Registered Nurse (RN) Transition Care Coordinator

Alleghany, VA
Dec 12, 2018
Dec 24, 2018
Full Time

Optima Health Community Care is hiring a Registered Nurse (RN) to coordinate the transition of our valued members from facilities into the community as a part of our DMAS contract.

We are hiring a Registered Nurse for this role in the following region:

Department/Position Overview:
This essential position requires:
    Registered Nurse (RN Certification) and a minimum Bachelors Level Degree in Nursing.Assistance with transitions to and from skilled nursing care to home, to and from acute hospitalizations and more, averaging from 60-100 transitions a month. Providing accurate and efficient tracking and quality assurance of visit completion.Working closely with the regional manager on transitional assignments and more. Working in a home-based office capacity (equipment provided).Full time hours - Averaging about 2-3 days per week out in the field, including occasional evenings/weekends.Travel distance for transitional assistance within the entire region- Mileage is reinbursed.Mandatory training for one week in Hampton Roads area of Virginia. Minimum 3 years of nursing experience preferably in case management.

BLS (if in a clinical setting). For Integrated Care Management departments, specialty certification required within one year of eligibility (ACM, CCM, CCCTM or RN-BC). For other service lines, certification based on specialty area required within one year of eligibility. 3 years Case Management experience preferred.

Keyword: Registered Nurse, RN, Care coordination, transition coordination, long term care, case management

Equal Opportunity Employer


The Transition of Care Coordinator is responsible for managing and supporting all transitional care and post-acute services in a defined geographic region. Care transitions include individuals transitioning from Nursing Facilities, hospitals, inpatient rehabilitation, or other institutional settings into the community, and individuals who desire to remain in their community setting. The Transition of Care Coordinator works closely with the Care Coordinator and the Interdisciplinary Care Team (ICT) to facilitate safe and effective workflow and processes, and plan, coordinate, monitor and evaluate options to meet the individual¿s needs. Will develop and oversee the transition plan insuring a smooth handoff to the Care Coordination Manager upon completion of the transition process.


Education Level
RN-Bachelor's Level Degree - NURSING

Required: Nursing - 3 years

Preferred: None, unless noted in the "Other" section below

Required: Registered Nurse

Preferred: Basic Life Support

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