Care Transition Nurse

Deaconess Home Health is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

This position will be positioned within Deaconess Gateway Hospital

As a Care Transition Nurse with Deaconess Home Health you will play a key role in providing coordinated home health services for referred patients. You’ll collaborate with healthcare professionals, identify patient needs, and facilitate seamless transitions to home health care. 

• Collaborate with hospitals, nursing homes, and home health personnel to ensure quality care.
• Must meet or exceed established monthly admission target(s) as provided by their supervisor and determined by the branch monthly budget. 
• Coordinate patient referrals, evaluate eligibility for services, and assist in arranging home health care.
• Analyze patient needs and educate caregivers about home health options, Medicare/Medicaid guidelines, and insurance benefits.
• Develop relationships with healthcare providers to promote home health services and best practices.
• Participate in provider education and support hospital staff as a home health resource.
• Conduct trend analysis and identify opportunities for enhancing home health service outcomes.
• Contribute to Quality Assurance Performance Improvement (QAPI) initiatives.

Benefits:

• Generous annual bonus opportunity based on company performance
• Excellent holiday and paid time off plans
• Medical, dental, and vision plans
• Tuition reimbursement for degree-seeking students
• Employer contribution to your 401(k)

• RN or LPN license in the state(s) served 
• Minimum of (2) years of healthcare experience, preferably in home health or sales/marketing.
• Strong communication, assessment, and decision-making skills.
• Ability to build relationships, educate, and promote services effectively.
• Committed to professional development and improving own skills.

Join us in making a positive impact on patient care by facilitating smooth transitions to home health! 

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.