RN Full-time
26003407

Care Transition RN

Bring your passion to Texas Health where we are Better +Together

Work location: Texas Health Cleburne 201 Walls Dr. Cleburne, TX 76033

Work hours: PRN Days - Between 8:00 am - 5p to cover sick/pto time. Occasional weekends required(Saturday on site 8am-5p and Sunday can be remote or on site between 8am-5p)

Department Highlights

Robust Unit Based Council (UBC) and engaged leadership team

  • The Care Transition team ensures that patients are transitioned to appropriate level of care in a timely and effective manner. Provides education, care and resources to patients across various specialties to identify transition needs and discuss post- acute care options
  • Manageable Case Load
  • Team that works together to ensure work life balance for all

Here’s What You Need

  • Bachelor of Science in Nursing required. (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)
  • 3 years of experience as a staff nurse in an acute care hospital required.
  • 1 year discharge planning / care management preferred.
  • RN Registered Nurse required upon hire
  • CPR – Cardiopulmonary Resuscitation required upon hire
  • ACM – Accredited Case Manager preferred or
  • CCM – Certified Case Manager or other ANCC upon hire preferred.

Skills

  • Working knowledge of medical necessity criteria preferred
  • Knowledge of MS 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
  • Ability to prioritize and meet deadlines

Position Responsibilities

  • Ensure patients are transitioned to appropriate levels of care in a timely and effective manner to decrease hospital length of stay
  • Reviews and works to reduce readmission rates for assigned patients
  • Identify high risk patients and promotes discussion and assists in the identification of a primary care physician (PCP) for patients
  • 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
  • Identifies transition needs and discusses funding of post-transition care with patients and caregivers
  • Delivers Medicare forms to designated recipients per Medicare guidelines

Additional Perks Of Being a Texas Health Nurse

  • 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 Benefits, Job Listings by Category, recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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