring a smooth transition into our program for incoming clients,...

  • Admissions Liaison Specialist: Transition Coordination Role

    4 weeks ago

    Wallingford, Connecticut, United States Aware Recovery Care Full time

    Job OverviewAware Recovery Care is seeking an experienced Admissions Liaison to facilitate a seamless transition for clients into our care program. This role requires collaboration with Admissions and Agency leadership to ensure a smooth integration process.Salary and BenefitsThe estimated salary for this position ranges from $19-$22 per hour, contingent...

  • RN - Long Term/Transitional Care

    2 months ago

    Wallingford, United States Providence Full time

    Description The Registered Nurse fulfills the Mission of Providence Health & Services in working with residents, families, volunteers, and Providence Marianwood staff. PH&S Core Values of respect, excellence, compassion, justice, and stewardship are demonstrated by the RN in her/his daily work and care. Nursing care is holistic and is delivered in accordance...

  • Hospice Palliative Care Nurse

    2 weeks ago

    Wallingford, Connecticut, United States Masonicare Corp Full time

    Job DescriptionMasonicare Home Health & Hospice is committed to delivering exceptional care to our patients and their families.We are seeking an experienced RN Hospice Specialty Registered Nurse to join our team.Provide direct patient care, including assessments, plan development, implementation, and evaluationCollaborate with multidisciplinary teams to...

  • Hospice Care Registered Nurse

    7 days ago

    Wallingford, Connecticut, United States MASONICARE Full time

    Serve your community as a compassionate and skilled Hospice Care Registered Nurse at Masonicare Home Health & Hospice. We are committed to delivering exceptional patient care and compassion to those in need.**Job Description:**In this role, you will be responsible for providing high-quality patient care, coordinating services, and ensuring seamless...

  • Compassionate Home Health Care Professional Wanted

    2 weeks ago

    Wallingford, United States BAYADA Home Health Care Full time

    BAYADA Home Health Care is seeking a dedicated and compassionate Physical Therapist to join our team in providing high-quality home health care services to clients in Wallingford, Pennsylvania.About the OpportunityAs a Physical Therapist with BAYADA, you will have the opportunity to work in a fast-paced and dynamic environment, making a meaningful difference...

  • Senior Nurse Practitioner

    4 weeks ago

    Wallingford, United States vTech Solution, Inc. Full time

    About the RoleWe are seeking a seasoned Senior Nurse Practitioner to join our team at vTech Solution, Inc. in Wallingford, PA. This is an excellent opportunity for a dedicated professional to make a meaningful impact in the lives of our patients.Job SummaryThe successful candidate will be responsible for providing high-quality patient care in a long-term...

  • Hospice Care Specialist

    4 weeks ago

    Wallingford, Connecticut, United States MASONICARE Full time

    We are seeking a dedicated and accomplished RN Hospice Specialty Registered Nurse to join our team at Masonicare Home Health & Hospice.About the RoleThe RN Hospice Nurse will be responsible for ensuring quality and safe delivery of hospice nursing services to patients in their homes or assisted living settings. This includes developing, implementing, and...

  • Palliative Care LPN

    5 days ago

    Wallingford, Connecticut, United States Masonicare Corp Full time

    Masonicare Home Health & Hospice in the Wallingford, CT area is seeking a dedicated and compassionate Hospice Palliative Care LPN to join our team on a per diem basis. As a valued member of our interdisciplinary team, you will have the opportunity to make a meaningful difference in the lives of patients and families.About the RoleThe Hospice Palliative Care...

  • Clinical Care Specialist

    4 weeks ago

    Wallingford, United States First Connect Full time

    At First Connect, we are seeking a skilled Clinical Care Specialist to join our team at Wallingford Nursing and Rehab. This is a rewarding opportunity to make a positive impact on the lives of our residents.About the RoleWe are looking for an experienced CNA with excellent communication and interpersonal skills to provide high-quality patient care in a...

