Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

  1. Assesses The Patient's Physical And Psychosocial Condition On An Ongoing Basis Throughout The Continuum Of Care.
  2. 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.
  3. Implements And Coordinates This Plan Of Care In Collaboration With The Healthcare Team.
  4. 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.
  5. Plans For Education After Assessing The Individual Learning Needs And Readiness Of The Patient And Family. Provides Educational Opportunities And Documents Outcomes.
  6. Functions As A Preceptor To New Staff.
  7. Functions As A Charge Nurse.
  8. Meets Performance Expectations For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review.
  9. Performs Other Duties As Assigned Or Directed To Ensure Smooth Operation Of The Department/Unit.
  10. Demonstrates Competency In The Care Of The Neuro Patient
  11. Demonstrates Skill And Knowledge In Neuro Assessment
  12. Demonstrates Skill And Knowledge In The Airway Management Of The Neuro Patient
  13. Demonstrates Skill And Understanding In Caring For A Trached Patient
  14. Demonstrates Skill And Understanding In Assisting The Physician And Caring For The Patient During Special Neuro Procedures
  15. Demonstrates Knowledge And Understanding Of Our 'Tia' Teaching Program
  16. Performs Pharynaeal, Endotracheal, Tracheostomy Suctioning According To Established Policy And Procedure: Pharynaeal, Endotracheal, Tracheastomy
  17. Demonstrates Skill And Understanding In The Use Of Equipment And Care Of Patient In A Halo Brace
  18. 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.

Vacancy posted 19 hours ago
Similar jobs that could be interesting for youBased on the Registered Nurse RN - Transitional Care Coordinator in Milton, MA vacancy
  •  ...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... 
    Suggested
    Temporary work
    Flexible hours

    Yale New Haven Health

    Jamaica Plain, MA
    9 hours ago
  •  ...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... 
    Suggested
    Work at office
    Flexible hours
    Rotating shift

    Brigham and Women's Hospital

    Boston, MA
    4 days ago
  • 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 patient... 
    Suggested

    JobRx, Inc.

    Boston, MA
    5 days ago
  • $22 - $23 per hour

     ...Description Job Description We are currently looking for Client Care Coordinators to add to our team! This is a full time 40-hour, Monday-...  ...who want to grow their veterinary client service career or transition their skills from other fields to work alongside the best... 
    Suggested
    Full time
    Monday to Friday
    Night shift
    Day shift

    MSPCA - Angell

    Boston, MA
    5 days ago
  • $22.25 - $35.6 per hour

     ...highest quality health care for all individuals...  ...This Complex Care Coordinator will provide care coordination...  ...team of providers, nurses, behavioral health clinicians...  ...and helping patients register for access to the...  ...ACOs. Support during transitions of care: Provide... 
    Suggested
    Hourly pay
    Full time
    Part time
    Work at office
    Visa sponsorship
    Work visa
    Monday to Friday
    Flexible hours

    Boston Health Care for the Homeless Program

    Boston, MA
    2 days ago
  • $39.14 - $101.14 per hour

     ...RN Case Manager When you join the growing BILH team, you...  ...working in the Triad Model of Care Transitions partners with the...  ...Tasks: Creates and coordinates the overall transition plan...  ...Preferred: Bachelor's degree in nursing or another healthcare-related... 
    Hourly pay
    Shift work

    Beth Israel Lahey Health

    Boston, MA
    20 days ago
  •  ...Job Description Position Summary The Clinical Care Coordinator is a licensed Registered Nurse (RN) OR Licensed Clinical Social Worker (LCSW) responsible...  ...the TPA regarding care coordination workflows, transitions of care, and high-risk member support. •    Monitor... 
    Contract work

    The Panther Group

    Boston, MA
    a month ago
  • $3,135.71 per month

     ...Name Beth Israel Deaconess Medical Center Job Type Travel Offering Nursing Profession RN Specialty Care Plan Coordinator Job ID 18369806 Job Title RN - Care Plan Coordinator Weekly Pay... 
    Weekly pay
    Shift work

