Remote Transitions of Care Nurse

• Competitive salary
• Flexible schedule
• Paid time off
• Vision insurance

• Conduct comprehensive assessments of patients transitioning from hospital to home care.
• Develop and implement personalized care plans in collaboration with healthcare teams.
• Monitor patient progress and adjust care plans as necessary to ensure optimal outcomes.
• Educate patients and families on post-discharge care and available resources.
• Facilitate communication between patients, caregivers, and healthcare providers.
• Document all patient interactions and care plans in the electronic health record (EHR).
• Participate in quality improvement initiatives to enhance care delivery.
• Stay updated on best practices in transitions of care and healthcare regulations.

• Active RN license in the state of Georgia.
• Minimum of 2 years of nursing experience, preferably in acute care or case management.
• Strong knowledge of transitions of care processes and patient-centered care.
• Excellent communication and interpersonal skills for patient engagement.
• Proficiency in electronic health record (EHR) systems.
• Ability to work independently and manage time effectively in a remote setting.
• Compassionate demeanor with a commitment to improving patient health outcomes.
• Certification in case management (CCM) or transitions of care preferred.

This is a remote position.