The Care Transitions Nurse (CTRN) is part of a patient-centered team focused on coordination of care for patients in transition between the hospital and the primary care setting. Primary responsibilities include communication with hospital based and health plan based care teams (clinicians and case managers) and the site based clinical teams to coordinate patient transitions between levels of care.
Under the general supervision of the Manager of Nursing.
Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand, walk, and sit; use hands to finger, handle, or feel and reach with hands and arms; talk and hear. The employee must occasionally lift and/or move up to 25 pounds. The employee frequently works with a video display terminal for prolonged periods; vision abilities include close vision and ability to adjust focus.
While performing the duties of this job, the employee regularly works in inside environmental conditions. The employee will be required to travel locally to attend meetings and visit various work sites. The noise level is usually quiet. Individual is subject to frequent interruptions.