    Carilion Roanoke Memorial Hospital

    Boston, MA
    4 days ago
  • $2,714.63 per month

     ...Client Name Boston Medical Center (Parent) Job Type Travel Offering Nursing Profession RN Specialty Patient Care Coordinator Job ID 18368151 Job Title RN - Patient Care Coordinator Weekly... 
    Weekly pay
    Local area
    Shift work

    OU Health (Parent)

    Boston, MA
    3 days ago
  • $35 - $62.5 per hour

    Optum Home & Community Care Delivery , part of the...  .... As a member of Care Transitions, we combine the...  ...together. The Onsite Care Coordinator plays an integral role...  ...families Perform Skilled Nursing Facility (SNF)...  ...Active, unrestricted registered clinical license required... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Cambridge, MA
    3 days ago
  • $52.5 per hour

     ...healthcare agency in Boston is seeking a Per Diem AFC Registered Nurse. The role involves managing Adult Family Care members, conducting assessments, and developing...  ...individualized care plans. Candidates must hold a valid RN license from Massachusetts, possess a driver's... 
    Hourly pay
    Daily paid
    Local area

    Boston Senior Home Care

    Boston, MA
    1 day ago
  • $22.84 - $31.97 per hour

     ...Incidentaloma Institute Patient Care Coordinator The Incidentaloma...  ...advance practice providers, nursing, and patient care pathways....  ...referrals, enabling patient transitions between the clinic and its...  ...and financial information, registering, and facilitating admission... 
    Full time
    Fixed term contract
    Monday to Friday
    Flexible hours

    BMC Software

    Boston, MA
    5 days ago
  • $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 pay
    Daily paid
    Full time
    Work at office
    Immediate start
    Monday to Friday
    Flexible hours
    Night shift
    Afternoon shift
    1 day per week

    Mab-Community-Services

    Brookline, MA
    1 day ago
  • Brigham and Women's Hospital is looking for an RN Care Coordinator responsible for managing patient caseloads and ensuring optimal care that...  ...enhance patient outcomes. The ideal candidate is a graduate of a nursing program, holds a BSN, and has at least 1 year of inpatient... 
    Full time

    Brigham and Women's Hospital

    Boston, MA
    1 day ago
  • $30 - $35 per hour

     ...network of advanced practice providers and specialty clinicians committed to delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on... 
    Full time

    MedElite LLC

    Boston, MA
    2 days ago
  •  ...Monday through Friday (No Weekends/Holidays) Role Overview: Coordinate long-term care needs for patients in the local community. Relay member...  ...Advocate for patients and families. Qualifications: Current RN licensure in Massachusetts. 2+ years of clinical experience... 
    Local area
    Remote work
    Home office
    Relocation package
    Monday to Friday

    Optum

    Boston, MA
    7 days ago
  •  ...Description Job Description This is a full time 40-hour/week position. Second shift hours from 1-9:30pm. This Client Care Coordinator position is an essential part of our specialty services within the hospital. In this specialized role, you will work collaboratively... 
    Full time
    Afternoon shift

    MSPCA - Angell

    Boston, MA
    12 days ago
  • $30 - $35 per hour

     ...network of advanced practice providers and specialty clinicians committed to delivering high‑quality, proactive care directly to residents in skilled nursing and long‑term care facilities. Our partnership with MedElite Healthcare Management Group empowers us to focus on... 
    Full time

    The MedElite Group

    Boston, MA
    5 days ago
  •  ...Care Coordinator - SCO We have a care coordinator transferring to a new position outside of SCO and require an assistant for our other...  ...Qualifications: Education: Associate's degree in Healthcare, Nursing, and Social Work or a related area or equivalent relevant... 
    Work experience placement
    Work at office
    Immediate start

    Saviance

    Boston, MA
    13 hours ago
  • $47.4k - $76k

     ...Commonwealth Care Alliance® (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals...  ...outcomes and lower costs of care. Job Summary: The Care Coordinator - Massachusetts is the primary point of contact for a stratified... 
    Hourly pay
    Work at office
    Local area
    Work from home
    Home office
    Flexible hours
    Weekend work
    Afternoon shift

