Transitional Care Management Nurse

2 weeks ago


Battle Creek, Michigan, United States Grace Health Full time
Job Title: Transitional Care Management Registered Nurse

Grace Health is seeking an experienced Transitional Care Management Registered Nurse to join our team. As a key member of our healthcare team, you will play a vital role in helping patients transition from an inpatient setting to their home.

Job Summary:

The Transitional Care Management Registered Nurse will be responsible for assessing patients' health needs, developing care plans, and coordinating with healthcare providers to ensure seamless transitions of care. This role requires strong communication and interpersonal skills, as well as the ability to work effectively in a fast-paced environment.

Responsibilities:
  1. Assess patients' health needs and develop individualized care plans.
  2. Coordinate with healthcare providers to ensure timely and effective transitions of care.
  3. Communicate with patients and families to ensure understanding of care plans and transitions.
  4. Collaborate with interdisciplinary teams to ensure comprehensive care.
  5. Identify and address potential barriers to care.
  6. Document patient information and care plans in electronic medical records.
Requirements:
  • Current Registered Nurse license in the state of Michigan.
  • One year of professional nursing experience in ambulatory care.
  • Knowledge of professional nursing theory and organizational policies and procedures.
  • Ability to communicate effectively with patients, families, and healthcare providers.
  • Strong problem-solving and critical thinking skills.
Preferred Qualifications:
  • Certification in ambulatory care nursing or other nursing specialty.
  • Completion of BCBS Complex Care Management Course.
  • Self-Management and Motivational Interviewing training.

Grace Health offers a competitive salary and benefits package, including medical, vision, dental, life, and disability insurance, 401K match, and generous PTO accrual. We are an equal opportunity employer and welcome applications from diverse candidates.



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