Acute Transition Care Management RN

2 weeks ago


Wilmington, Delaware, United States Vaya Health Full time
Job Title: Acute Transition Care Management RN

Job Summary:

Vaya Health is seeking a highly skilled and compassionate Acute Transition Care Management RN to join our team. As a key member of our care management department, you will play a vital role in ensuring that our members receive high-quality, person-centered care during their transition from inpatient to community-based settings.

Responsibilities:

  • Conduct comprehensive assessments of members' physical and behavioral health needs, identifying gaps in care and developing personalized transition plans.
  • Collaborate with members, care teams, and healthcare providers to ensure seamless transitions and optimal outcomes.
  • Provide education and support to members and their families, empowering them to take an active role in their care.
  • Develop and maintain relationships with community-based providers, ensuring access to necessary services and resources.
  • Participate in interdisciplinary care team meetings, contributing to the development of comprehensive care plans and ensuring continuity of care.
  • Monitor and evaluate the effectiveness of transition plans, making adjustments as needed to ensure optimal outcomes.
  • Document all interactions, assessments, and care plans in a timely and accurate manner, adhering to Vaya Health's policies and procedures.

Requirements:

  • Associate Degree in Nursing required; Bachelor's Degree in Nursing, Healthcare, or Human Services preferred.
  • Two or more years of experience working directly with individuals with physical health, behavioral health, IDD, or TBI needs.
  • Active and unencumbered RN license in North Carolina.
  • Experience in Medicaid Managed Care preferred.

Physical Requirements:

This position requires close visual acuity, physical activity, and mental concentration. Ability to drive and sit for extended periods is also necessary.

Residency Requirements:

This position is required to reside in North Carolina or within 40 miles of the North Carolina border.

Salary:

Depending on qualifications and experience of candidate. This position is exempt and is not eligible for overtime compensation.



  • Wilmington, Delaware, United States Vaya Health Full time

    Job Title: Acute Transition Care Management RNVaya Health is seeking a highly skilled and compassionate Acute Transition Care Management RN to join our team. As a key member of our care management department, you will play a vital role in ensuring the seamless transition of our members from acute care settings to community-based care.Key...

  • Nurse Case Manager

    3 weeks ago


    Wilmington, Delaware, United States Nemours Full time

    Nurse Case Manager - Acute CareJob Summary:Nemours is seeking a skilled Nurse Case Manager to join our team in the acute care environment. As a Nurse Case Manager, you will be responsible for coordinating care for individual patients, ensuring timely progression of care, and improving outcomes.Key Responsibilities:Assess patient care needs and develop...


  • Wilmington, Delaware, United States Supplemental Health Care Full time

    Job Title: Travel Nurse RN Long Term Acute CareSupplemental Health Care is seeking a skilled Travel Nurse RN Long Term Acute Care to join our team in Wilmington, Delaware.Job Summary:We are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in a Long Term Acute Care setting. As a Travel Nurse RN, you will have the...


  • Wilmington, Delaware, United States Supplemental Health Care Full time

    Job Title: Travel Nurse RN Long Term Acute CareSupplemental Health Care is seeking a skilled Travel Nurse RN Long Term Acute Care to join our team in Wilmington, Delaware.Job Summary:We are looking for a dedicated and compassionate Registered Nurse to provide high-quality patient care in a Long Term Acute Care setting. As a Travel Nurse RN, you will have the...

  • Nurse Manager

    6 days ago


    Wilmington, Delaware, United States Christiana Care Full time

    Care Manager RN Job DescriptionChristianaCare is seeking a skilled Care Manager RN to join our team in Wilmington, Delaware.Job SummaryWe are looking for a dedicated and experienced Care Manager RN to manage the daily operations of our Care Management department. The successful candidate will be responsible for providing effective and efficient discharge...


  • Wilmington, Delaware, United States LibertyHealth System Full time

    Job SummaryWe are seeking an experienced Transitional Care Specialist to facilitate our Transitional Care initiatives, promoting hospice access across our organization. The ideal candidate will have a strong background in healthcare, excellent organizational skills, and the ability to work effectively with internal and external partners.Key...


  • Wilmington, Delaware, United States LibertyHealth System Full time

    Job SummaryWe are seeking an experienced Transitional Care Specialist to facilitate our Transitional Care initiatives, promoting hospice access across our organization. This role requires a strong understanding of healthcare transition processes and the ability to collect and analyze data to inform decision-making.Key ResponsibilitiesCollect and analyze...

  • Nurse Manager

    2 hours ago


    Wilmington, Delaware, United States Christiana Care Full time

    Care Management Team Lead OpportunityWe are seeking a highly skilled and experienced Care Management Team Lead to join our team at ChristianaCare. As a key member of our Care Management Department, you will be responsible for managing the daily operations of the team and providing expert guidance on care management functions.Key Responsibilities:Manage the...


