Registered Nurse, RN Care Transition Manager

Work location: Texas Health HEB, 1600 Hospital Parkway, Bedford, TX 76022

Work hours: Full Time - Days; Friday, Saturday, and Sunday; 7:30am - 8:00pm

What You Will Do

Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner. In addition to the required qualifications, a successful RN will:
• Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and as needed.
• Reviews the Risk of Unplanned Readmission (RUR) scores daily for all assigned patients.
• Assists in the identification of a primary care physician (PCP) for patients without a PCP and attempts to schedule follow up appointments with either a PCP, specialist, clinic, physician or other transitional care visit prior to discharge.

Here's What You Need

• Bachelor's Degree Nursing Individuals hired as CTRN prior to May 11, 2017, will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017. Required
• 3 years of Staff Nurse at an acute care hospital is required.
• 1 year of discharge planning and/or care management is highly preferred.
• Must hold an active RN license - Registered Nurse Upon Hire is required.
• CPR - Cardiopulmonary Resuscitation is required upon hire.
• ACM - Accredited Case Manager upon hire is preferred OR CCM - Commission for Case Manager Certification or other ANCC upon hire is preferred.

Additional perks of being a Texas Health Employee
• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth.
• Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.

Do you still have questions or concerns? Feel free to email your questions to [email protected].

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