Care Transition Specialist RN/LPN

1 month ago


Atlanta, Georgia, United States Visiting Nurse Health System Inc Full time
Job Summary

As a Care Transition Specialist RN/LPN with Visiting Nurse Health System Inc, you will play a critical role in ensuring seamless transitions of care for patients from acute care facilities to home health care and/or hospice settings. Your expertise in community health nursing and/or home health care and/or hospice care will enable you to assess patients' needs, coordinate initial home health care and/or hospice delivery, and serve as a liaison between healthcare providers, patients, and families.

Key Responsibilities:

  • Collaborate with healthcare teams to identify patients' needs and develop personalized care plans
  • Coordinate home health care and/or hospice services, ensuring timely and effective delivery
  • Communicate effectively with patients, families, and healthcare providers to ensure seamless transitions of care
  • Monitor and report on referral and admission retention and growth targets
  • Participate in marketing initiatives and territory planning with Account Executives

Requirements:

  • Graduate of an accredited Diploma, Associate Degree, or Baccalaureate School of Nursing preferred
  • Current licensure by the Georgia State Board of Nursing strongly preferred
  • 2-3 years of experience in community health nursing and/or home health care and/or hospice care and/or case management experience preferred
  • Strong communication and interpersonal skills, with ability to work well with physicians, case managers, social workers, patients, and co-workers
  • Proficiency in Microsoft Word, Excel, and Outlook, with previous experience with McKesson: Horizon Homecare preferred


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