Specialty Care Program Nurse Coordinator Registered Nurse

apartment Apple Rehab Uncasville location_onMontville, CT 06382, US

Join Our Caring Team at Apple Rehab! (Competitive Rates Offered Based on Experience)

About Us: As a family-owned and operated company, Apple Rehab prioritizes treating residents and staff like family. With our senior management based in our local Avon, CT office, we ensure superior care from a company deeply rooted in your community. Our leadership is not distant but right in your backyard, offering a supportive and collaborative environment.

Specialty Care Program Nurse Coordinator - RN

Position Summary

The Transitional Care Program Nurse Coordinator supports Apple Rehab’s specialty transitional care programs, ensuring continuity, clinical excellence, and successful outcomes for residents transitioning from hospital to skilled nursing care. Initially focused on heart failure and cardiac transitional management in partnership with acute care hospitals, this role will evolve to support other complex medical and specialty programs as they expand across Apple Rehab.

The Coordinator provides advanced clinical oversight, education, and communication between residents, families, facility staff, and hospital partners to prevent avoidable readmissions and promote recovery and stability.

Key Responsibilities

Coordinate care for residents admitted under Apple Rehab’s Transitional Care Programs, including cardiac and other specialty pathways.
Serve as liaison between the skilled nursing team, referring hospitals, and specialty providers (e.g., cardiology, pulmonology).
Perform focused clinical assessments, such as weight, fluid balance, oxygen needs, and other condition-specific parameters.
Develop and maintain individualized care plans and ensure adherence to provider and specialty recommendations.
Provide targeted education for residents and families regarding disease management, early warning signs, and self-care strategies.
Conduct clinical follow-up after medication changes or acute events.
Facilitate communication between the interdisciplinary team, ensuring updates are shared with physicians, nurse practitioners, and case managers.
Track and analyze clinical outcomes including readmissions, emergency transfers, and program participation metrics.
Participate in QAPI and performance improvement initiatives related to transitional and specialty care.
Serve as a clinical resource for nursing staff, providing education and support for disease-specific care protocols.

Qualifications

Licensed Registered Nurse (RN) in the State of Connecticut.
Minimum 3 years of clinical experience in acute care, subacute rehabilitation, or transitional care.
Strong knowledge of chronic disease management (cardiac, pulmonary, or related conditions).
Excellent communication, organization, and teaching skills.
Experience collaborating with hospital systems or specialty care providers preferred.

Employee Benefits for 30+ Hours:

Scholarships and career development opportunities
Generous 4 weeks of paid time off
7 paid holidays
Health insurance benefits
Short & long-term disability coverage
Access to Call-a-Doc/24-7 MD telephone service
Employee Assistance Program
Life insurance coverage
401K retirement program
Longevity credit for dedicated service

Join Our Compassionate Team! Embark on a fulfilling career where compassionate care meets professional growth. Apply now to become a valued member of Apple Rehab!

Note: Benefits and requirements may vary based on employment status and hours worked. Inquire within for specific details.

(Apple Rehab is an equal opportunity employer committed to diversity and inclusion in the workplace.)

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