Care Transition & Discharge Manager

Talentify; East Orange (NJ); On-site; USD 85,000 - 110,000; Full time

Job summary

Talentify is seeking an RN discharge planning specialist to provide comprehensive case management for hospitalized patients, aiming to maximize quality of life and safe community re-entry.

The role involves discharge planning rounds, evaluating medical and rehabilitation needs, and coordinating with family, home health, and external agencies to ensure timely and appropriate patient care.

Qualifications

• RN license required, BSN preferred.
• Medical/Surgical, Critical Care and/or Community Health Nursing experience required.

Responsibilities

• Coordinate discharge planning for patients to ensure safe transition to community.
• Assess patient needs and coordinate with family and care teams.
• Review admission and continued stay for appropriateness per policy.
• Maintain knowledge of coverage options and home care services.
• Serve as liaison between hospital, home health, and community agencies.

Skills

Case management

Discharge planning

Interdisciplinary coordination

Patient education

Liaison with external agencies

Documentation

Education

RN license

BSN preferred

Job description

Talentify is seeking an RN discharge planning specialist to provide comprehensive case management for hospitalized patients, aiming to maximize quality of life and safe community re-entry.

The role involves discharge planning rounds, evaluating medical and rehabilitation needs, and coordinating with family, home health, and external agencies to ensure timely and appropriate patient care.