JOB SUMMARY:
Provides intensive case management to high risk patients post discharge. The Coordinator is directly involved in managing the multiple elements that comprise a person’s successful transition from hospital to home. He/she will conduct home visits, provide health education, assist in the coordination of health care needs, and develop professional referral relationships to ensure patient needs are met. The Care Transitions Coordinator is an essential member of the integrated health care team that supports medical respite program and Project U-Turn with goals of improving pathways to health care for at-risk residents of Maryland.
REQUIREMENTS:
- Current RN License in Maryland (or Compact State as applicable).
- Current BLS Certification from the American Heart Association.
- 3 years of experience in a hospital setting; 5+ years of experience preferred.
- ASN required; BSN preferred

PI271553156