RN Registered Nurse Transition Care Management Coordinator

Joining Advent Health is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. Advent Health is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.

All while understanding that together we are even better.

Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits

Full time Shift: Day (United States of America) Address: 200 N LAKEMONT AVE City: WINTER PARK State:
Florida Postal Code: 32792

Identifies patients with moderate to high-risk conditions for readmission and collaborates with the treatment team to ensure safe and effective transitions of care. Assesses, educates, and provides interventions for patients and families in disease self-management both during the hospital stay and post discharge Assesses medication adherence and regimen and provides education with interventions to improve the patient’s medication compliance. Coordinates care of patients at risk for readmission from discharge through 30-90 days post discharge.

Arranges post-acute resources for patients requiring additional support post-discharge from the hospital. Collaborates with the multidisciplinary team and presents at readmission prevention meetings and reports on trends

• Ability to utilize the nursing process (assessing, planning, implementing, and evaluating) to achieve the goals of the client and to utilize internal and external resources [Required]
• Excellent time management, organizational, and self-motivation skills [Required]
• Ability to work independently, effectively problem solve, plan, organize, direct, advocate, and teach [Required]
• Expertise in patient advocacy and complex navigating systems [Required]
• Ability to communicate effectively orally and in writing and present self well to others with tact and diplomacy [Required]
• Knowledge of chronic disease management [Required]

Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Master's of Nursing [Preferred]

1+ nursing [Required] 2+ care mangement, chronic disease management, or care coordination in a healthcare setting. [Required] Experience in an outpatient or home health setting and critical care [Preferred]

Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) - Accredited Issuing Body [Preferred] Accredited Case Manager (ACM) [Preferred] Certified Case Manager (CCM) [Preferred]

(Please click the link below to view work requirements) Physical Requirements -

$31.86 - $59.27

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Every day, our fellow team members show up to work, unified by one shared mission:
Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.