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RN Care Transition Manager
1 month ago
**Location:** Texas Health Azle, 108 Denver Trail Azle TX 76020
**Hours:** PRN - As Needed
**Highlights:**
Daytime PRN as needed schedule.
Utilize your expertise to serve a community hospital providing exceptional care to a complex patient population.
Texas Health Azle is 36 bed community hospital that provides exceptional care to Suburban areas of Azle, Lake Worth, Springtown and surrounding areas. Texas Health Azle is a Joint Commission - Certified Level III Stroke Center a Level IV Trauma Center and accredited Chest Pain Management facility. Join our award-winning Texas Health family and become a part of a team that is improving the health of our communities daily. **You belong here**
**Here's What You Need**
BSN required. (Bachelor's Degree Nursing Individuals hired as CTRN prior to May 11, 2017 will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017.)
Three (3) years of experience in hospital as staff nurse in an acute care setting is required.
One (1) year of experience in discharge planning/care management is preferred.
RN is required upon hire.
CPR -Cardiopulmonary Resuscitation upon hire is required.
ACM (Accredited Case Manager) or CCM (Certified Case Manager) preferred or another type of ANCC upon hire preferred.
**Skills:**
Working knowledge of medical necessity criteria preferred.
Knowledge of Microsoft Outlook and Office (Word, Excel).
Customer service skills.
Ability to engage in complex clinical decision-making.
Strong oral and written communication skills.
Strong commitment to interdisciplinary collaboration.
Critical thinking, analysis, and conflict resolution skills.
Flexible scheduling, as necessary.
Psychosocial and crisis intervention skills.
Ability to prioritize and meet deadlines.
**What You Will Do**
· Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner:
· Reviews the Texas Health Readmission Indicator List (THRIL) scores daily for all assigned patients and collaborates with the interdisciplinary team to identify high risk patients whose THRIL score may not have indicated appropriately.
· Promotes discussion and assists in the identification of a primary care physician (PCP) for patients without a PCP
· Completes Transition Evaluations on patients within 24 hours of identification and begins discharge planning.
· Interviews and assesses patients and caregivers as part of the transition evaluation and as needed.
· Identifies transition needs and discusses funding of post-transition care with patients and caregivers.
**Additional perks at Texas Health**
· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
· Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
· Strong Unit Based Council (UBC).
· A supportive, team environment with outstanding opportunities for growth.
· Explore our Texas Health careers site () for info like our recent Awards () we've won and more.
**-Do you still have questions or concerns?-** Feel free to email your questions to recruitment@ .
Texas Health requires a resume when an application is submitted. Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
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