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Transitional Care Manager (RN)

Presbyterian Senior Living
Philadelphia, PA Full Time
POSTED ON 4/2/2025
AVAILABLE BEFORE 5/1/2025
Presbyterian Senior Living is a mission-driven organization that lives our values of integrity, mutual respect, creative curiosity and connectedness in all that we do. Our legacy of serving more than 6,000 older adults with respect and dignity for over 95 years supports our mission to promote wholeness of body, mind and spirit for all that live within our communities.

If you are compassionate, driven and enjoy working with an organization that is committed to valuing the diversity of all team members, one that offers a variety of schedules, career development, excellent benefit options, and more; PSL is for you! Whether you are a nurse, caregiver, culinary professional, maintenance worker or looking for a new career, we offer a wide range of career opportunities to fit your skills and interest.

Qualifications

  • Active Registered Nurse licensure (in state of job location) required
  • Active CPR certification preferred
  • One to two years’ experience working in Geriatric or Long-Term Care setting preferred
  • Ability to assess and effectively communicate with residents
  • Must have strong initiative and be able to work in a fast-paced environment
  • Ability to problem solve and communicates effectively
  • Ability to adjust work schedule at times to meet admissions needs
  • Demonstrated ability to provide education to patients and/or care providers for disease and condition management post discharge

Responsibilities

  • Responsible for managing the coordination of the daily admissions to the Health Center.
  • Assists with family and patient orientation to the neighborhood, initiating clinical pathways, and scheduling family, patient, and interdisciplinary team meetings.
  • Collaborates with the interdisciplinary team regarding assessment completion, Discharge Planning, Documentation and patient education.
  • Collaborates with Nursing Supervisor and other Health Center staff regarding overall communication and admissions updates.
  • Manages the education process for the patient and family regarding services, admissions, and discharge process.
  • Collaborates with Therapy to establish realistic discharge goals based on patient’s needs and abilities.
  • Initiates discharge process on admission.
  • Ensures safe discharge to home.

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