Registered Nurse, RN Care Transition Manager – PRN

25013116

Registered Nurse, RN Care Transition Manager – PRN

Bring your passion to Texas Health so we are Better + Together

Work location: Texas Health Alliance 10864 Texas Health Trail, Fort Worth, TX 76244

Work hours: PRN (As Needed) – Weekends, 8:00am – 4:30pm (Flexible), 3 weekend shifts per month

Texas Health Harris Methodist Hospital Alliance is a 151-bed, full-service hospital offering acute care and wellness programs to communities in North Fort Worth, Keller, North Richland Hills, Haslet, Justin, and surrounding areas. The hospital provides numerous services, including emergency medicine, general and outpatient surgery – including an outpatient surgery center, women, and infant’s care – including a level III neonatal intensive care unit, radiology – including a women’s imaging center, cardiac rehabilitation and therapy center, business health services, and wellness programs. Texas Health Alliance is a technologically advanced hospital that has earned national recognition for operating at the highest level of electronic medical record adoption. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

What You Will Do

Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner. In addition to the required qualifications, a successful RN will:

• Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and
  
  

as needed.

• Reviews the Risk of Unplanned Readmission (RUR) scores daily for all assigned patients.
• Assists in the identification of a primary care physician (PCP) for patients without a PCP and attempts to schedule follow up appointments with either a PCP, specialist, clinic, physician or other transitional care visit prior to discharge.
  
  

Here’s What You Need

• Bachelor's Degree Nursing Individuals hired as CTRN prior to May 11, 2017, will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017. Required
• 3 years of RN experience in an acute care hospital is required.
• 1 year of discharge planning and/or care management is highly preferred.
• The ability to work independently in this role is highly preferred.
• Must hold an active RN license - Registered Nurse Upon Hire is required.
• CPR – Cardiopulmonary Resuscitation is required upon hire.
• ACM – Accredited Case Manager upon hire is preferred OR CCM – Commission for Case Manager Certification or other ANCC upon hire is preferred.