RN Care Transitions Navigator: Discharge & Readmissions

Affinity Home Health Care Inc; Chesterfield (MO); On-site; USD 75,000 - 105,000; Full time

Job summary

Affinity Home Health Care Inc. is seeking a compassionate RN for Medical Transition Management to coordinate safe patient transitions, discharge planning, medication reconciliation, and follow-up care across care settings.

You will educate patients and families, collaborate with physicians, case managers, and support staff to build personalized care plans, address access barriers, and help reduce readmissions while improving health outcomes.

Qualifications

• Registered Nurse (RN) license required.
• Strong communication and teamwork abilities.
• Knowledge of discharge processes and medication management.
• Ability to collaborate within a multidisciplinary team.
• Commitment to patient-centered care and continuous learning.

Responsibilities

• Coordinate safe and seamless patient transitions across care settings.
• Manage discharge planning, medication reconciliation, and follow-up care.
• Educate patients and families to reduce readmissions and enhance health outcomes.
• Collaborate with physicians, case managers, and support staff to develop personalized care plans.
• Address barriers to access, ensuring comprehensive patient support.

Skills

RN license

Communication

Teamwork

Discharge planning

Medication reconciliation

Patient education

Multidisciplinary collaboration

Job description

Affinity Home Health Care Inc. is seeking a compassionate RN for Medical Transition Management to coordinate safe patient transitions, discharge planning, medication reconciliation, and follow-up care across care settings.

You will educate patients and families, collaborate with physicians, case managers, and support staff to build personalized care plans, address access barriers, and help reduce readmissions while improving health outcomes.