Care Transition Nurse

1 week ago


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

As a Care Transition Nurse at CommonSpirit Health, you will play a vital role in ensuring seamless transitions for patients from hospital to home care settings. This position requires strong clinical expertise, excellent communication skills, and a passion for delivering high-quality patient care.

Key Responsibilities
  • Collaborate with healthcare providers, hospitals, and home care agencies to coordinate quality home care services for patients.
  • Assess patient needs and develop personalized care plans to ensure optimal outcomes.
  • Communicate effectively with patients, families, and healthcare teams to ensure smooth transitions and address any concerns.
  • Participate in case conferences, summary reports, and quarterly record reviews to ensure continuity of care.
  • Develop and maintain professional relationships with healthcare providers and facilities to promote home care services and support patient needs.
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 homecare nursing experience.
  • Strong assessment, critical thinking, judgment, creativity, and decision-making skills.
  • Excellent communication and interpersonal skills, with the ability to work independently with limited direct supervision.
  • Current CPR/BLS certification and compliance with state certification/registration requirements.

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