Transitional Care Nurse Longleaf Hospice and Palliative Care is locally owned with offices located in Atlanta, Covington and Roswell, offering end-of-life care to those with life limiting illnesses ...
Transitional Care Nurse Longleaf Hospice and Palliative Care is locally owned with offices located in Atlanta, Covington and Roswell, offering end-of-life care to those with life limiting illnesses ...
Transitional Care Nurse Longleaf Hospice and Palliative Care is locally owned with offices located in Atlanta, Covington and Roswell, offering end-of-life care to those with life limiting illnesses ...
Transitional Care Nurse Longleaf Hospice and Palliative Care is locally owned with offices located in Atlanta, Covington and Roswell, offering end-of-life care to those with life limiting illnesses ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Qualifications:To be considered for ...
New
Corrections professionals who foster a humane and secure environment and ensure public safety by preparing individuals for successful reentry into our communities. Qualifications:To be considered for ...
New
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established ...
Transition Support Nurse, Full-time
Savannah, GA · On-site
Medical
Vision
Life
Job Summary The Transition Support Nurse is a Registered Nurse within the Home Care department who focuses on supporting patients and families during critical transitions in the hospice journey. This ...
Transition Support Nurse, Full-time
Savannah, GA · On-site
Medical
Vision
Life
Job Summary The Transition Support Nurse is a Registered Nurse within the Home Care department who focuses on supporting patients and families during critical transitions in the hospice journey. This ...
Two (2) years of healthcare * Other: Preferred Job Qualifications * Preferred Licensure or other certifications: Current Georgia LPN licensure. * Preferred Educational Requirements: Licensed ...
Two (2) years of healthcare * Other: Preferred Job Qualifications * Preferred Licensure or other certifications: Current Georgia LPN licensure. * Preferred Educational Requirements: Licensed ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
Works to promote quality of care and effective transitions planning through collaboration with all service team members, physicians, patients, external agencies and families. Responsibilities: This ...
Works to promote quality of care and effective transitions planning through collaboration with all service team members, physicians, patients, external agencies and families. Responsibilities: This ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
The goal is to support and facilitate a smooth transition from the acute care setting or skilled nursing facility to alternative levels of care or home. Collaborates with physicians, telephonic care ...
Transitional Care information
What is transitional care?
Transitional care refers to a set of coordinated healthcare services that help patients move smoothly from one care setting to another, such as from a hospital to their home or a rehabilitation facility. The goal is to ensure continuity of care and prevent complications, such as hospital readmissions. Transitional care typically involves communication among healthcare providers, medication management, follow-up appointments, and patient education. It is especially important for individuals with complex or chronic conditions who are at higher risk during care transitions.
How does a transitional care professional typically collaborate with other healthcare teams to ensure smooth patient transitions?
Transitional Care professionals work closely with physicians, nurses, social workers, and other allied health staff to coordinate patient care as individuals move between different healthcare settings, such as from hospital to home. This collaboration often involves regular interdisciplinary meetings, thorough documentation, and clear communication to ensure continuity of care and reduce readmission risks. Effective teamwork is essential, as Transitional Care professionals often serve as liaisons, advocating for patient needs and ensuring all members are updated on care plans. Building strong relationships across departments is a key part of the role, helping to identify and resolve potential barriers to successful transitions.
What are the key skills and qualifications needed to thrive in transitional care?
To excel in Transitional Care, professionals typically require a background in nursing, social work, or case management, along with knowledge of care coordination and discharge planning. Familiarity with electronic health records (EHRs), care management software, and possibly certification like CCM (Certified Case Manager) is often beneficial. Strong communication, empathy, and problem-solving abilities are crucial for effectively supporting patients and collaborating with healthcare teams. These skills ensure smooth care transitions, prevent hospital readmissions, and enhance patient outcomes during vulnerable periods.
What are the most commonly searched types of Transitional Care jobs in Georgia?
The most popular types of Transitional Care jobs in Georgia are:
Other
Posted 16 days ago
Job description
Transitional Care Nurse
Longleaf Hospice and Palliative Care is locally owned with offices located in Atlanta, Covington and Roswell, offering end-of-life care to those with life limiting illnesses in the communities we serve. We believe that this very special care is best provided by professionals who live and work in the community they serve. At Longleaf Hospice and Palliative Care, we integrate and address the diverse, seen and unseen needs of patients and their families.
The Transitional Care Nurse provides direct nursing care to patients, care coordination and education to patients, families and staff in general inpatient units in accordance with established policies, procedures, and protocols. This position involves patient assessment, establishment of an individualized plan of care, discharge planning and communication with the hospice physician to meet patient/caregiver needs.
SHIFT: 7 ON / 7 OFF; 7:00AM - 7:00PM, EVERY OTHER WEEK
RESPONSIBILITIES:
- Completes general inpatient (GIP) admissions, collaborating with the hospital physician and the Hospice physician to assist in determining the patient's clinical eligibility for hospice care
- Makes visits to assess GIP patients daily while patient is in the hospital
- Participates and plans discharge for those GIP patients that will be transitioned home with hospice, assisting with and completing appropriate paperwork as needed
- Provides education regarding home hospice care and home palliative care to patients that are in the hospital
- Provides education to the hospital staff regarding hospice and palliative care
- Implements and monitors patient care plans
- Monitors, records and communicates patient condition as appropriate
- Serves as primary coordinator of all disciplines for well-coordinated patient care
- Participates in bi-weekly interdisciplinary group (IDG) meetings
- Assesses needs of patient and family and provides education and support based on age, culture and willingness to learn
- Performs home hospice admissions as needed
- Pronounces patients and performs other routine nursing visits when requested
- Participates in Quality Assessment Performance Improvement (QAPI) program and Hospice sponsored in-services
- Performs job duties in accordance with Nurse Practice Act
- Other duties as assigned
REQUIREMENTS:
- Licensed as a registered nurse in the state of Georgia
- Graduate from an accredited school of nursing
- Minimum of five (5) year's nursing experience
- Minimum of two (2) years' experience in hospice/home care preferred
- Certified Hospice and Palliative Care Nurse (CHPN) preferred
- Critical thinking skills and decisive judgment required
- Works under minimal supervision
- Ability to work in a stressful environment required
- Good verbal and written communication and problem-solving skills required
- Responsible valid driver's license
- Reliable, insured, automobile for making home visits required
About LongLeaf Hospice
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Atlanta, GA, US
Year founded
2009