Inpatient Discharge & Care Transitions Manager

UnitedHealth Group; Auburndale (MA); On-site; Confidential; Full time

Job summary

Atrius Health, part of the Optum family, is seeking a Nursing professional to coordinate discharge planning and transitions of care for patients at Beth Israel Deaconess Medical Center in Boston. The role focuses on safe transitions, real-time readmission risk assessments, and collaboration with hospital and primary care teams.

Responsibilities include initial patient assessment within 24–48 hours, ongoing care plan updates, and education for patients and families.

Qualifications

• Graduate of a state-approved school of nursing.
• Current, unrestricted nursing license in Massachusetts.
• American Heart Association BLS required.
• EMR experience and/or aptitude to master EMR.
• Proficiency with software including EPIC reporting workbench and dashboards.

Responsibilities

• Coordinate patient transitions from hospital to home or other care settings.
• Review medical records and assess patients within 24–48 hours.
• Educate patients and families about care plans and provider networks.
• Maintain discharge planning documentation in the medical record.

Skills

RN

EMR experience

BLS

Critical thinking

Education

Registered Nurse (MA) license

BSN (preferred)

Tools

EPIC

MS Office

Job description

Atrius Health, part of the Optum family, is seeking a Nursing professional to coordinate discharge planning and transitions of care for patients at Beth Israel Deaconess Medical Center in Boston. The role focuses on safe transitions, real-time readmission risk assessments, and collaboration with hospital and primary care teams.

Responsibilities include initial patient assessment within 24–48 hours, ongoing care plan updates, and education for patients and families.