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.
$85k - $95k
...you looking for a rewarding career as a care transitions coordinator? If so, we invite you to join our team... ...in the U.S. This role requires an RN, LPN or other clinical license, plus previous... ...referral sources, such as hospitals, nursing homes and physician offices to...SuggestedTemporary workShift work$90k - $100k
...Amedisys Care Transitions Coordinator Make a difference every day as an Amedisys care transitions coordinator... ..., at home. This role requires an RN, LPN or other clinical license, plus... ...referral sources, such as hospitals, nursing homes and physician offices to generate...SuggestedTemporary workShift work$85k - $95k
...you looking for a rewarding career as a care transitions coordinator? If so, we invite you to join our team... ...in the U.S. This role requires an RN, LPN or other clinical license, plus previous... ...referral sources, such as hospitals, nursing homes and physician offices to...SuggestedTemporary workShift work- ...A prominent healthcare provider in Baltimore seeks a Care Transitions Nurse (RN) to provide intensive case management for high-risk patients... ...involves conducting home visits, health education, and care coordination. Candidates should possess at least 1 year of hospital...Suggested
- ...in clinical practice through coordinating care, prioritizing patient... ...of a school of professional nursing approved by the appropriate... ...have opportunity to become registered as a nurse with a state licensing... ...preferred. At least 5 years current RN experience in Acute medical/...SuggestedPermanent employmentTemporary workImmediate startFlexible hoursShift work
- ...JOB SUMMARY: The Nurse Care Coordinator delivers and oversees care management services for medically... ...case management, care coordination, transition care management, high risk clinical tracking... ...model and mentor others, including RN Care Managers, to assess and address...Work at officeFlexible hours
- ...Description Job Description Client Care Coordinator Senior Helpers of Baltimore & Central... ...of Operations, scheduling team, nursing staff, caregivers, and business development... ...rapid response to hospital discharges, transition-of-care referrals, and urgent client start...Full timeWork at officeImmediate start
$78.97k - $131.61k
...growth of your career. Option Care Health, Inc. is the largest... ...Summary The Clinical Transition Specialist is an experienced... ...Proactively initiate care transition coordination with referral sources and... ...Requirements Licensed Registered Nurse (RN) or licensed Pharmacist in...Flexible hours- ...Lifebridge Health, Inc. is hiring a Psychiatric Care Management Assistant (PCMA) in Randallstown, Maryland. The PCMA plays a crucial role in our social work team in inpatient behavioral health units, serving as a liaison between the hospital and legal offices. Key responsibilities...
$32.18 - $49.46 per hour
...Greater Baltimore Medical Center (GBMC) is looking for a Registered Nurse to provide comprehensive patient care including assessment, planning, and implementation of nursing interventions. A collaborative healthcare environment is emphasized, requiring strong communication...- ...health system located in Maryland is seeking a qualified nurse to provide safe, age-appropriate patient care and serve as an invaluable resource for patients and... ...will possess a BSN or ASN, a valid Maryland RN license, and be certified in CPR. This role also offers...
- ...of Veterans Affairs in Baltimore, Maryland is seeking a registered nurse to deliver high-quality patient care, coordinate educational efforts, and support self-management. The ideal candidate will have a BSN, RN licensure, and proven experience in critical care environments...
$32.18 - $49.46 per hour
...A healthcare provider in Baltimore is seeking a registered nurse for a night shift role, providing care to patients with life-limiting illnesses. Candidates must have a valid Maryland nursing license and an ADN or BSN. Responsibilities include developing care plans and...Hourly payNight shift- ...seeks a Telehealth Administrator on Call (Registered Nurse) for a remote position. The role involves providing administrative support and coordinating care for patients across multiple states. The ideal candidate holds a valid RN or LPN license and has excellent...Remote work
- ...Lifebridge Health, Inc. is seeking a qualified nurse to provide general, acute care for inpatient adults. The role involves leading the patient care... ...should possess a nursing certification, a Maryland Registered Nurse License, and relevant clinical experience. Join our...
