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Emory Healthcare in Warner Robins, GA is seeking a Nurse Transition of Care Coordinator to lead post-discharge care planning and medication reconciliation, ensuring smooth hand-offs from hospital to home. You will partner with care management and independent physicians to monitor patient status, prevent readmissions, and coordinate home health, DME, rehab services, educare, pharmacy, and transport.
This full-time role requires a BSN, with at least two years nursing experience and BLS
Day - 8 Hour (United States of America) FT, 8:00 a.m. – 4:30 p.m.
Performs and oversees transitional care management processes for recently discharged patients of HHC, providing the best possible care options for patients and their families. Works directly with Care Management and HHC Independent physicians to collaborate, monitor, and evaluate patient status post‑discharge focusing on intermediate goals, outcomes, medication reconciliations and prevention of readmissions. Ensures smooth hand‑offs from hospital to home and coordinates appropriate after‑care activities such as paramedicine, home health, DME, rehab services, educare, pharmacy, and transportation.
Emory is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request.