What are the responsibilities and job description for the Transition Care Management RN position at CentraState Healthcare System?
Overview
Transition Care Management RN ensures the recently discharged patient a smooth transition from the hospital back to their home environment. The TCM nurse assures that the patient’s post-discharge plan of care, education, and social needs are addressed to prevent unnecessary emergency department visits or inpatient readmissions.
Responsibilities
In accordance with the “Well Prepared” grant from the Grunin Foundation, the TCM Nurse acts as a consultant to the hospital throughout the grant-period during the testing phase of the grant. Advises the hospital regarding opportunities for success and whether and how to sustain and scale the project at the end of the grant period.
Qualifications
- Registered Nurse with valid New Jersey License
- Strong clinical judgement and ability to assess patient needs
- Excellent communication and Interpersonal skills to effectively education patients and caregivers
- Knowledge of disease management and medication adherence strategies
- Proficiency in electronic health records and technology assisted condition management
About Us
CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the fourth consecutive year.
When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.
Find out why our employees love their jobs and being part of the CentraState family!
What We Offer:
- Highly competitive compensation
- Excellent benefits package and rewards program
- 403(b) retirement plan with company match
- 401(a) retirement plan with employer contribution
- Life Insurance
- Tuition Reimbursement Program
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
- A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
- Concierge Services with Work & Family Benefits
- Magnet recognized healthcare facility
