Virtual Home Program patients are called 12-18 hours after discharge. Phone or video calls to these patients are completed at least daily and as needed throughout specified program time frame. The ...
Virtual Home Program patients are called 12-18 hours after discharge. Phone or video calls to these patients are completed at least daily and as needed throughout specified program time frame. The ...
Virtual Home Program patients are called 12-18 hours after discharge. Phone or video calls to these patients are completed at least daily and as needed throughout specified program time frame. The ...
Virtual Home Program patients are called 12-18 hours after discharge. Phone or video calls to these patients are completed at least daily and as needed throughout specified program time frame. The ...
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Virtual Home information
What are the common challenges faced by Virtual Home Assistants when managing multiple clients remotely?
What are the key skills and qualifications needed to thrive as a Virtual Home Designer, and why are they important?
What kind of jobs can you do online at home?
How to make $1000 a week remotely?
What is a Virtual Home?
How can I make 2000 a week working from home?
What is the difference between Virtual Home vs Virtual Assistant?
| Aspect | Virtual Home | Virtual Assistant |
|---|---|---|
| Credentials | Varies; often no formal certification required | Typically requires basic administrative skills; certifications like VA courses are common |
| Work Environment | Remote, often home-based | Remote, home-based or client site |
| Industry Usage | Real estate, property management, home services | Business support, administrative tasks, customer service |
| Common Search Intent | Finding remote home-related services or jobs | Seeking remote administrative or support roles |
Virtual Home generally refers to services related to managing or supporting home-based or real estate-related tasks, while Virtual Assistant focuses on providing administrative support across various industries. Both roles are remote and often require similar skills, but their primary functions and industry applications differ.

Transitional Care Coordinator - Temporary - (On-site, Salinas, CA)
Salinas, CA • On-site
$72.45/hr
Full-time
Posted 8 days ago
Salinas Valley Health rating
8.5
Based on 14 frontline employees who took The Breakroom Quiz
Job description
We're committed to bringing passion and customer focus to the business.
Department:
Transitional Care
Please Note: This role will be employed and payrolled by a third-party staffing partner.
The Transitional Care Coordinator (TCC) is responsible for ensuring smooth transitions of care for patients being discharged from the hospital setting. The TCC will work with population specific, clinic specific, insurance specific, high-risk, or virtual home program patients to optimize recommendations focusing on reducing hospital readmissions, improving patient outcomes, and enhancing patient satisfaction. In collaboration with the physician, hospital care teams and family/significant others, the TCC will assess, evaluate, and implement a plan of care for the patient. The TCC works collaboratively with the Transitional Care Program Leadership team, Transitional Care Social Worker, Case Management staff and other members of the multidisciplinary team to develop a Continuum of Care plan to assure patients have the resources and instructions to carry out the plan safely. The TCC will follow up with the patient and the patient support structure to ensure compliance with the medical treatment plans.
- Prior to discharge, meets with eligible patients assigned to the Transitional Care Program, including Virtual Home Program patients in the Emergency Room when needed.
- Introduces self, program, and identify immediate barriers/needs to outpatient care/support.
- Calls patients within 24-48 hours post discharge to identify any barriers to success in the discharge plan. Facilitates resources as needed.
- Virtual Home Program patients are called 12-18 hours after discharge. Phone or video calls to these patients are completed at least daily and as needed throughout specified program time frame. The TCC will need to utilize clinical judgment to triage patients, deciding if the patient requires immediate in-person care in the urgent care or emergency room, if they can be managed remotely, or can be directed to other appropriate healthcare providers.
- Serves as a resource and educator to the patient and her/his family for a minimum of 30 days post discharge or specified time frame depending on the program/diagnosis.
- Intervenes on the behalf of the patient and organization to reduce avoidable emergency room visits or hospital admissions.
- Provides disease specific patient education including medication education as needed. Education may be in person while in the hospital, telephonic, or virtual.
- Monitor patient vital signs, reinforcing proper use of equipment and reinforcing education on vital sign schedule. Recording relevant data and alerting healthcare team to any critical changes. Tracking and reporting lab or diagnostic results.
- Evaluates aspects of each patient's condition, diagnoses, medications, and support systems to formulate an individualized plan which will lead to successful outcomes in medication-self management, use of a dynamic patient-centered record, appropriate primary care and specialist follow-up, and knowledge of red flags.
- Serves as a guide to the patient, coaching the patient in addressing critical issues and self-management tasks rather than directly taking over and providing care.
- Accurately documents all patient and family interactions, assessments, interventions and care plans in appropriate electronic healthcare record.
- Facilitates follow-up appointments with PCP and Specialists as needed.
- Collaborates closely with the Transitional Care Program Leadership team and Transitional Care Social Worker when barriers are identified and action is needed.
Education: Associate degree in nursing required. Bachelors of Science in Nursing (BSN) preferred.
Licensure: Current California Registered Nurse license required. Current BLS/Healthcare Provider status as per American Heart Association standards required.
Experience: Three (3) years' nursing experience required. Ability to demonstrate a working knowledge of community resources, post-acute care coordination, and case management principles required. Bilingual in Spanish preferred. Case Management experience preferred. Broad general knowledge of nursing and possess the ability to effectively navigate and utilize a computerized medical record system.
Pay Range: The hourly rate for this position starts at $72.45. The range displayed on this job posting reflects the target for new hire salaries for this position.
Job Specifications:
• Union: Non-Affiliated
• Work Shift: Day Shift
• FTE: 1.0
• Scheduled Hours: 40
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
What Salinas Valley Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Salinas Valley Health Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Salinas, CA, US
Year founded
1953