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Transitional Care Nurse

Roles & Responsibilities

  • Bachelor of Science in Nursing (BSN) required
  • RN licensure in Missouri and Kansas required
  • Certification in Chronic Disease Management, Hospice and Palliative Care required
  • Minimum of 2 years of nursing experience (preferably in Home Health, Hospice or Case Management)

Requirements:

  • Serve as a key point of contact for care coordination and transition management for patients moving from the acute hospital or facility to home and between levels of care.
  • Support patient self-management, advocacy, and education and provide coaching and counseling to patients and families.
  • Facilitate cross-setting communication, teamwork and collaboration for patient-centered care planning and ongoing nursing assessment and outcomes.
  • Coordinate care across home health and hospice settings within the Kansas City metro area, with potential coverage in Leavenworth, Jackson, Clay, and Platte counties.

Job description

Job Description​

Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!!

  • Full-time Monday through Friday with flex scheduling to cover one weekend every 1-2 months for telemonitoring
  • Bachelor of Science in Nursing required
  • RN in MO & KS required
  • Certification in Chronic Disease Management, Hospice and Palliative Care required (others will be taken under consideration)
  • 2 years of experience required
  • Clean driving record required
  • Coverage area is Kansas City Metro, may assist in rural areas within Leavenworth, Jackson, Clay, and Platte counties
  • Experience in Home Health, Hospice, Case Management preferred

The Transitional Care Nurse TCN , under the direction of the Director of Operations, serves as a key point of contact for care coordination and transition management for Saint Luke's Home Care and Hospice patients who move from the acute hospital and facility to the home settings and within levels of care when already home. The TCN will support patient self management, advocacy and oversee education and engagement, coaching and counseling of patient and family. Cross setting communication, teamwork and collaboration will be required for patient centered care planning and the nursing process will be utilized for ongoing assessment and outcome setting for each population managed

Job Requirements

Applicable Experience:

2 years

Certified Hospice and Palliative Nurse - Hospice & Palliative Credentialing Center, Registered Nurse (KS) - National Council of State Boards of Nursing (NURSYS), Registered Nurse (MO) - National Council of State Boards of Nursing (NURSYS)

Bachelor's Degree

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

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