Transition of Care Nurse

Job Responsibilities

• Provides telephonic or onsite services to designated hospitals as assigned/necessary to assist hospital care coordination team with discharge planning needs of the members.
• Assesses resource utilization and cost management; diagnoses, past and present treatment and prognosis.
• Collaborates with hospital care coordination teams to provide remote and, when needed, on-site support to assist with discharge planning and post-acute transition needs.
• Evaluates clinical status, prior and current treatments, anticipated outcomes, and overall resource utilization to support effective care coordination and responsible cost management.

Job Qualifications

• Licensed Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.
• Three (3) years of clinical experience required.
• Five (5) years of experience in the health care industry.