RN, CASE MANAGER- HOSPITAL AT HOME AND TRANSITIONS AT HOME-WEEKENDS

Registered Nurse # Acute Care At Home # Transitional Care

Education: Required Must be currently licensed as a Registered Nurse in the state of Arkansas.

Experience: Minimum one year of experience in an acute care setting. Demonstrated knowledge and skills necessary to provide care to and communicate with the geriatric population, and to lesser degree the pediatric and adult population. Demonstrates knowledge of the principles of growth and development over the life span. Able to assess data reflecting the patients status and interpret the appropriate information needed to identify each patients requirements relative to their age-specific needs. Developed critical thinking, autonomous decision-making skills, and have a knowledge and comfort with digital health technology.

Physical: This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information. Involves being inside and outside. Exposure to temperatures 32 degrees and less and 100 degrees or more, fumes, dust, and noise. Hearing within normal range. Frequent sitting, stooping, standing, walking, bending, pushing/pulling up to 250 pounds, carrying up to 35 pounds, and lifting up to 100 pounds. Must have reliable transportation and current drivers license valid in the state of Arkansas and automobile liability insurance.

Job Summary: The Registered Nurse # Acute Care at Home # Transitional Care is a key member of an innovative, multidisciplinary team providing hospital-level and transitional care to patients in their homes. This position provides and directs comprehensive nursing care, including advanced physical assessment, interpretation of symptoms and diagnostic findings, identification of acute changes in condition, and timely clinical intervention. The Registered Nurse administers hospital-level treatments in the home, including IV medications and infusions, complex wound care, oxygen management, and other skilled nursing interventions. The RN coordinates mobile diagnostics, medical equipment, and supportive services such as physical therapy and social work to meet the patients needs in the home. As a Transitional Care case manager, the Registered Nurse follows assigned patients for 30 days following hospital discharge, coordinating care, monitoring recovery, addressing clinical and social barriers, and helping prevent avoidable readmissions. The RN works autonomously in the home while maintaining close collaboration with physicians, nurse practitioners, and the broader interprofessional team through telemedicine, telephone, and other technology. The ideal candidate is highly skilled in acute care nursing, comprehensive assessment, care coordination, and discharge planning; is comfortable managing medically and socially complex patients; and demonstrates sound clinical judgment in rapidly changing situations. This position requires excellent communication, adaptability, and the ability to work effectively in an evolving and sometimes unstructured home environment while maintaining patient safety and quality of care.