Transitional Care Nurse

Transitional Care Nurse

iCare Health Network is seeking a dynamic and experienced Transitional Care Nurse (RN) to join our team. Focus will be at our Meriden facility, Silver Springs Care Center

Job Responsibilities: As a Transitional Care Nurse your role will serve to represent and promote iCare Management and Touchpoints Rehab centers through; hospital onboarding patients, identification of new patients, and accurate clinical evaluation of patient needs. The Transitional Care Nurse is an integral part of the patient’s transition throughout the health care continuum. Successful applicants will have and/or create trusting and synergistic relationships with hospitals and physicians who are discharging post acute, skilled nursing patients. Strong knowledge of local healthcare market. Ability to travel regularly within your community to multiple iCare locations, with a focus in the Meriden area.

Additional responsibilities:

• Secure patient referrals from key healthcare organizations.

• Ability to obtain/assess quickly with new referrals

• Assess and communicate patient healthcare needs prior to admission

• Coordinate admission with the team

• Extensive communication with physicians and mid-level providers from multiple referral sources such as tertiary care centers, physicians’ offices, cardiology services and many more.

• Extensive rounding within multiple facilities

• Patient assessment and interview

• Ordering and tracking of interventions, balancing and tracking daily weights, medication changes, clinical labs monitoring.

• Assist patient and family as a resource in education as they transition through the health care continuum.

• Assist with planning and managing positive discharges and outcomes including transition to home care services.

Candidats should have:

• Current RN license (state-specific, active, and in good standing).

• IV certification required.

• Familiarity with electronic health record systems (e.g., PCC).

• Exceptional interpersonal, organizational, and clinical teaching skills.

• Ability and willingness to travel regularly to all affiliated buildings.

When you provide us with the above, we provide you with:

• A base pay of based on experience.

• Affordable Health Insurance including dental and vision.

• 401(k) with matching

• Excellent growth and advancement opportunities.

• so much more!

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