Clinical Transition Spec RN Wknd - CFH

Carle; Urbana (IL); On-site; USD 49,414 - 80,410; Full time

Job summary

The Carle Foundation Hospital is seeking a dedicated nurse responsible for overseeing the functional and financial outcomes during hospitalizations. This role includes conducting assessments, coordinating transitions, and evaluating patient care.

A valid Illinois RN license, Basic Life Support certification, and a college diploma in nursing are required. The position offers a competitive compensation ranging from $35.87 to $58.37 per hour, based on various factors.

Qualifications

• Valid RN license from the Illinois Department of Financial and Professional Regulation.
• Basic Life Support certification within 30 days.
• Accredited Case Manager certification within 3 years.

Responsibilities

• Act as a liaison between patients, families, and physicians.
• Coordinate transitions from inpatient to post-hospital care.
• Evaluate outcomes of care to ensure effectiveness.
• Participate in daily rounds and case reviews.

Skills

Basic Life Support (BLS)

Licensed Registered Professional Nurse (RN)

Accredited Case Manager (ACM)

Nursing Diploma

Education

College Diploma in Nursing

Job description

Overview

Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital. Utilizes the five components of case management: assessment, coordination, monitoring, implementation, and evaluation. Multidisciplinary rounds are completed daily with the care team at the patient’s bedside which assists the team for timely planning and collaboration.

Qualifications

• Certifications: Basic Life Support (BLS) within 30 days – American Heart Association (AHA).
• Licensed Registered Professional Nurse (RN) – Illinois Department of Financial and Professional Regulation (IDFPR).
• Accredited Case Manager (ACM) within 3 years – American Case Management Association (ACMA).
• Education: College Diploma in Nursing.
• Work Experience: (details not provided).

Responsibilities

• Act as a liaison working with patient/family and physician to determine next level of care.
• Conduct case review presentations to educate peers on unique or challenging cases and scope of practice issues.
• Coordinate the transition from inpatient care to post-hospital care, working with pre- and post- hospital providers to ensure responsive and appropriate care is provided post-discharge.
• Document plan of care and utilization issues in appropriate locations, including case management/utilization review software and the multidisciplinary plan of care document for all assigned patients.
• Evaluate effectiveness of plan of care to ensure the progression toward desired patient outcomes.
• Initiate intervention, both pre-hospital, in-hospital, and post-hospital, for patients and families identified from a proactive initial admission assessment, as well as through referrals from members of the health care team.
• Initiate timely referrals to other health care team members (quality improvement, risk manager, social workers, physicians, Home Services, etc.).
• Perform nursing activities of assessment, coordination, planning, monitoring, implementation, and evaluation.
• Interact with clients, caregivers and families to assess, plan care, arrange services, monitor, and provide support and education.
• Proactively investigate coverage for post-hospital needs and present options to the patient/family and provider.
• Provide oversight of acute setting plan of care to ensure coordination and completion of services to meet post-hospitalization needs.
• Lead an interdisciplinary team to achieve organizational goals related to length of stay and readmissions.
• Track avoidable days on inpatient stays and perform readmission assessment of inpatient stays.
• Assess patients for post-discharge needs.
• Participate in daily whiteboard rounds.
• Arrange DME, Home Care, Hospice, assist with returns to ECFs, and arrange transportation.
• Assist at patient/family care conferences.
• Participate in department work groups.
• Make follow-up appointments with primary care provider before patient discharges and make post-discharge phone calls to ensure patient is doing well and has what they need for success (HRHC and RMH).
• Obtain prior authorizations for swing bed patients, maintain the work queue, and address denials.
• Initial utilization review for emergency room patients being admitted.

Compensation and Benefits

The compensation range for this position is $35.87 per hour - $58.37 per hour. This represents a good‑faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked, and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee’s Form I-9 to confirm work authorization. For more information, contact [e-mail].