Care Transition Nurse

Now Hiring Full-time Care Transition Nurse for the West Chester, Ohio location

• Follows referral of a patient to the organization and assists discharge coordinators in coordinating quality home care services for patients in the following manner:
• Determines patient eligibility for Infusion services.
• Effectively communicates with appropriate disciplines involved in the care of potential home Infusion patients, and provides information and recommendations to CommonSpirit Health at Home staff.
• Develops professional working relationships with health care providers and facilities, generating an open flow of information and support of Infusion goals; provides value added counsel, teaching and resourceful problem solving.
• Available to all discharge planners, physicians, other hospital personnel and patients to:
• Analyze eligibility for Infusion and provide general guidance in determining if a patient would benefit from Infusion services.
• Explain Medicare and Medicaid guidelines, insurance plan benefits, financing options, and organizational policies, etc.
• Upon patient choice of the organization, communicates with attending physicians to obtain verbal or written orders for home care services.
• Assists in ordering equipment as required to provide proper home Infusion for the patient referred to the organization.
• Upon patient choice of the organization determines individual patient needs for services, community referrals, training and provides patient instructions on equipment and procedures, etc.
• When requested, participates in educating and in-servicing new providers and personnel on home Infusion and the importance of the communication of this information to their clients.
• Provides general Infusion education to patients, caregivers and others as requested by referral sources.
• Meets with the Director, Operations and other organizational employees to ensure continuity of care
  for the patient.
• Functions in clinical areas which may include neonates, pediatrics, adolescents, adults, and geriatrics. May interact directly with persons in the age categories of neonate, infant, child, adolescent, adult and geriatric.

• Graduate of an accredited school of nursing.
• Experience as a Care Transition Nurse or similar role, sales or marketing.
• Hospital and/or homecare nursing experience.
• Current RN, or LPN, license to practice in the state serviced.
• Obtain and maintain current CPR certification; able to perform CPR.
• Compliant with appropriate state certification/registration and organizational requirements as necessary.
• Two years of appropriate nursing experience.
• Knowledge of home care regulations required.
• Strong assessment, critical thinking, judgment, creativity and decision making skills.
• Excellent communication skills; both verbal and written.