Responsibilities

The Care Transition Nurse (CTN) collaborates with physicians, hospitals, nursing homes, home health personnel in the process of providing coordinated quality home care services for patients referred to the company. This activity may be in a health care facility or in the field office location. The Care Transition Nurse observes and reports trends, changes, and new opportunities.  Increases awareness among key contacts at health care facilities when home care is an optimal solution and helps identify when services are appropriate for individual patients. Assists patients in making a seamless transition to home care. In addition:

Arrange home care services for patients Follows referral of a patient to the organizationAssists discharge coordinators in coordinating quality home care services for patients​.Determines patient eligibility for home care services.Effectively communicates with appropriate disciplines involved in the care of potential home care patients, and provides information and recommendations to organization staff.Available to all discharge planners, physicians, other hospital personnel and patients to:Explain Medicare and Medicaid guidelines, insurance plan benefits, financing options organization policies, etc.

Benefits 

Excellent Vacation Plan to rechargePaid holidays and Personal Days (PTO)Blue Cross Blue Shield Standard PPO Plan/High Deductible Health PlanDelta Dental PlanEyeMed Vision PlanFidelity 401(K) PlanLyra Mental Health BenefitsCigna Life/AD&D PlansCigna Long Term DisabilityCigna Short Term DisabilityCigna Critical Illness/Group Universal Life Insurance
Qualifications
Current RN, LPN, MSW, or BSW license to practice in the state. Two years of appropriate nursing experience.Hospital and/or homecare nursing experience.Obtain and maintain current CPR/BLS certification

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.

Overview

Now Hiring a Care Transition Nurse for Houston Area!

Join Our Mission to Transform Healthcare

Post Health Home Care is 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.