RN - CASE MANAGER - ACUTE HEALTH AT HOME-JONESBORO

Registered Nurse # Acute Care At Home # Transitional Care

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.