Care Transitions RN - Hybrid Remote Care Coordination Lead

Florida Health Sciences Center Tampa General Hospital; Tampa (FL); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Tampa General Hospital in Tampa, FL is seeking a Care Transitions Registered Nurse for the Ambulatory Care Transitions team. Under general supervision, you educate patients, coordinate RPM, Home Health, DME, and pharmacy, and work with physicians to optimize transitions.

You will serve as clinical lead, supervise the Tele Med-Assistant for patients, and support plan-of-care compliance. Requires BSN and RN licensure, with a full-time schedule and weekend coverage.

Qualifications

• Knowledge of care transition principles, chronic condition management, and ambulatory workflows.
• Ability to assess patient needs, coordinate multidisciplinary care, and support plan-of-care compliance.
• Strong communication and interpersonal skills to engage patients, caregivers, and care teams.
• Ability to manage multiple patients and priorities in a fast-paced clinical environment.
• Proficiency with electronic medical record systems and clinical documentation standards.

Responsibilities

• Provides patient education, support, and interventions to optimize care transitions.
• Serves as point of contact, clinical leader and resource to staff and administration.
• Coordinates Home Health, Remote Patient Monitoring (RPM), Durable Medical Equipment, Pharmacy as needed and communication with physicians.
• Documents findings, develops plan of care, and verifies physician orders and plan of care.
• Maintains clinical skills and participates in training and education as needed.

Skills

Care transition principles

Multidisciplinary coordination

Communication skills

Caseload management

EMR proficiency

Education

Bachelor’s Degree Nursing

Job description

Tampa General Hospital in Tampa, FL is seeking a Care Transitions Registered Nurse for the Ambulatory Care Transitions team. Under general supervision, you educate patients, coordinate RPM, Home Health, DME, and pharmacy, and work with physicians to optimize transitions.

You will serve as clinical lead, supervise the Tele Med-Assistant for patients, and support plan-of-care compliance. Requires BSN and RN licensure, with a full-time schedule and weekend coverage.