RN - Transition of Care Nurse Full Remote - Temporary 43hr
RN - Transition of Care Nurse Full Remote - Temporary 43hr
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Job Title: Transitions of Care Nurse (RN or LPN)
Location: Remote (Must Reside in Northern Virginia)
Pay Rate: $43/hour
Employment Type: Temporary Assignment
Industry: National Managed Care Organization
Position Summary:
We are seeking an experienced and compassionate Transitions of Care Nurse (RN or LPN) to support members during the critical phase of transitioning from an acute care setting to home or a skilled nursing facility (SNF). This remote position plays a key role in improving health outcomes and reducing hospital readmissions by ensuring members receive coordinated timely and effective postdischarge support.
Candidates must reside in Northern Virginia as local knowledge of healthcare facilities and community resources is essential for success in this role.
Key Responsibilities:
Serve as the primary clinical resource for members discharging from inpatient acute medical facilities.
Coordinate and manage transitions of care for assigned members ensuring timely followup and adherence to discharge plans.
Communicate with hospital discharge planners SNFs primary care providers specialists home health agencies and other communitybased services to ensure appropriate care continuity.
Perform telephonic assessments to evaluate member needs medication compliance care barriers and social determinants of health.
Develop and implement individualized care plans based on member health conditions discharge instructions and support system availability.
Monitor and document member progress escalating concerns to the interdisciplinary care team when needed.
Educate members and/or caregivers on diagnoses medications and selfcare strategies to prevent unnecessary readmissions.
Track and report outcomes related to care transitions and provide input for quality improvement initiatives.
Required Qualifications:
Active and unrestricted RN or LPN license in the state of Virginia.
Must reside in Northern Virginia.
Minimum of 2 years of recent clinical experience in a medical or physical health setting (e.g. inpatient hospital SNF or home health).
Strong knowledge of discharge planning and transitions of care best practices.
Experience working with managed care plans Medicare/Medicaid populations or care coordination teams is preferred.
Excellent communication organizational and critical thinking skills.
Proficient in electronic medical records (EMR) systems and Microsoft Office applications.
Comfortable working independently in a remote environment and managing time effectively.
Employment Type
Temp
