Registered Nurse RN - Transitional Care Coordinator
Yale New Haven Health
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And Supervises Individual Patient Care On A Nursing Unit/Department According To Unit Policies And Procedures. Provides Supervision Of Non-Rn Personnel On The Assigned Unit. When Assuming The Charge Role, Delegates And Supervises Unit Activities. May Be Requires To Work On Other Nursing Units According To Distribution Of Staff And Patients. Performs Other Duties As Assigned Or Requested In Order To Maintain A High Level Of Service. EEO/AA/Disability/Veteran Responsibilities Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care. Develops, Communicates And Documents A Plan Of Care Reflecting Individualized Patient Problems And Interventions To Achieve Desired Outcomes, Involving The Patient, Family And Healthcare Team In This Process. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team. Evaluates The Effectiveness Of The Plan Of Care, Patient?S Response To Care, And Readiness For Discharge. Revises The Plan Of Care As Needed And Makes Referrals Where Indicated. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes. Functions As A Preceptor To New Staff. Functions As A Charge Nurse. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit. Demonstrates Competency In The Care Of The Neuro Patient Demonstrates Skill And Knowledge In Neuro Assessment Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient Demonstrates Skill And Understanding In Caring For A Trached Patient Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace Demonstrates Skill And Understanding Of Nursing Responsibilities And Interventions For The Patient On A Ventilator Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. Benefits: Competitive salary based on experience and qualifications. Comprehensive health, dental, and vision insurance. Retirement savings plan with employer contributions. Paid time off and flexible scheduling options. Professional development and continuing education opportunities. Employee wellness initiatives and support programs. Additional Information Heart and Vascular Cardiac ICU (5-1 SP) The Cardiac ICU is a fast paced, high acuity, 14-bed, critical care unit that cares for adult patients with complex cardiac, medical diagnoses such as myocardial infarction, cardiogenic shock, unstable arrhythmias, and heart failure. Our patients are treated with medical and interventional management. Nursing staff are trained in advanced heart failure management, including short- and long-term mechanical circulatory support (with devices such as intra-aortic balloon pumps, Impella catheters, and LVADs) and evaluation for advanced therapies and transplantation. RN-HVC Cardiothoracic ICU (CTICU/WP3) Cardiothoracic ICU is an 18-bed cardiac surgery unit, specializing in care for complex post-operative CABG, valve replacements, aortic dissection repairs, heart transplants and LVAD implantation. This is also the only unit in YNHH health system that cares for patients requiring ECMO, whether it is VV (lung bypass) or VA (heart and lung bypass). In addition, patients may require additional devices including IABP, Impella/VADs, and/or CRRT. Nurses will be trained to devices based on previous experience and progression of skills, expectations and critical thinking. HVC Cardiovascular ICU and Stepdown (5-4 SP) The Cardiovascular ICU and Stepdown is a 14-bed hybrid unit consisting of 8 ICU and 6 stepdown beds. We specialize in caring for patients post complex vascular surgery, such as aortic repairs, and post cardiac surgery patients such as CABG and valve replacements in our ICU beds. In the stepdown beds we care for patients with a variety of complex heart and vascular diagnoses.
- ...Boston Children’s Hospital is seeking an RN Case Manager who coordinates patient transitions from hospital to home. The role entails assessing clinical needs... .... This position requires a Bachelor's degree in nursing and at least 5 years of nursing experience, preferably...Suggested
- ...designs and delivers innovative care models using product... ...Management Operations team, The Transition of Care Nurse Care Manager provides episodic... ...record. f. Manages and coordinates transitions of care by communicating... ...Degree Nursing (BSN). ~ RN License for State of MA....SuggestedFull timeWork at officeRemote workMonday to FridayFlexible hoursAfternoon shiftEarly shift
$58.66k - $142.45k
...IntelliResume is looking for a Transitions of Care RN Care Manager in Somerville, MA. This role involves managing care for Medicare patients... ...from hospital to home, emphasizing patient engagement and coordination. The ideal candidate possesses an RN license for...SuggestedFull timeMonday to Friday$58.66k - $142.45k
...About This Role The Transitions of Care RN Care Manager is responsible for providing episodic care management for... ...inpatient admission to home. This role is ideal for nurses who excel in patient interaction and care coordination. Highlights Pay: $58,656.00 - $142,448.80/...SuggestedFull timeMonday to Friday- ...move towards their envisioned future. The Senior Intensive Care Coordinator (Sr. ICC) reports to the Program Director and works as part... ...Develops, implements, and monitors Individual Care Plans and Transition Plans. Acts as a liaison with collateral agencies and programs...SuggestedPermanent employmentFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorshipRelocation package
- ...Mass General Brigham Community Physicians, Inc. is seeking a Transition of Care Nurse Care Manager to oversee care transitions for Medicare and... ...candidate will have experience in case management, hold an RN license in Massachusetts, and possess strong organizational...Full timeRemote work
- ...GENERAL SUMMARY OVERVIEW STATEMENT RN CARE COORDINATOR (CASE MANAGER) BWH CARE CONTINUUM... ...daily treatment plan with physicians, nurses and patient / families to insure interdisciplinary... ...to insure prompt and effective transition of care. C. Utilization Management...Work at officeFlexible hoursRotating shift
$40 - $50 per hour
...learning and prepare our students for their transition into adulthood and independent living.... ...being a transition-based program the nursing department aims to prepare and... ...effectsAssist with case management and care coordination between the members of the students outside...Hourly payDaily paidFull timeWork at officeImmediate startMonday to FridayFlexible hoursNight shiftAfternoon shift1 day per week- Mass General Brigham is seeking a Transition of Care Nurse Care Manager to provide care management for Medicare Shared... ..., medication reconciliation, and care coordination post-discharge. The ideal candidate will have an RN license for MA, 3+ years in case management,...Remote jobFull time
- ...JobRx, Inc. is seeking a Clinical Pharmacist to join the Medication History/Transitions of Care team at Mass General Brigham in Boston. This role involves supervising pharmacy staff and ensuring safe medication therapy for patients. Key responsibilities include direct...
