Transitional Care - Lead RN

Position Objective

Provides supervision to the Transitional Care RN function. Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development and will function as a content expert for the organization. Consistent with duties for Transitional Care RN's: designs, implements, and fosters care transition processes for our most vulnerable patients to maintain and enhance their health status and independence. Works with inpatient and outpatient clinical resources, community-based organizations, and families to build supportive networks to maintain or improve health status of individuals and populations.

Essential Job Duties

• Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development.
• Collaborates with care coordinators, inpatient and outpatient clinicians, the emergency department, patients, families, nursing facilities, pharmacy, home health agencies, hospice, community organizations, etc., to form lasting relationships that support a network of resources for targeted patients.
• Coordinates the design of protocols that guide the navigation of targeted patients across all care settings.
• Coordinates the treatment plan and progress reports with clinicians to ensure engagement and success. Serves as a clinical resource for Transitional Care team to address barriers.
• Directly assesses the needs of targeted inpatients and their families, and works with care coordination team members to meet those needs.
• Develops and implements innovative and effective means of ensuring safe transition and stabilization in the home setting by visiting vulnerable patients in their home settings, identifying needs, and applying resources.
• Identifies educational and training needs for Transitional Care RN team, and serves as a mentor and clinical resource.
• Assists in the Transitional Care program evaluation and performance improvement and participates in the preparation/achievement of annual goals and objectives.
• Identifies educational needs of patients and families and evaluates and improves educational media and content.
• Builds supportive relationships and networks to maintain or improve health status of individuals and populations.

Requirements

• Bachelor of Science in Nursing, preferred.
• Minimum Experience: Three years of nursing experience in general medicine, ideally including inpatient and outpatient settings.
• Current Maryland Board of Nursing license.
• CPR through the American Heart Association (BLS for Healthcare Providers level).

Working Conditions & Physical Demands

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands – Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

Pay

$41.91—$62.86 USD

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more