Registered Nurse Transition Care

UnityPoint Health; Dubuque (IA); Remote; USD 55,000 - 70,000; Full time

Job summary

A leading healthcare provider is seeking a Registered Nurse for the Transition Care role. This position focuses on supporting patients post-discharge through telephonic care management, ensuring successful transitions and improved health outcomes. The RN will conduct assessments, coordinate care, and provide education to patients, working primarily remotely with some in-office options available.

Benefits

Full Time Benefits

Qualifications

• 1-2 years of clinical experience in home or ambulatory care.
• Unrestricted RN license in Iowa or practicing state.

Responsibilities

• Monitor and manage work queues within Epic for discharged patients.
• Conduct post-discharge assessments and provide education or referrals.
• Document calls and updates in eMR promptly.

Skills

Communication

Decision Making

Technical Aptitude

Education

Graduate of an accredited RN program

Job description

Join to apply for the Registered Nurse Transition Care role at UnityPoint Health.

Full Time Benefits

The Transition of Care RN is a vital member of the interdisciplinary team, providing telephonic support for post-discharge workflows. This role focuses on transitional care management for patients moving from one healthcare setting to another, most often to the patients’ home. The RN conducts medication reconciliation and assessments to identify patient needs and facilitates referrals to appropriate services. By coordinating care and connecting patients with essential resources, along with educating about preventative and supportive measures, the Transition of Care RN helps promote successful recovery and improved health outcomes. This position has a Primary Remote designation, with options to work at a designated UnityPoint workspace upon request and availability.

Responsibilities

• Monitor and manage work queues within Epic to support outbound calls to discharged patient populations.
• Conduct post-discharge assessments within appropriate time frames.
• Support needs assessment and provide education or referrals to support a successful transition home.
• Assist providers in determining referral needs, including Care Management, Home Health, Hospice, and other community resources.
• Provide health information regarding care options, chronic disease, and medication management to reduce preventable hospitalizations.
• Document calls and updates in eMR promptly.
• Support staffing needs by managing call volume and shift requirements, including weekends and holidays.

Qualifications

• Graduate of an accredited RN program.
• 1-2 years of clinical experience in home or ambulatory care.
• Unrestricted RN license in Iowa or practicing state, with secondary licensure as needed.
• Proficient in keyboarding, technical aptitude, and able to work in a call center environment.
• Effective communication skills, ability to handle confidential information, and strong decision-making abilities.

Additional Details

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Healthcare Provider
• Industries: Hospitals and Healthcare