Clinical Transition Specialist RN
4 months ago
- 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.
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeClinical Transition Specialist RN Job DescriptionAt Carle Foundation Hospital, we are seeking a skilled Clinical Transition Specialist RN to join our team. As a Clinical Transition Specialist RN, you will be responsible for overseeing the coordination and management of patient care during acute illness, ensuring a smooth transition from hospital to home or...
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Clinical Transition Specialist RN
4 weeks ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeClinical Transition Specialist RN Job DescriptionJob Summary:We are seeking a skilled Clinical Transition Specialist RN to join our team at Carle Foundation Hospital. As a Clinical Transition Specialist RN, you will be responsible for coordinating the transition of patients from acute care to post-hospital care, ensuring seamless and effective care...
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeClinical Transition Specialist RN Job DescriptionWe are seeking a skilled Clinical Transition Specialist RN to join our team at Carle Foundation Hospital. As a key member of our healthcare team, you will be responsible for ensuring a seamless transition of care for patients from the acute care setting to their next level of care.Key Responsibilities:Conduct...
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeClinical Transition Specialist RN Job DescriptionAt Carle Foundation Hospital, we are seeking a highly skilled Clinical Transition Specialist RN to join our team. As a key member of our healthcare team, you will be responsible for ensuring the smooth transition of patients from acute care to post-hospital care.Key Responsibilities:Conduct proactive initial...
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Clinical Transition Specialist RN ED
1 month ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeJob Title: Clinical Transition Specialist RN EDCarle Foundation Hospital is seeking a skilled Clinical Transition Specialist RN ED to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients from the Emergency Department to other care settings.Job Summary:The Clinical Transition...
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob Summary:As a Clinical Transition Specialist RN at Carle Health, you will play a vital role in ensuring the seamless transition of patients from acute care to post-hospital settings. Your expertise in case management and coordination will enable you to make a meaningful impact on patient outcomes and satisfaction.Key Responsibilities: Conduct thorough...
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Clinical Transition Specialist RN ED
2 weeks ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeClinical Transition Specialist RN ED Job SummaryWe are seeking a skilled Clinical Transition Specialist RN ED to join our team at Carle Foundation Hospital. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients from the Emergency Department to other care settings.Key Responsibilities:Conduct...
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Clinical Transition Specialist RN
6 days ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist RN to join our team at Carle Foundation Hospital. This role is responsible for overseeing the coordination and management of patient care during acute illness, ensuring a safe and timely transition from the hospital to an appropriate level of care.Key ResponsibilitiesConduct proactive initial...
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a highly skilled and compassionate Clinical Transition Specialist RN to join our team at Carle Health. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients from acute care to post-hospital settings.Key ResponsibilitiesAct as a liaison between patients, families, and...
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Clinical Transition Specialist RN ED
1 month ago
Urbana, Illinois, United States Carle Foundation Hospital Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist RN to join our team at Carle Foundation Hospital. As a key member of our Emergency Department, you will play a critical role in ensuring the seamless transition of patients from emergency care to post-acute settings.Key ResponsibilitiesConduct comprehensive patient assessments and admission...
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Clinical Transition Specialist RN ED
2 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist RN ED to join our team at Carle Health. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients from the Emergency Department to other care settings.Key ResponsibilitiesConduct comprehensive patient assessments and develop...
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Clinical Transition Specialist RN ED
1 month ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist RN ED to join our team at Carle Health. This role will play a critical part in ensuring the seamless transition of patients from the Emergency Department to other care settings.Key ResponsibilitiesConduct comprehensive patient assessments and admission reviews to determine the appropriateness...
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Clinical Transition Nurse Specialist
4 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist to join our team at Carle Health. As a key member of our healthcare team, you will play a vital role in ensuring the seamless transition of patients from the Emergency Department to their next level of care.Key ResponsibilitiesConduct comprehensive patient assessments to identify individual...
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Clinical Transition Specialist RN
1 month ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a skilled and compassionate Clinical Transition Specialist RN to join our team at Carle Health. As a key member of our care team, you will play a vital role in ensuring the smooth transition of patients from acute care to post-hospital settings.ResponsibilitiesAct as a liaison between patients, families, and healthcare providers to...
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Clinical Transition Specialist RN ED
1 month ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a skilled Clinical Transition Specialist RN ED to join our team at Carle Health. This role will play a critical part in ensuring the seamless transition of patients from the Emergency Department to other care settings.Key ResponsibilitiesConduct comprehensive patient assessments and admission reviews to determine the appropriateness...
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Clinical Transition Specialist RN ED
2 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob Summary:The Clinical Transition Specialist RN ED will work in the Emergency Department to ensure the appropriate care setting and timely implementation of the plan of care for patients. This role will collaborate with the Emergency Room MD/RN/Patient/Families to establish a plan of care and assist in implementation to facilitate a positive patient...
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Clinical Transition Specialist RN ED
1 week ago
Urbana, Illinois, United States Carle Health Full timeJob Summary:The Clinical Transition Specialist RN ED will conduct a comprehensive patient/family assessment and admission review of individual patients that present to the Emergency Room to ensure appropriateness of the care setting and timely implementation of the plan of care.This role will work directly with the Emergency Room MD/RN/Patient/Families to...
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Clinical Transition Specialist RN ED
1 week ago
Urbana, Illinois, United States Carle Health Full timeJob Summary:The Clinical Transition Specialist RN ED will conduct comprehensive patient/family assessments and admission reviews to ensure appropriateness of care settings and timely implementation of plans of care. This role will work directly with the Emergency Room MD/RN/Patient/Families to establish and implement plans of care, facilitating positive...
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Clinical Transition Specialist RN
2 weeks ago
Urbana, Illinois, United States Carle Health Full timeJob SummaryWe are seeking a highly skilled and experienced Clinical Transition Specialist RN to join our team at Carle Health. As a key member of our care coordination team, you will play a critical role in ensuring the seamless transition of patients from acute care to post-acute settings.Key ResponsibilitiesAct as a liaison between patients, families, and...
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Clinical Transition Specialist RN ED
3 weeks ago
Urbana, United States Carle Full timeClinical 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...
