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Summary
The Transition Care Management RN (TCM RN) practices consistent with the mission vision and values of the Goshen Health Network and the Department of Nursings Philosophy and Model of Care. The TCM RN provides professional nursing care with a focus on facilitating smooth transitions of care from the hospital to the home environment aiming to reduce readmissions and ensure continuity of care. This role involves close collaboration with patients families physicians and the healthcare team to develop and implement comprehensive care plans that address the patients medical psychological and social needs. The TCM RN educates patients and caregivers ensures followup care and coordinates postdischarge services all while advocating for the patient and promoting selfmanagement for chronic conditions.
Minimum Education
Preferred Education
Minimum Experience
Preferred Experience
Certifications Preferred
Full Time