Mission Control RN - Patient Placement & Transfer Coordination

** Our promise to you:*
* 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.

** All the benefits and perks you need for you and your family:*
* + Benefits from Day One:
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

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* Schedule:

*
* Full time

** Shift:*
* Day (United States of America)

** Address:*
* 3100 E FLETCHER AVE

** City:*
* TAMPA

** State:*
* Florida

** Postal Code:*
* 33613

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* Job Description:

*
* The Mission Control RN - Readmissions & Transitions of Care serves as a critical system-level resource focused on preventing avoidable hospital readmissions through proactive patient placement, transfer coordination, and post‑acute care alignment. This role partners closely with hospitals, physicians, care management teams, post‑acute providers, and community agencies to ensure patients are transitioned to the right level of care, at the right time, with the right supports to promote safe discharges and reduce return hospitalizations.

The ideal candidate thrives in a fast‑paced, high‑acuity environment and demonstrates strong clinical judgment, operational coordination skills, and a deep understanding of drivers of readmissions, care transitions, and continuity of care.

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* Key Responsibilities:

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* ** Readmissions Prevention & Patient Placement*
* + Coordinate patient placements, transfers, and post‑acute referrals with a primary focus on reducing avoidable readmissions and supporting safe, sustainable transitions of care.

+ Assess patients with recent admissions, frequent utilization, or high‑risk conditions to determine the most appropriate post‑acute setting (e.g., inpatient, observation, SNF, LTACH, behavioral health, home‑based services).

+ Utilize clinical judgment, acuity tools, and readmissions risk indicators (e.g., frequent ED use, chronic disease burden, social determinants, psychosocial barriers) to guide placement and transfer decisions.

+ Partner with hospital care management, nursing leadership, and physicians to address barriers to discharge and placement that increase readmission risk.

+ Monitor real‑time system capacity, community census data, and post‑acute availability to identify timely placement options that prevent delayed discharges and bounce‑backs.

** Throughput, Capacity & Transition Optimization*
* + Continuously reassess system demand and placement requests to support efficient patient flow while prioritizing high‑risk readmission populations.

+ Develop and support contingency placement strategies for patients at risk for return admissions due to limited resources, behavioral health needs, or complex medical conditions.

+ Maintain and manage targeted waitlists for high‑risk patients requiring specialized placement or services.

** Communication & Cross‑Continuum Collaboration*
* + Serve as a centralized coordination point between referring facilities, emergency departments, inpatient teams, care managers, post‑acute providers, and community partners.

+ Collaborate closely with behavioral health and psychiatric facilities to support appropriate placement of patients with co‑occurring medical and behavioral health needs.

+ Facilitate timely, professional communication with physicians and leadership to support decisions that align with  
** readmissions reduction strategies** .

+ Coordinate with Patient Access and Patient Financial Services to align insurance authorization and financial clearance with discharge and placement timing.

** Documentation, Compliance & Reporting*
* + Accurately document all placement, transfer, and readmissions‑related…