RN Transition Coordinator - Transition Services

107 The Charlotte-Mecklenburg Hospital Authority; Charlotte (NC); On-site; USD 79,000 - 119,000; Full time

Benefits offered by this job

Base compensation as per pay range

Shift incentives and on-call pay

Annual performance increases

Health, dental, vision benefits

Paid Time Off

Retirement plans with employer match

Job summary

Advocate Health in Charlotte region seeks an RN Home Health Liaison to coordinate care, educate families, and document plans of care for home health and hospice services. You will collaborate with hospitals, clinics, and community partners to ensure seamless patient experiences and appropriate service provision.

The role requires strong communication, nursing clinical expertise, and the ability to travel between facilities to assess needs and support discharge planning.

Qualifications

• Active RN license in the state of work is required.
• Minimum three years nursing experience preferred.
• Experience in home health, hospice, or case management is a plus.
• Ability to travel between facilities as needed.

Responsibilities

• Act as a liaison to navigate the continuum of care for patients and families.
• Assess, plan, coordinate, and evaluate services to promote healthy home living.
• Document plans of care and maintain accurate records for compliance.
• Travel to hospital and field sites for on-site consultations and education.

Skills

Nursing liaison

Care coordination

Patient education

Effective communication

Interdisciplinary collaboration

Education

Registered Nurse (RN) license

BSN preferred

Tools

EHR / patient records

Job description

Department: 39105 Continuing Health Home Office - Home Health Liaisons Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Coverage area: Charlotte Location: Atrium Health Pineville Pay Range: $38.20 - $57.30

Essential Functions Functions as a liaison for patient/family in navigating the continuum of care. Assesses, plans, coordinates, and evaluates services of patients with the goal of equipping and empowering individuals and their families to easily assess resources and adopt healthy lifestyles that will increase their ability to remain healthy at home or in the least restrictive environment. Works closely with hospitals, clinics, health care facilities, and agency clinical and administrative personnel to ensure patient care is seamless, efficient, effective and appropriate to the individual. Interacts daily with patients, medical professionals, and the community to achieve continuity of care, coordination of medical services, and to document plans of care as related to home health care and hospice services. Makes on-site consultative, educational visits in the hospital to evaluate the appropriateness of the patient's admission to continuing care services. Able to complete needs assessment considering psychosocial, physical, economic, and health literacy factors. Uses interpersonal skills and excellent communication skills to establish a rapport with the patient and forecast and prioritize his/her needs. Receives referrals and orders from physicians, hospital, and other agencies. Acts as a resource for clinical personnel. Completes accurate and appropriate documentation, logs, and/or patient forms and records to ensure compliance with regulations, agency policy, payer requirements, and standards of care.

Physical Requirements Works requires walking, standing, sitting, lifting, reaching, bending, and stooping. Must lift a minimum of 35 pounds shoulder high. Must speak English in effective, comprehensible terms. Ability to communicate verbally and in writing. Must have intact sense of sight and hearing, finger dexterity, critical thinking, and ability to concentrate. Must be able to respond quickly to changes in assignments. Ability to travel between facilities and hospital units.

Education, Experience and Certifications Graduate of an accredited school of nursing required. BSN preferred. Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside or; if declaring a National License Compact (NLC) state as your primary state of residency, meet the licensure requirements in your home state; or for Non-National License Compact states, current RN license or temporary license as a Registered Nurse Petitioner required in the state where the RN works required. Minimum of three years nursing experience preferred. Prefer two years in acute health care inpatient setting; home health, managed care, hospice, or case management. Current driver's license.

Our Commitment to You:

• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Benefits and more
• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care