RN: Transitional Care & Medication Reconciliation

Kids for the Future; Augusta (GA); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Great Place to Work Certification

PTO and Paid Parental Leave

Mental Health Support Services

Retirement plan with employer match

Job summary

Center for Primary Care in the CSRA is seeking an experienced Registered Nurse for Transitional Care Management (TCM) and medication reconciliation. You will coordinate post-discharge care, review discharge summaries, and educate patients to ensure safe transitions back to the community.

The RN will collaborate with providers, care teams, caregivers, pharmacies, and community resources to reduce readmissions, support quality measures, and maintain thorough documentation in the electronic health

Qualifications

• RN license in the state of practice.
• At least two years of clinical nursing experience.
• Experience in ambulatory care, care management, population health, case management or transitional care preferred.

Responsibilities

• Review hospital discharge summaries and medication lists.
• Complete comprehensive medication reconciliation within required timeframes following discharge.
• Identify and resolve medication discrepancies, duplications, omissions, contraindications, and adherence concerns.
• Educate patients and caregivers on medication changes, dosing, side effects, and adherence strategies.
• Post-discharge outreach calls within required TCM timelines and coordinate timely provider appointments.
• Support billing requirements related to TCM services.

Skills

Chronic disease management

Care transitions

EMR documentation

Patient education

CMS TCM requirements

Education

Graduate of an accredited school of nursing

Tools

AthenaOne

Job description

Center for Primary Care in the CSRA is seeking an experienced Registered Nurse for Transitional Care Management (TCM) and medication reconciliation. You will coordinate post-discharge care, review discharge summaries, and educate patients to ensure safe transitions back to the community.

The RN will collaborate with providers, care teams, caregivers, pharmacies, and community resources to reduce readmissions, support quality measures, and maintain thorough documentation in the electronic health