Our Nurse Transition Coach will:

• Collaborate and coordinate with multidisciplinary teams to facilitate a safe quality experience for patients through the continuum of care
• Act as a Liaison between all patient care services to ensure appropriate bed is assigned, patient care needs are met and treatment plans are executed in the appropriate level of the continuum.
• Communicate/collaborates daily with physicians, unit and support team ( MSW, CDI, PT, etc.) to progress each patient’s care towards discharge and resolve barriers to discharge
• Escalate complex patient care coordination needs to appropriate support team member
• Serve as an expert resource in patient flow, status and progression and provides ongoing education to staff, physicians, patients, and their significant others
• Ensure designated software/EPIC reflects accurately the patient status and is updated in real time as needed
• Reviews Target LOS values and working DRG daily and at points of patient condition changes
• Facilitate family meetings and plan of care discussions related to supportive care, healthcare proxy and guardianship
• Work collaboratively with care team to facilitate financial assistance, entitlements and medication assistance as requested. Provide community resource information as requested and facilitates or completes referrals as directed
• Perform the Care Management functions and documentation as per orientation and competency documents
• Meet deadlines and exceeds metrics identified for the Facility/ Unit through implementation of facility policies and Standard Operating Procedures (SOPs)
• Participate or lead meetings as required

What you’ll bring:

• 3+ Years in-patient acute care clinical RN experience required
• Experience in Care Management preferred
• 2+ Years progressive nursing leadership experience preferred

• Education: Graduate of an accredited School of Nursing required
  •  Bachelors of Science in Nursing (BSN) degree preferred
• Licensure: New York Registered Nurse (RN) License & Registration

• Certification: Related specialty certification preferred; Case Management Certification preferred; PRI Certification preferred

• Skills: Beginner proficiency of Outlook, Word and Excel is required.  Beginner proficiency of Power Point is preferred. 

 At Catholic Health your well-being comes first, with comprehensive compensation and benefits; our offerings go beyond the basics. In addition to multiple medical plans, life insurance, generous paid time off and flexible spending accounts, we also offer substantial tuition reimbursement, an employer funded pension plan and several savings plan options for your future.