  • Admissions Liaison Coordinator

    2 weeks ago

    Wallingford, Connecticut, United States Aware Recovery Care Full time

    Company OverviewAware Recovery Care is an equal opportunity employer dedicated to providing a smooth transition into our care program for incoming clients. Our team works closely with Admissions and Agency leadership to ensure a seamless experience.SalaryThe estimated salary for this role is $19-$22 per hour, contingent on experience and education, working...

  • End-of-Life Care Specialist

    4 weeks ago

    Wallingford, Connecticut, United States MASONICARE Full time

    At Masonicare Home Health & Hospice, we believe in providing exceptional care to our patients and their families. As a dedicated End-of-Life Care Specialist, you will play a vital role in delivering compassionate and quality hospice nursing services to individuals in the comfort of their own homes or assisted living settings.About UsMasonicare Home Health &...

  • Psychiatric Nursing Professional

    7 days ago

    Wallingford, Connecticut, United States MASONICARE Full time

    About the OpportunityWe are excited to offer a Psychiatric Nursing Professional position at Masonicare, where you will have the opportunity to make a meaningful difference in the lives of our patients.As a skilled nurse on our Behavioral Health Hospital Unit, you will provide direct care to emotionally disturbed and mentally ill patients, applying your...

  • Clinical Hospice Nurse

    5 days ago

    Wallingford, Connecticut, United States MASONICARE Full time

    Are you a compassionate and skilled nurse seeking a rewarding career in hospice care? We are currently seeking a dedicated Clinical Hospice Nurse to join our team at Masonicare Home Health & Hospice, serving the Wallingford, CT area.**Job Summary:**The ideal candidate will possess excellent communication and interpersonal skills, with the ability to work...

  • Registered Nurse Specialist

    4 weeks ago

    Wallingford, United States First Connect Full time

    Job Title: Registered Nurse SpecialistAt First Connect, we are seeking a highly skilled Registered Nurse Specialist to join our team at Wallingford Nursing and Rehab. This is a unique opportunity to work in a fast-paced environment, providing exceptional care to our patients.About the Role:As an LPN, you will be responsible for delivering high-quality...

  • Geropsychiatric Nursing Team Member

    2 days ago

    Wallingford, Connecticut, United States Masonicare Corp Full time

    **Job Title:** Geropsychiatric Nursing Team Member**Company Overview:**Masonicare Corp is a dynamic organization dedicated to delivering high-quality healthcare services to our patients.**Salary:**We offer an estimated annual salary of $118,000, with opportunities for career advancement and professional growth.**Job Description:**The Geropsychiatric Nursing...

  • Client Onboarding Manager

    5 days ago

    Wallingford, Connecticut, United States Aware Recovery Care Full time

    Job DescriptionAware Recovery Care is seeking a Client Onboarding Manager to join our team. This role is responsible for ensuring a seamless onboarding process for new clients.The ideal candidate will have a strong understanding of the substance use disorder field and be able to assess client appropriateness for treatment.We offer a competitive salary of...

  • Nurse Practitioner Hospice

    7 days ago

    Wallingford, Connecticut, United States Masonicare Full time

    What You'll Do: As a Hospice Home Care Registered Nurse, you will provide personalized care to patients in their homes or assisted living settings. You will work closely with interdisciplinary teams to develop and implement individualized care plans, ensuring that patients receive the highest level of care possible.Your Key Responsibilities:Deliver...

  • Behavioral Health Nurse Specialist

    4 weeks ago

    Wallingford, Connecticut, United States MASONICARE Full time

    Seeking a dedicated and compassionate Behavioral Health Nurse Specialist to join our team at Masonicare Behavioral Health Hospital in Wallingford, CT. As a key member of our interdisciplinary care team, you will provide exceptional nursing care to emotionally disturbed and mentally ill patients, promoting their recovery and well-being.About the RoleThis is a...