Registered Nurse (RN) – Transitional Care Management Clinic

Southwoods Health; Boardman Township (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Southwoods Health in Boardman, OH is seeking a full-time Registered Nurse (RN) for the Transitional Care Management Clinic. You will support patients recently discharged from acute care, gathering clinical data and helping prevent readmissions.

Responsibilities include post-acute assessments by phone, coordinating care, scheduling follow-up visits, and documenting calls in the EMR while ensuring patient privacy and regulatory compliance.

Qualifications

• BSN preferred.
• Strong critical thinking and time management required.
• Clear, professional, empathetic phone communication.

Responsibilities

• Conduct post-acute phone assessments to identify barriers to recovery.
• Review discharge instructions, medications and referrals for each patient.
• Schedule and facilitate face-to-face follow-up visits.
• Log patient calls accurately in the EMR system.
• Maintain patient privacy and follow OSHA/ODH regulatory standards.

Skills

Critical thinking

Time management

Communication

Education

BSN preferred

Job description

Position:Registered Nurse (RN) - Transitional Care Management Clinic

Location: Boardman, OH

Location: Boardman, OH (Main Campus)

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

Job Id:2993-PJF 912

# of Openings:1

Registered Nurse (RN) - Transitional Care Management Clinic

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

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