    CareSource

    Boston, MA
    16 hours ago
  • $23.8 - $38.08 per hour

     ...highest quality health care for all individuals...  ...Lead will provide care coordination for a panel of up to 2...  ...multidisciplinary team of providers, nurses, behavioral health...  ...and helping patients register for access to the...  .... Support during transitions of care: Provide... 
    Hourly pay
    Full time
    Contract work
    Part time
    Visa sponsorship
    Work visa
    Monday to Friday

    Boston Health Care for the Homeless Program

    Boston, MA
    3 days ago
  •  ...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.... 
    Full time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift
    Early shift

    Mass General Brigham Community Physicians

    Somerville, MA
    1 day ago
  • $50 per hour

     ...We are looking for a Care Transition Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate...  ...Compliance, Accreditation & Medical Staff, Care Coordination & Case Management, Population Health & Value-Based Care, and... 
    Hourly pay
    Full time
    Part time
    For contractors
    Remote work
    Flexible hours

    DataAnnotation

    Boston, MA
    4 days ago
  • $105.68k - $153.72k

     ...professionals, including doctors, nurses, business people, tech...  ...for-profit, we support patient care, research, teaching, and community...  ..., safety planning, care coordination, complementary therapies, information...  ...the team to facilitate safe transitions in care. Coordinates... 
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Shift work

    Mass General Brigham

    Boston, MA
    4 days ago
  • $50 - $57 per hour

    Care Dimensions has a truly meaningful purpose...  ...premium) Make every transition one of compassion, clarity...  ...Care Transitions Nurse, you will serve as a...  ...appropriateness for hospice care Coordinate and complete hospice...  ...What You’ll Bring Registered Nurse (RN), currently licensed... 
    Full time
    Part time

    Care Dimensions

    Boston, MA
    3 days ago
  • $30.37 - $59.21 per hour

     ...Summary Provides support for care transition activities. Facilitates...  ...care processes and coordination for member discharge from...  ...other settings, including nursing facility placement/private...  ...education and experience. • Registered Nurse (RN). License must be active and... 
    Hourly pay
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Boston, MA
    1 day ago
  •  ...Case Worker Manager | Transitional Age Youth Program When you join The Home for Little Wanderers...  ...abusive behavior and past trauma Coordinate appropriate resources and services for...  ...ability to provide exceptional service and care to diverse children, families, and... 
    Permanent employment
    Full time
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Weekend work

    HFLW Brand

    Dorchester Center, MA
    1 day ago
  • $41.71 - $105.65 per hour

     ...including doctors, nurses, business people, tech...  ...we support patient care, research, teaching,...  ...PRIMARY CARE ASSOCIATES & TRANSITIONS CLINIC - Nursing...  ...The Primary Care Registered Nurse (staff RN) is an important...  ...- Ensures effective coordination of care across the care... 
    Hourly pay
    Full time
    Local area
    Remote work
    Flexible hours
    Shift work

    Mass General Brigham

    Boston, MA
    3 days ago
  • $38.05 - $75.33 per hour

     ...Care Management Nurse Transition Program The Care Management Department is offering experienced nurses an exciting opportunity to transition...  ...4 years Must have active or pending Massachusetts Registered Nurse (RN) license 2+ years of RN experience required... 
    Hourly pay
    Contract work
    Fixed term contract
    Flexible hours
    Shift work
    Day shift

    BMC Software

    Boston, MA
    2 days ago
  • $50 per hour

     ...A healthcare technology company in New Hampshire seeks a Care Transition Nurse to train AI models and evaluate their logic. Candidates should have a healthcare-related degree and fluency in English. Responsibilities include providing complex healthcare-related problems... 
    Hourly pay
    For contractors
    Remote work

    DataAnnotation

    Boston, MA
    9 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Registered Nurse RN - Transitional Care Coordinator. Be the first to apply!