Registered Nurse RN - Transitional Care Coordinator at Yale Haven Health Trumbull, CT

Registered Nurse – Transitional Care Coordinator

Yale New Haven Health – Trumbull, CT

Assist the organization in living its Vision, Mission, and Values (integrity, patient‑centered, respect, accountability, compassion) while working under the supervision of the Nurse Manager/Clinical Coordinator.

• Assesses the patient’s physical and psychosocial condition continuously throughout the continuum of care.
• Develops, communicates, and documents an individualized plan of care reflecting patient problems and interventions to achieve desired outcomes, involving patient, family, and health‑team.
• Implements and coordinates the plan of care in collaboration with the health‑team.
• Evaluates the effectiveness of the plan, patient response to care, and readiness for discharge.
• Revises the plan as needed and makes referrals where indicated.
• Plans education based on assessment of patient and family learning needs and readiness.
• Provides education and documents outcomes.
• Serves as preceptor for new staff.
• Functions as charge nurse, delegating and supervising unit activities.
• Meets performance expectations for customer service, teamwork, resource utilization, staff and self‑development as outlined in performance review.
• Performs other duties as assigned or directed to ensure smooth operation of the department/unit.
• Demonstrates competency in caring for neuro patients, including airway management, tracheostomy care, and assisting physicians during neuro procedures.
• Performs pharyngeal, endotracheal, and tracheostomy suctioning according to established policy and procedure.
• Uses equipment and cares for patients with a halo brace.
• Manages ventilator‑dependent patient interventions.

Equal Employment Opportunity / AA / Disability / Veteran.

• Graduate of an accredited school of nursing; BSN preferred.
• Proficient in using computer software, including electronic patient records.
• Displays ability to use the internet for literature searches regarding patient care.
• Valid Connecticut registered nurse license.
• BLS required.