Transitional Care - Lead RN

Luminis Health; Annapolis (MD); On-site; USD 120,091,000 - 180,120,000; Full time

Benefits offered by this job

Medical/Dental/Vision Insurance

Retirement Plan

Paid Time Off

Tuition Assistance

Referral Bonus

Paid Holidays

Job summary

Luminis Health in Maryland is seeking a Transitional Care Lead RN to supervise the Transitional Care RN function and assist the department manager with scheduling, evaluations, and staff development. The role designs and implements care transition processes for vulnerable patients across inpatient, outpatient, and community settings.

The position requires a BSN (preferred), and at least three years of nursing experience in general medicine, with an active Maryland RN license and BLS.

Qualifications

• BSN preferred.
• Three years of nursing experience in general medicine (inpatient and outpatient settings).
• Current Maryland Board of Nursing license and BLS/CPR certification.

Responsibilities

• Supervise the Transitional Care RN function and assist department manager with scheduling, evaluations, disciplinary actions, orientation, and staff development.
• Collaborate with care coordinators, clinicians, and community resources to support targeted patients across care settings.
• Design, implement, and monitor care transition protocols for vulnerable patients.
• Coordinate treatment plans and progress reports with clinicians; address barriers as a clinical resource.
• Assess needs of inpatients and families; connect with care coordination to meet those needs.
• Develop and implement home-based transition strategies, visiting patient homes as needed.
• Identify educational needs and mentor the Transitional Care RN team.
• Assist in program evaluation and annual goal development.

Education

Bachelor of Science in Nursing

Three years nursing experience in general medicine

Job description

Position Objective

Provides supervision to the Transitional Care RN function. Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development and will function as a content expert for the organization. Consistent with duties for Transitional Care RN’s: designs, implements, and fosters care transition processes for our most vulnerable patients to maintain and enhance their health status and independence. Works with inpatient and outpatient clinical resources, community-based organizations, and families to build supportive networks to maintain or improve health status of individuals and populations.

Essential Job Duties

• Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development.
• Collaborates with care coordinators, inpatient and outpatient clinicians, the emergency department, patients, families, nursing facilities, pharmacy, home health agencies, hospice, community organizations, etc., to form lasting relationships that support a network of resources for targeted patients.
• Coordinates the design of protocols that guide the navigation of targeted patients across all care settings.
• Coordinates the treatment plan and progress reports with clinicians to ensure engagement and success. Serves as a clinical resource for Transitional Care team to address barriers.
• Directly assess the needs of targeted inpatients and their families, and work with care coordination team members to meet those needs.
• Develops and implements innovative and effective means of ensuring safe transition and stabilization in the home setting by visiting vulnerable patients in their home settings, identifying needs, and applying resources.
• Identifies educational and training needs for Transitional Care RN team, and serves as a mentor and clinical resource.
• Assists in the Transitional Care program evaluation and performance improvement and participates in the preparation/achievement of annual goals and objectives.
• Identifies educational needs of patients and families and evaluate and improve educational media and content.
• Builds supportive relationships and networks to maintain or improve health status of individuals and populations.

Title: Transitional Care- Lead RN

Reports To: Clinical Director

FLSA Status: Exempt

Educational/Experience Requirements

Bachelor of Science in Nursing, preferred.

Required Minimum Experience

Three years of nursing experience in general medicine, ideally including inpatient and outpatient settings.

Required License/Certifications

• Current Maryland Board of Nursing license.
• CPR through the American Heart Association (BLS for Healthcare Providers level).

Working Conditions, Equipment, Physical Demands

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands –

Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Pay Range

$41.91—$62.86 USD

Luminis Health Benefits Overview

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs and more
• Benefit offerings based on employment status

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