Per Diem Transitional Care RN - Patient Transitions Lead

Dartmouth Health; Newport (NH); On-site; USD 51,000 - 72,000; Part time

Job summary

Dartmouth Health, part of the New London Hospital Medical Group, seeks a registered nurse to support safe patient transitions as a patient educator and advocate. You will collaborate with the care team to develop plans and ensure smooth discharge processes for NLH-based patients.

The role requires NH-eligible RN, 3–5 years of experience, and Case Management certification is preferred. Per diem/temporary status with day shifts and a comprehensive benefits package offered.

Qualifications

• Graduate of an accredited School of Nursing.
• 3 to 5 years related experience.
• Case Management certification from accredited organization strongly preferred.

Responsibilities

• Attends discharge planning meetings. Reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient.
• Provides information to patients and caregivers about NLH post acute discharge plans.
• Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout.
• Advocates on behalf of the patient and the healthcare provider for needed patient resources and services.
• Provides written communication to the receiving clinician as the patient transitions from one level of care to the next. Contacts the patient’s PCP with each transition of care, providing a summary of the patient’s clinical status. Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status.
• Maintains excellent documentation of patient encounter records. Enters specified data elements into electronic dashboard with each patient transition or discharge.
• Develops and maintains plan of care for NLH-based patients.

Skills

Nursing

Case Management

Education

Nursing degree

Job description

Dartmouth Health, part of the New London Hospital Medical Group, seeks a registered nurse to support safe patient transitions as a patient educator and advocate. You will collaborate with the care team to develop plans and ensure smooth discharge processes for NLH-based patients.

The role requires NH-eligible RN, 3–5 years of experience, and Case Management certification is preferred. Per diem/temporary status with day shifts and a comprehensive benefits package offered.