Transitional Care Nurse

2 weeks ago

Horseheads North, New York, United States Bethany Village Full time

Join Our Team as a Transitional Care Nurse at Bethany Village
Are you passionate about ensuring patients experience seamless, compassionate care as they move between healthcare settings? As a Transitional Care Nurse, you'll play a key role in guiding residents through every step of their journey, from admission to discharge, while coordinating with families, healthcare teams, and community resources. Your expertise will help ensure that every transition is smooth, safe, and personalized to each resident's needs, making a real difference in their recovery and quality of life. 

Position Overview:

A transitional care nurse is involved when a patient/client leaves one care setting and moves to another

The transitional care nurse ensures that there is a smooth transition into and out of the skilled nursing facility.

Essential Duties & Responsibilities:

  • Assist with developing discharge plans that address patients' specific needs with the interdisciplinary team.  
  • Assessing and coordination patient's discharge planning needs with members of their health care team, and community supports.
  • Identifying, assessing and discharging patients with complex needs.
  • Communicate and coordinate services between subacute care and community primary care provider.
  • Coordinate appropriate medications for discharge.

Basic Duties & Responsibilities:

  • Has close interaction with the residents, their families, and various agencies in accordance with discharge.
  • Maintains all updated infection control practice guidelines.
  • Maintains all in-house infectious control requirements and establishes policy and procedures to meet the requirements and to provide reporting, including, but not limited to; influenza, pneumococcus, etc.
  • Must maintain all updated reporting requirements for county, state and federal agencies.
  • Endorses and complies with the vision, objectives, procedures, and policies of Bethany Village.
  • Assist with admission orders, and the admission process
  • Assist with unit treatments, medication pass as needed
  • All other duties as assigned.

Requirements

Education Required:

Licenses Practical Nurse 

NYS Registered Nurse License

Experience Required:  

Knowledge of Community Services and local Agencies for discharge referral resources

Ability to build relationships with community services and physicians to create a smooth transition from subacute rehab to lower level of care. 

  • Virtual Acute Care Registered Nurse

    2 weeks ago

    Horseheads, New York, United States Guthrie Enterprise Full time

    DescriptionAcute Care Virtual Registered Nurse - the office and position is located in Big Flats, NY  This position is Full Time days- 36 hours a week.This position is eligible for a $25,000 sign on bonus Position Details: This Virtual Acute Care Registered Nurse must work out of the Big Flats NY office and will provide virtual support to bedside nurses...

  • Virtual Acute Care Registered Nurse

    4 hours ago

    Horseheads, New York, United States Guthrie Enterprise Full time

    DescriptionAcute Care Virtual Registered Nurse - the office and position is located in Big Flats, NY  This position is Full Time evenings 11a-11p- 36 hours a week.This position is eligible for a $25,000 sign on bonus Position Details: This Virtual Acute Care Registered Nurse must work out of the Big Flats NY office and will provide virtual support to...

  • Registered Nurse RN

    5 days ago

    Horseheads North, New York, United States Elcor Nursing and Rehabilitation Center Full time

    RN Registered NursePay rate $36-49/hrSign on Bonus $2000 Full Time, $1000 Part TimeFull Time & Part Time * All ShiftsElcor Nursing & Rehabilitation Centeris committed to hiring enthusiastic, professional and compassionate individuals who enjoy coming to work every dayElcoris currently seeking anRN Registered Nurseto care for our very special residents in a...

  • Licensed Practical Nurse

    1 week ago

    Horseheads North, New York, United States Elcor Nursing and Rehabilitation Center Full time

    Elcor Nursing and Rehabilitation Center - Horseheads, NYFull Time | Part Time | Per Diem Shifts AvailablePay Rate up to $31/hr + Shift Differential**SHIFT DIFFERENTIALS:Weekday Evenings + $5.00 | Weekend Days $2.00 | Weekend Evenings $7.00SIGN ON BONUS:$1500 - FULL TIME$750 - PART TIME$500 - PER DIEMCompassion is at the heart of everything we do. We believe...

  • Communications Tech

    1 week ago

    Horseheads, New York, United States Guthrie Enterprise Full time

    DescriptionSummaryThe Guthrie Clinic's Pulse Center is a service that will provide critical support to the system through virtual care delivery, along with bed management and transfer coordination. Communications technicians will receive valuable exposure to the inner workings of hospitals in a fast-paced environment. This position will provide coordination...

  • Communication Tech

    4 days ago

    Horseheads, New York, United States The Guthrie Clinic Full time

    SummaryThe Guthrie Clinic's Pulse Center is a service that will provide critical support to the system through virtual care delivery, along with bed management and transfer coordination. Communications technicians will receive valuable exposure to the inner workings of hospitals in a fast-paced environment. This position will provide coordination of...

  • Physical Therapist

    2 weeks ago

    Horseheads North, New York, United States Preferred Therapy Solutions Full time

    A Full Time Physical Therapist , (PT/RPT), position is now available in our sub-acute/skilled nursing rehab department located in Horseheads, NY.  Bethany Manor offers all levels of care- SNF, ALF, ILF and Independent living cottages and apartments. Strong leadership, supportive and friendly staff  You may have already heard that Preferred Therapy...

  • Occupational Therapist

    5 days ago

    Horseheads North, New York, United States Preferred Therapy Solutions Full time

    A Full-time Occupational Therapist , (OT/OTR), position will be available in our sub-acute/skilled nursing rehab department located in Horseheads, NY.   Great facility with fantastic Rehab Director and team.   Location offers all levels of care- SNF, ALF, ILF and Independent living cottages and apartments. Strong leadership, supportive and friendly...

  • lpn

    2 days ago

    Horseheads North, New York, United States Bethany Village Full time

    Join the Bethany Village Team – Where Your Skills Make a Difference Every DayBethany Village is looking for Licensed Practical Nurses (LPNs) who are passionate about providing high-quality care to older adults in a compassionate, team-centered environment. We know that LPNs are the backbone of great nursing care, and at Bethany Village, you'll be valued,...

  • Occupational Therapy Assistant

    2 weeks ago

    Horseheads North, New York, United States Preferred Therapy Solutions Full time

    Must have graduated from a 2 year accredited PTA program, passed state boards and hold a current valid NY PTA license or be eligible for NY PTA licensure.    A Full Time Occupational Therapy Assistant, (COTA/OTA), position is now available in our sub-acute/skilled nursing rehab department located in Horseheads, NY. 17 miles from Watkins Glen, NY. Great...