Position Title : Acute Transitional Care Nurse (RN)
Department : Comprehensive Clinical Management
Work Location : Telecommuter – Must reside in Treasure Coast, Tampa, Citrus, Northeast Florida, or Orlando area
Work Schedule : Monday to Friday, 8 : 00 AM – 5 : 00 PM EST
Essential Functions :
- Prioritizes patient care needs and addresses emerging issues
- Meets with patients, families, and caregivers to discuss care and treatment
- Assists with patient follow-up across care settings
- Uses protocols and clinical resources to optimize outcomes
- Oversees discharge provisions and continuity of care
- Maintains communication with physicians, care teams, and families
- Understands cost consequences of care decisions
- Consults with physicians to implement care plans
- Coaches patients using motivational interviewing
- Coordinates with care team and ensures accountability
- Discusses DPoA and advanced directives
- Provides accurate benefit and resource information
- Documents patient information in electronic platforms
- Collaborates with providers under proper scope of practice
- Provides remote clinic coverage and travels as needed
- Performs additional duties as assigned
Required Qualifications :
Bachelor’s degree in nursing (or associate degree with 4+ years of experience)Active, unrestricted RN license in FloridaMinimum 2 years clinical experience in physician’s office, clinic, or hospitalPreferred Qualifications :
Experience in care continuum management, utilization review, or discharge planningHMO experienceCCM CertificationKnowledge, Skills, and Abilities :
Knowledge of patient care standards and nursing practicesValid Florida driver’s license and vehicle for travel