Home Care Transition Specialist

6 days ago


Fort Wayne, Indiana, United States CommonSpirit Health at Home Full time
About the Role

We are seeking a highly skilled Care Transition Nurse to join our team at CommonSpirit Health at Home. As a Care Transition Nurse, you will play a critical role in ensuring a seamless transition of patients from hospital to home care settings.

Key Responsibilities
  • Collaborate with healthcare providers, hospitals, and home care agencies to coordinate quality home care services for patients.
  • Conduct thorough assessments of patients' needs and develop personalized care plans to ensure optimal outcomes.
  • Communicate effectively with patients, families, and healthcare teams to ensure a smooth transition to home care.
  • Identify opportunities for improving patient care and develop strategies to address these needs.
  • Participate in case conferences, quarterly record reviews, and annual program reviews to ensure quality and compliance.
Requirements
  • Graduate of an accredited school of nursing with current RN, LPN, MSW, or BSW license to practice in the state serviced.
  • Minimum two years of hospital and/or home care nursing experience.
  • Strong assessment, critical thinking, and communication skills.
  • Ability to work independently with minimal supervision and maintain professionalism in high-pressure situations.
  • Current CPR/BLS certification and compliance with state certification/registration requirements.
What We Offer

As a Care Transition Nurse at CommonSpirit Health at Home, you will have the opportunity to make a meaningful difference in the lives of our patients and their families. We offer a competitive hourly rate of $39.80 and a comprehensive benefits package.



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