More jobs:
Transition of Care RN: Home Visit Navigator
Job in
Rockville, Montgomery County, Maryland, 20849, USA
Listed on 2026-08-06
Listing for:
Cityblock Medical Practice, P.A.
Full Time
position Listed on 2026-08-06
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Cityblock Health is seeking a Transition of Care (TOC) Registered Nurse Care Manager to coordinate post-discharge journeys from acute care settings back into the community. The RNCM will work with hospital case managers to assess needs and perform discharge visits, in-home or virtual, aiming to prevent readmission.
Responsibilities include initial outreach, completing screeners (PHQ-9, GAD-7, AUDIT, DAST-10), and collaborating on post-discharge care plans.
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