Transitional Care Nurse Coordinator (TCNC)

Location 822 W 4TH ST,Leadville, CO, 80461-3861,United States Base Pay $85,000.00 - $125,000.00 / Year Employee Type FT Exempt Required Degree 4 Year Degree Contact information Phone View phone number on click.appcast.io Transitional Care Nurse (TCNC) Coordinator- Full-time, days, onsite Full-time employees have the following benefits: Medical, Dental, Vision, paid time off, Paid Sick time, Holidays, 403(b) Retirement Programs, Life Insurance Plans, Shift differential, Workers' Compensation. The deadline to apply is July 31, 2026 Leadville, Colorado, is a historic Victorian-era mining town and the highest incorporated city in the United States, situated at 10,152 feet—nearly two miles above sea level. Nestled in the heart of the Rocky Mountains and surrounded by iconic 14,000-foot peaks such as Mount Elbert and Mount Massive, Leadville offers breathtaking alpine scenery and a truly authentic mountain-town experience. Unlike larger resort communities known for luxury retail and high tourist traffic, Leadville retains its genuine Colorado character. The town is known for its welcoming, community-focused atmosphere, historic architecture, and rich mining heritage. With no major chain stores and a vibrant mix of long-time residents, outdoor enthusiasts, and local families, Leadville offers a distinctive environment where neighbors know each other and small-town values remain strong. Leadville has a close-knit population of approximately 2,600–3,000 residents, with roughly 7,700 people across Lake County. The area offers a peaceful rural-suburban setting without the congestion of larger mountain destinations. Residents enjoy exceptional year-round outdoor recreation, including hiking, biking, and fishing at nearby lakes such as Turquoise Lake and Twin Lakes. Winter activities include skiing and snowshoeing at Ski Cooper, a family-friendly ski area just outside town. The community also hosts renowned endurance events such as the Leadville Race Series, attracting athletes from around the world. St. Vincent General Hospital District—commonly known as St. Vincent Health—has served the Leadville community since the late 1800s, with roots dating back to 1879. As a critical access hospital, the organization provides essential healthcare services to local residents and visitors across Lake County and the surrounding high-country region. St. Vincent Health offers a comprehensive range of services, including: 24/7 emergency department and ambulance services Primary and family medicine Visiting specialty care (including cardiology, urology, general surgery, pain management, podiatry, and ophthalmology) Physical therapy and rehabilitation services Diagnostic imaging and laboratory services Occupational health and sleep studies The organization is known for its collaborative, team-oriented culture, where healthcare professionals work closely together in a supportive rural hospital environment. Employees often cite the opportunity to make a meaningful impact in a small community, maintain a strong work–life balance, and enjoy competitive benefits—including retirement plans, shift differentials, and benefits eligibility for many part-time roles. Working at St. Vincent Health offers the unique opportunity to combine a rewarding healthcare career with an exceptional mountain lifestyle. For individuals seeking purposeful work, strong community connections, and access to world-class outdoor recreation, Leadville provides a rare and inspiring place to live and serve. Requirements Bachelor's degree in Nursing Minimum of 2 years experience in case management or patient navigation, preferably in critical access or rural communities. A marketing and/or sales background in a healthcare setting is preferred. Current Colorado Registered Nurse License or compact license with the ability to obtain a Colorado Registered Nurse License. Working knowledge of Microsoft Office Products Working knowledge of Google Chrome & Microsoft Edge Basic computer skills Knowledge of Utilization Review principles Valid Driver’s License, vehicle insurance, and dependable transportation and a ble to travel within the region Organizational skills, good interpersonal skills Follow verbal instructions Manages stress appropriately Manages anger/fear/hostility/violence of others appropriately Works independently Work in confined/crowded areas Physical requirement- prolonged period of sitting and exert up to 10 pounds of force occasionally. Summary The Transitional Care Nurse Coordinator (TCNC) is responsible for coordinating patient care, ensuring efficient resource utilization, and facilitating timely discharges, with an emphasis on the Swing Bed program. Role responsibilities include utilization review, patient care coordination, quality management, and obtaining prior authorization for hospital admissions. Support is given to patients and families alike to foster clear communication from admission to discharge. The Transitional Care Nurse Coordinator (TCNC) liaises between medical teams, insurance providers, and community resources to enhance patient support and continuity of care. Transitional Care Nurse Coordinator (TCNC) Responsibilities: Lead and implement the Swing Bed program. Coordinate patient care services, ensuring adherence to clinical guidelines and CMS care requirements. Conduct comprehensive patient assessments to develop individualized care plans. Provide ongoing patient evaluation for treatment, admission, discharge, and home planning in collaboration with Medical Staff and Nursing Staff. Educate patients and families on diagnoses, treatment options, and available resources. Advocate for patients' rights while ensuring high-quality, cost-effective care. Organize outreach efforts with care providers and maintain relationships with service providers. Participate in quality improvement initiatives and hospital case management policy development. Evaluate patient satisfaction and overall quality of care provided. Pre-Admission Intake and Discharge Coordination: Assess all hospital referrals for appropriateness. Collaborate with the care team to ensure patients and families receive appropriate support. Work with the billing department to identify payer sources and complete prior authorizations. Educate staff on Medicare skilled nursing and therapy requirements. Identify and mitigate risks for hospital readmission. Maintain a referral log and facilitate communication regarding admissions and discharges. Stay informed of community resources and maintain materials for patient distribution. Act as a liaison with agencies and service providers for seamless care transitions. Utilization Review and Prior Authorization Responsibilities: Promote effective and efficient utilization of clinical resources. Analyze patient records for compliance with admission, treatment, and length-of-stay criteria. Ensure compliance with insurance, governmental, and accrediting agency standards. Determine continued stay review dates and initiate appeals for denied authorizations. Participate in quality team meetings and present relevant data. Leadership Responsibilities: Provide education and training on the Swing Bed Program for hospital staff. Act as a resource for discharge planning, CMS requirements, and care level guidelines. Support providers throughout the referral process and patient encounters. Offer leadership in care coordination, patient support, and program development. Additional Responsibilities: Represent the hospital at administrative functions and act as a clinical administration representative when needed. Perform other duties as assigned. Qualifications and Skills: Strong knowledge of CMS Swing Bed Program requirements and care guidelines. Experience in case management, utilization review, or discharge planning preferred. Excellent assessment, communication, and patient advocacy skills. Ability to collaborate effectively with interdisciplinary healthcare teams. Proficiency in documentation and care coordination within hospital settings. #J-18808-Ljbffr Kids for the Future