Care Transitions Nurse (Remote) - 154916

The Care Transitions Nurse (Remote) will be responsible for performing clinical evaluations, observing shifts in health status, and managing patient care transitions. Providing guidance to patients and their families over the phone regarding their medical conditions and treatments as a Care Transitions Nurse (Remote).

Assist members with care coordination and care management following admissions. Coordinate discharge plans with hospital case managers and follow up care with providers. Collaborate with non-medical Care Team members to address the factors affective patients’ health. Carry out phone based evaluations, encompassing pain management and medication reviews.