Care Transitions Nurse: Hybrid/Remote Role

Tampa General Hospital; Tampa (FL); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Tampa General Hospital invites a Care Transitions Registered Nurse to join the Ambulatory Care Transitions team. You will coordinate post-discharge plans, educate patients, and collaborate with physicians, RPM, Home Health, and pharmacy to optimize transitions.

You will lead care coordination activities, assess patient needs, document in EMR, and support plan-of-care adherence while mentoring staff as requested.

Qualifications

• Bachelor's Degree in Nursing required.
• Registered Nurse license required.
• Minimum of three (3) years nursing experience in care coordination, ambulatory, post-acute, or transitional care settings.

Responsibilities

• Act as point of contact and clinical lead for staff and administration.
• Coordinate care across RPM, Home Health, Pharmacy, and physicians.
• Develop and document plans of care based on assessments and physician orders.
• Educate patients and caregivers to facilitate transitions to independent management.
• Communicate changes in patient condition to the care team and modify plans as needed.

Skills

Care coordination

Communication skills

EMR proficiency

Multidisciplinary teamwork

Patient education

Education

Bachelor’s Degree in Nursing

Tools

EMR systems

Job description

Tampa General Hospital invites a Care Transitions Registered Nurse to join the Ambulatory Care Transitions team. You will coordinate post-discharge plans, educate patients, and collaborate with physicians, RPM, Home Health, and pharmacy to optimize transitions.

You will lead care coordination activities, assess patient needs, document in EMR, and support plan-of-care adherence while mentoring staff as requested.