Nurse Transition Care Manager

4 days ago


Chicago, Illinois, United States ERIE FAMILY HEALTH CENTER Full time
About Erie Family Health Centers

We believe that healthcare is a fundamental human right. Since 1957, we have provided high-quality care to diverse patients in need.

Role Overview

This role will partner with an interdisciplinary care team to ensure seamless patient transitions between care settings.

Main Responsibilities:
  • Conduct outreach to hospitals and patients to facilitate effective transition of care.
  • Complete assessments, care plans, and documentation for patients transitioning between hospital, Skilled Nursing Facilities, home, and other care settings.
  • In partnership with the patient's care team, identify clinical concerns and acuity, risk factors, and barriers to adherence to discharge plan and managing health condition(s).
  • Provide care coordination/care management services to facilitate transition of care between hospital, consulting physicians, community resources, and Erie.
Requirements:
  • Bachelor's degree or 3 years of licensed professional nursing experience required.
  • At least one (1) year experience working in community health, safety net settings, or with vulnerable populations required.
  • Medical / mental health care/case management or hospital social work experience preferred.
  • Experience partnering with community-based organizations preferred.
  • Experience with health system navigation and patient education preferred.
What We Offer

Erie employees are eligible for a comprehensive benefits package, including competitive salary, high-quality health care plans, generous time off, retirement benefits, and more.

The estimated annual salary range for this position is $85,000 - $110,000.



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