Care Transition Lead - Expert Case Management & Transitions

Montgomery College; Nashville (TN); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health benefits

Job summary

Vanderbilt University Medical Center in Nashville, TN, seeks an experienced RN for Case Management to lead a care continuum and coordinate services across providers, facilities, families, and transport. The role focuses on addressing psychosocial needs, financial resources, and follow-up planning to meet patient goals.

Responsibilities include triaging post-acute needs, arranging transfers, and ensuring timely outpatient follow-up for at-risk populations, while collaborating with clinical teams

Qualifications

• Bachelor's degree in Nursing required.
• Master's degree in Social Work completed or pursued.
• Licensed Registered Nurse (RN) licensure.

Responsibilities

• Leads patient progress through care continuum with outcomes based practice and coordinates communication among providers, facilities, families, and transport.
• Manages post-acute care hotline and triage calls to deploy clinical resources or arrange transfers.
• Transitions patients to appropriate level of care and establishes outpatient follow-up for at-risk patients.

Education

Bachelor's degree in Nursing

Master's degree in Social Work

Job description

Vanderbilt University Medical Center in Nashville, TN, seeks an experienced RN for Case Management to lead a care continuum and coordinate services across providers, facilities, families, and transport. The role focuses on addressing psychosocial needs, financial resources, and follow-up planning to meet patient goals.

Responsibilities include triaging post-acute needs, arranging transfers, and ensuring timely outpatient follow-up for at-risk populations, while collaborating with clinical teams