Transitional Care RN - Post-Acute & Readmission Prevention

Southwoods Health; Boardman (OH); Vor Ort; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

Southwoods Health in Boardman, OH is hiring a full-time Transitional Care Management RN to support patients recently discharged from acute care. You will gather clinical data, perform post-acute assessments by phone, and help prevent hospital readmissions.

The role emphasizes care coordination, reviewing discharge instructions and medications, scheduling follow-up visits, and accurate EMR documentation. A valid Ohio RN license is required; BSN is preferred, and strong communication and time

Qualifikationen

• Active Ohio RN license.
• BSN degree preferred.
• Strong critical thinking and time management.
• Clear, empathetic phone communication.

Aufgaben

• Post-acute patient assessments via phone to identify barriers to recovery.
• Review discharge instructions, medications, and referrals.
• Schedule and coordinate face-to-face follow-up visits.
• Document all patient calls accurately in the EMR.
• Maintain patient privacy and comply with OSHA/ODH regulations.

Kenntnisse

Critical thinking

Time management

Phone communication

Ausbildung

BSN preferred

Jobbeschreibung

Southwoods Health in Boardman, OH is hiring a full-time Transitional Care Management RN to support patients recently discharged from acute care. You will gather clinical data, perform post-acute assessments by phone, and help prevent hospital readmissions.

The role emphasizes care coordination, reviewing discharge instructions and medications, scheduling follow-up visits, and accurate EMR documentation. A valid Ohio RN license is required; BSN is preferred, and strong communication and time