Care Transition Nurse

LiveWell Homecare Agency, LLC; Lowell (MA); On-site; USD 85,000 - 105,000; Full time

Job summary

LiveWell Homecare Agency, LLC is seeking a Registered Nurse to join the Acute Care Transition Team in Lowell, MA. You will coordinate safe patient transitions from hospital to home or post-acute settings, assess needs, and develop individualized care transition plans to ensure continuity of care.

You will educate patients and families at discharge, collaborate with physicians, social workers, and community providers, and monitor outcomes while contributing to quality improvement initiatives.

Qualifications

• Valid RN license.
• Strong assessment, communication, and collaboration skills.
• Experience in discharge planning, care coordination, or similar settings preferred.
• Commitment to evidence-based practice and continuous learning.

Responsibilities

• Coordinate safe patient transitions from hospital to home or post-acute settings
• Assess patient needs and develop individualized care transition plans
• Provide education and discharge planning to ensure continuity of care
• Collaborate with physicians, social workers, and community providers
• Monitor patient outcomes and participate in quality improvement initiatives

Skills

RN license

Discharge planning

Care coordination

Communication skills

Job description

LiveWell Homecare Agency, LLC is seeking a Registered Nurse to join the Acute Care Transition Team in Lowell, MA. You will coordinate safe patient transitions from hospital to home or post-acute settings, assess needs, and develop individualized care transition plans to ensure continuity of care.

You will educate patients and families at discharge, collaborate with physicians, social workers, and community providers, and monitor outcomes while contributing to quality improvement initiatives.