$82.57k - $137.6k
...growth of your career. Option Care Health, Inc. is the largest... ...Summary The Clinical Transition Specialist is an experienced... ...initiates care transition coordination with referral sources and internal... ...Requirements Licensed Registered Nurse (RN) or licensed Pharmacist in...Flexible hours- UnitedHealth Group in Malden, MA is seeking an RN Clinical Care Coordinator to manage care for members with complex needs. This role involves assessing member health and developing care plans while providing education and advocacy. The position offers remote flexibility...Remote job
- ...Alliance is looking for a full-time Registered Nurse Case Manager at CHA Cambridge... ..., Massachusetts. The RN will provide clinically-based... ...management, support patient care, and collaborate with healthcare... ...plans for patients during transitions from inpatient to post-acute...Full time
$69.5k - $101k
...Summary The Clinical Care Manager provides holistic... ...goals, care coordination, psychosocial, socioeconomic... ...to conduct in‑person transitions‑of‑care member visits... ...Bachelor’s degree in nursing or Associate’s degree... ...license to practice as a Registered Nurse in Massachusetts...Full timeTemporary workWork experience placementWork at officeHome officeFlexible hours- ...subject matter expert for all other HCC Coordinators in all regions. Qualifications Education... ...: • Associate's degree in Healthcare, Nursing, or a related area; OR equivalent... ...customer service call center, or health care office administration department. • 1 year...Work at office
$25 per hour
...organized, and recovery-focused Aftercare Coordinator to join our multidisciplinary treatment... ...role helps individuals successfully transition from residential treatment into the next... ...successful transitions to the next level of care. Research and communicate available...Work at officeMonday to Friday- ...The Registered Nurse is a professional nurse registered in Massachusetts who... ...and providing patient care for assigned patients in accordance... ...precautions in nursing practice. -Coordination/Collaboration *Interacts with... ...Registered Nurse [RN - State License] - Generic -...Shift work
$38.05 - $75.33 per hour
...Boston Medical Center is looking for a Registered Nurse in Boston, MA. The RN will manage direct patient care, coordinate with providers, and ensure holistic care. Responsibilities include administering long-acting injectable medications and providing patient education...$45 - $60 per hour
...Dialysis Clinic, Inc. is hiring a Dialysis Home Therapies Nurse to coordinate home dialysis programs and provide exceptional patient care. You will engage in administrative and clinical duties, ensuring high standards of care and effective communication with patients and...Hourly payFull timeFlexible hours- ...Harvard University is seeking a Registered Nurse to provide high-quality nursing services for students, staff, and faculty. The ideal candidate will work collaboratively within a health care team, ensure compliance with clinical guidelines, and manage patient care effectively...
- ...Conditions. Workplace Diversity, LLC. is seeking a Registered Nurse to provide nursing services and patient care at Harvard University. The role includes collaborating... ...staff, and faculty. This position requires a valid RN license in Massachusetts, along with demonstrated...
- Yale New Haven Health is seeking a Registered Nurse to join the team in Winthrop, MA. This role involves... ...assessing and implementing patient care under the supervision of nursing... ...patient responses, and supervising non-RN personnel. A Bachelor of Science in Nursing...
- Yale New Haven Health is seeking a Registered Nurse to join their dynamic team in Malden, Massachusetts. The successful candidate will assess, plan, implement, and evaluate patient care in a fast-paced environment while maintaining high standards. The candidate should...
- Yale New Haven Health is looking for a Registered Nurse in Malden, Massachusetts, who will be responsible for providing comprehensive patient care, assessing and planning medical interventions, and leading a nursing team under supervision. The ideal candidate will have...Flexible hours
$85.18k - $196.75k
...Utilizing a collaborative process, the care manager will assess, plan, implement, monitor... ...and the department. Position: RN Case Manager Schedule: 40 Hours (Days... ...REGISTRATIONS: Licensed to practice as a Registered Nurse in the commonwealth of Massachusetts...Full timeContract workFixed term contractFlexible hoursWeekend workDay shift- ...Dormont Manufacturing Co in Boston seeks a Registered Nurse for the Outpatient Psychiatry Department. This role is focused on providing comprehensive nursing care, connecting patients to primary care, and administering psychiatric medications. The ideal candidate will...
$22.25 - $35.6 per hour
...highest quality health care for all individuals... ...face. This Complex Care Coordinator will provide care coordination... ...team of providers, nurses, behavioral health... ...and helping patients register for access to the machine... ...ACOs. Support during transitions of care: Provide...Hourly payFull timePart timeWork at officeVisa sponsorshipWork visaMonday to FridayFlexible hoursAfternoon shift$50 per hour
...ProPivotal is searching for a detail-oriented MDS Registered Nurse (RN) to join their clinical team in Boston, MA. This full-time position offers... ...to work with a dedicated team, contribute to quality care planning, and support reimbursement processes. A valid RN license...Hourly payFull time- ...Boston Children’s Hospital is seeking an experienced RN Case Manager to coordinate patient care transitions from hospital to home. The ideal candidate will have a Bachelor's degree in nursing and at least 5 years of nursing experience, preferably in pediatrics. The position...
- ...Elliot Health System seeks an RN Case Manager in New Hampshire to provide clinically-based case management for patients in transition. You will collaborate to create effective transition... ...experience, and is committed to patient care. Excellent benefits include health...
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