Care Transition Nurse

Summit CityMD

**
Active connecticut rn license
3+ years clinical nursing experience
Discharge planning and coordination
** Summit CityMD is seeking a Care Transition Nurse (RN) responsible for managing patient care transitions from hospital settings to home or rehabilitation facilities. The ideal candidate should have a strong background in nursing, particularly in case management and discharge planning, and will play a critical role in reducing hospital readmissions through effective patient education and care coordination. **

Job Summary

  • The Care Transition Nurse coordinates safe patient transitions across healthcare settings to improve continuity of care and reduce hospital readmissions.
  • This role requires conducting comprehensive patient assessments, providing education on disease management, and ensuring accurate medication reconciliation prior to discharge.
  • VillageMD offers a comprehensive benefits platform including medical, dental, vision, life, disability coverage, and a 401k savings plan for team members.

Matching Summary

Match Score: 75

** Summit CityMD is seeking a Care Transition Nurse (RN) responsible for managing patient care transitions from hospital settings to home or rehabilitation facilities. The ideal candidate should have a strong background in nursing, particularly in case management and discharge planning, and will play a critical role in reducing hospital readmissions through effective patient education and care coordination. **

Skills & Requirements

Must-have

  • Active Connecticut RN license
  • 3+ years clinical nursing experience
  • Discharge planning and coordination
  • Patient and caregiver education
  • Medication reconciliation skills
  • EMR documentation proficiency

Nice-to-have

  • Experience with value-based care programs
  • Population health management background
  • CCM or ACM certification preferred
  • Collaboration with interdisciplinary teams
  • High-risk patient intervention skills

Key Requirements

  • Active Registered Nurse license in Connecticut
  • Associate or Bachelor's degree in Nursing
  • 3+ years clinical nursing experience
  • Compliance with Medicare and Medicaid regulations

Work Rights

Must have work authorization in the US

Tailored Resume

Cover Letter