Care Transition Manager RN

Care Transition Manager RN - 40 hours

Bring your passion to Texas Health so we are Better + Together

Work location:

1301 Pennsylvania Ave. Ft. Worth, TX 76104

Work hours:

7:00 AM - 4:30 PM. This position requires one week of on‑call coverage per year.

• Supporting the 815-bed, Magnet-designated, full-service hospital that has served the Ft. Worth and surrounding community since 1930
• Care Transition is a rewarding career with family-friendly hours

• Bachelor's degree in Nursing (BSN) required. (Individuals hired as a Care Transition Supervisor prior to May 11, 2017 will be grandfathered with an ADN at the entity they were employed at on May 11, 2017)
• 3 years staff nurse at an acute care hospital required
• 1 year discharge planning/care management highly preferred
• RN
  - Registered Nurse upon hire required
• CPR
  - Cardiopulmonary Resuscitation upon hire required
• ACM
  - Accredited Case Manager upon hire preferred
• CCM
  - Certified Case Manager upon hire preferred
• ANCC upon hire preferred

• Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner
• Reviews the Risk of Unplanned Readmission (RUR) scores daily for all assigned patients.
• Identifies transition needs and discusses funding of post-transition care with patients and caregivers.
• Coordinates with patients and families to manage chronic conditions and ensures appropriate post-discharge clinical follow up.
• Assigns patients to and supports appropriate transition programs (e.g. ACO members) when applicable
• Complies with all documentation requirements and documents all activities in the electronic health record

• Benefits include 401k, PTO, medical, dental, paid Parental Leave, flex spending, tuition reimbursement, student Loan forgiveness as well as several other benefits
• Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice
• Strong Unit Based Council (UBC).
• A supportive, team environment with outstanding opportunities for growth

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.