Registered Nurse (RN) – Transitional Care Management Clinic

Southwoods Health; Boardman (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Southwoods Health in Boardman, OH is hiring a full-time Transitional Care Management RN to support patients recently discharged from acute care. You will gather clinical data, perform post-acute assessments by phone, and help prevent hospital readmissions.

The role emphasizes care coordination, reviewing discharge instructions and medications, scheduling follow-up visits, and accurate EMR documentation. A valid Ohio RN license is required; BSN is preferred, and strong communication and time

Qualifications

• Active Ohio RN license.
• BSN degree preferred.
• Strong critical thinking and time management.
• Clear, empathetic phone communication.

Responsibilities

• Post-acute patient assessments via phone to identify barriers to recovery.
• Review discharge instructions, medications, and referrals.
• Schedule and coordinate face-to-face follow-up visits.
• Document all patient calls accurately in the EMR.
• Maintain patient privacy and comply with OSHA/ODH regulations.

Skills

Critical thinking

Time management

Phone communication

Education

BSN preferred

Job description

Location: Boardman, OH (Main Campus)

Schedule: Full-time. Monday – Friday. Day shift.

Experience The Southwoods Difference

At Southwoods Health, it’s not just about the treatment—it’s about how you’re treated. We are hiring a full-time Transitional Care Management RN.

The Role

You will assist patients recently discharged from acute care. You will gather clinical data and help prevent hospital readmissions.

Key Responsibilities

• Patient Assessments: Conduct post-acute phone assessments. Identify barriers to patient recovery.
• Care Coordination: Review discharge instructions, medications, and referrals.
• Scheduling: Facilitate and schedule face-to-face follow-up visits.
• Documentation: Log all patient calls accurately in the EMR system.
• Compliance: Maintain patient privacy and strictly follow regulatory standards (OSHA, ODH).

Qualifications

• License: Active Ohio RN license.
• Education: BSN degree is preferred.
• Skills: Strong critical thinking and time management.
• Communication: Clear, professional, and empathetic phone skills.

Apply Today

Join a team that values your growth. Visit the Southwoods Health Careers Page to apply. #SWH

www.southwoodshealth.com