- ...Pikesville, MD is seeking a dedicated Regional Nurse Consultant to oversee clinical operations... ...key role ensures high-quality resident care and compliance with regulations while... ...development. Candidates should possess an active RN license, 3-5 years in nursing leadership,...
$43 - $48 per hour
...FutureCare in Baltimore, Maryland is seeking a Wound Care Coordinator to provide high-quality skin care to residents. This role involves identifying... ...the medical team. Qualified candidates must hold a current RN license in Maryland and have active wound care certification....Hourly pay$74.26k - $81.95k
...a full range of professional nursing services, including assessing... ...planning, and evaluating patient care in accordance with the team... ...to patients. Facilitates coordination of care while monitoring treatment... ...of a current license as a Registered Nurse in the State of Maryland...Full timeDay shift- ...Care Management Coordinator Under direct supervision, works closely with Care Management (CM) team... ...and refer as appropriate. Perform transition of care duties to include, but not limited... ...with members, providers, nurse care managers, social workers, agency...Temporary workWork experience placementWork at officeLocal area
$72.5k - $108.7k
...Care Coordinator Manager- Pediatrics Job Category: Clinical Staff Supervisor: Charles Rydzy... .../or Experience Bachelor's Degree in Nursing required. Current Maryland licensure or... ...relating to the Care Coordination/Transitional Care Management Program. Integrates...Full timeWork experience placement$32.18 - $49.46 per hour
...Greater Baltimore Medical Center (GBMC) is seeking a Registered Nurse to join their team in Baltimore, Maryland. The candidate must possess... ...registered in Maryland. Responsibilities include patient assessment, care planning and implementation, and quality improvement....Hourly pay$36 - $44 per hour
...FutureCare is seeking compassionate Registered Nurses in Baltimore, MD. This role is vital in delivering quality healthcare to residents through assessments and planning. Registered Nurses at FutureCare are recognized as essential heroes in the healthcare arena. They are...Weekend work- ...Employee Connect is seeking experienced Registered Nurses for full-time positions in Catonsville,... ...role involves providing skilled nursing care within a large senior living and continuing... ...various living settings. An active RN license and at least one year of relevant...Full timeLive inWeekend workAfternoon shift
$38.2 - $59.21 per hour
...ED CARE COORDINATOR (RN) Sign On Bonus Potential: $6,000 Randallstown, MD NORTHWEST HOSPITAL NW CARE... ...a specialized field Associate Degree in Nursing required, Bachelor of Nursing preferred. Maryland Registered Nurse License (RN) American Heart Association...Part timeRelocation packageShift workNight shiftRotating shift- ...through operational excellence, personalized care, and a commitment to enriching lives... ...replacements for call offs. The Resident Care Coordinator is responsible for the coordination of... ...for review in the event that a Support Nurse cannot complete the audit. Assists with data...Shift work
$21 - $28 per hour
CareHarmony, Inc. is seeking a Licensed Practical Nurse (LPN) to manage patient care and resources in a fully remote position. The ideal candidate... .... Responsibilities include managing patient census, coordinating community resources, and providing education on chronic...Work experience placementRemote work- ...Seaton Senior Living in Towson, Maryland, is seeking a Resident Care Coordinator to oversee resident care needs and ensure compliance with health regulations. Responsibilities include coordinating schedules, maintaining clinical records, and training new team members....
- ...A Caring Hand Medical Adult Day Care INC in Baltimore, Maryland is seeking a licensed Registered Nurse (RN) to supervise nursing services and staff for program participants. The RN... ...requires excellent communication and coordination skills to manage the care plans and medication...
- ...Seaton Towson seeks a dedicated Resident Care Coordinator to manage resident care within a dynamic wellness department. The role involves scheduling, ensuring compliance with care protocols, and training staff while maintaining a compassionate environment for residents...
- ...Quality / Risk Management Clinical Care Coordinator Clinical Associates, P.A. – Towson, Maryland, United States – Full Time. Start Date:... ...Encounter Notification System reports, scheduling appointments for Transitional Care Management and Annual Wellness Visits, supporting the...Full timeWork at officeImmediate startRemote workVisa sponsorshipShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Registered Nurse RN - Transitional Care Coordinator. Be the first to apply!