  • Wilmington, Delaware, United States Liberty Health Full time

    About the RoleLiberty Health is seeking a skilled Transitional Care Specialist to join our team. As a Transitional Care Specialist, you will play a critical role in facilitating Transitional Care initiatives that promote hospice access across the organization.Key ResponsibilitiesCollect and analyze organizational data to generate reports on current and...


  • Wilmington, Delaware, United States Liberty Health Full time

    Job SummaryWe are seeking an experienced Transitional Care Specialist to join our team at Liberty Health. The successful candidate will be responsible for facilitating Transitional Care initiatives that promote hospice access across the organization.Key ResponsibilitiesCollect and analyze organizational data to generate reports on current and projected work...


  • Wilmington, Delaware, United States Liberty Health Full time

    Job SummaryLiberty Health is seeking an experienced Transitional Care Specialist to join our team. As a key member of our healthcare team, you will play a critical role in facilitating Transitional Care initiatives that promote hospice access across the organization.Key ResponsibilitiesCollect and analyze organizational data to generate reports on current...


  • Wilmington, Delaware, United States Liberty Health Full time

    Liberty Health is seeking a skilled Transitional Care Specialist to join our team. As a key member of our healthcare team, you will play a vital role in facilitating Transitional Care initiatives that promote hospice access across the organization. Your expertise will be instrumental in collecting and analyzing organizational data to generate reports on...

  • Nurse Manager

    2 weeks ago


    Wilmington, Delaware, United States Christiana Care Full time

    Care Management Team Lead Opportunity at ChristianaCareWe are seeking a highly skilled and experienced Care Management Team Lead to join our team at ChristianaCare. As a key member of our Care Management Department, you will be responsible for managing the daily operations of the team and providing expert guidance on care management functions.Key...

  • Nurse Manager

    17 hours ago


    Wilmington, Delaware, United States Christiana Care Full time

    Care Management Team Lead OpportunityWe are seeking a highly skilled and experienced Care Management Team Lead to join our team at ChristianaCare. As a key member of our Care Management Department, you will be responsible for managing the daily operations of the team and providing expert guidance on care management functions.Key Responsibilities:Manage the...


  • Wilmington, Delaware, United States Supplemental Health Care Full time

    Job SummarySupplemental Health Care is seeking a skilled Travel Nurse RN Long Term Acute Care Specialist to join our team. As a leading healthcare staffing agency, we provide opportunities for talented professionals to pursue their career goals in a dynamic and supportive environment.Job ResponsibilitiesProvide high-quality patient care as a Registered Nurse...

  • RN Case Manager

    2 weeks ago


    Wilmington, Delaware, United States Christiana Care Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Christiana Care. As a key member of our Case Management Triad Team, you will play a vital role in managing patient care and driving patient progression and establishing a discharge plan.ResponsibilitiesIdentify patients with post-acute care needs and establish a comprehensive discharge...

  • Nurse Liaison

    3 weeks ago


    Wilmington, Delaware, United States Christiana Care Health System Full time

    About the RoleWe are seeking a highly skilled LPN Liaison to join our team at Christiana Care Health System. As a key member of our Home Health Care team, you will play a critical role in ensuring a smooth transition for patients from acute care and post-acute care settings.Key ResponsibilitiesIdentify home care needs of patients to ensure a seamless...


  • Wilmington, Delaware, United States OneStaff Medical Full time

    Job Title: Travel Nurse RN Long Term Acute CareOneStaff Medical is seeking a skilled Travel Nurse RN to join our team for a Long Term Acute Care assignment in Wilmington, Delaware.Job Summary:We are looking for a dedicated and compassionate Travel Nurse RN to provide high-quality patient care in a Long Term Acute Care setting. As a Travel Nurse RN, you will...


  • Wilmington, Delaware, United States OneStaff Medical Full time

    Job Title: Travel Nurse RN Long Term Acute CareOneStaff Medical is seeking a skilled Travel Nurse RN Long Term Acute Care professional for a travel nursing job in a reputable healthcare facility.Job Summary:We are looking for a dedicated and compassionate Travel Nurse RN Long Term Acute Care to provide high-quality patient care in a long-term acute care...

  • Travel Nurse RN

    3 weeks ago


    Wilmington, Delaware, United States GHR Healthcare Full time

    Job Title: Travel Nurse RN - Long Term Acute Care SpecialistJob Summary:GHR Healthcare is seeking a skilled Travel Nurse RN - Long Term Acute Care Specialist to join our team. As a Travel Nurse RN - Long Term Acute Care Specialist, you will be responsible for providing high-quality patient care in a long-term acute care setting.Responsibilities:Provide...