Care Transition Nurse I

Empower Lives - Join Us as a Care Transition Nurse!

At Community Health at Home, we're on a mission to uplift communities through compassionate care. As a Care Transition Nurse (CTN), make a lasting impact by coordinating quality home-based services and guiding patients to the best care.

The Care Transition I (CTN) collaborates with physicians, hospitals, nursing homes, home health personnel in the process of providing coordinated quality home care services for patients referred to the company. This activity may be in a health care facility or in the field office location. The Care Transition Nurse observes and reports trends, changes, and new opportunities.  Increases awareness among key contacts at health care facilities when home care is an optimal solution and helps identify when services are appropriate for individual patients. Assists patients in making a seamless transition to home care. In addition:

1. Arrange home care services for patients
2. Follows referral of a patient to the organization
3. Assists discharge coordinators in coordinating quality home care services for patients​.
4. Determines patient eligibility for home care services.
5. Effectively communicates with appropriate disciplines involved in the care of potential home care patients, and provides information and recommendations to organization staff.
6. Available to all discharge planners, physicians, other hospital personnel and patients to:
7. Explain Medicare and Medicaid guidelines, insurance plan benefits, financing options organization policies, etc.

Benefits 

• Excellent Vacation Plan to recharge
• Paid holidays and Personal Days (PTO)
• Blue Cross Blue Shield Standard PPO Plan/High Deductible Health Plan
• Delta Dental Plan
• EyeMed Vision Plan
• Fidelity 401(K) Plan
• Lyra Mental Health Benefits
• Cigna Life/AD&D Plans
• Cigna Long Term Disability
• Cigna Short Term Disability
• Cigna Critical Illness/Group Universal Life Insurance

• Current RN, LPN, MSW, or BSW license to practice in the state. 
• Two years of appropriate nursing experience.
• Hospital and/or homecare nursing experience.
• Obtain and maintain current CPR/BLS certification

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.