Transitions of Care Nurse

The Transitions of Care Nurse at Upward Health is responsible for managing patients during critical transitions such as admissions, discharges, or transfers. This role involves responding to real-time alerts, collaborating with hospital staff to create transition plans, conducting home visits post-discharge, and providing ongoing care management to prevent readmissions. The nurse will also educate patients and document care in electronic health records.

• No specific benefits listed in the posting
• The role requires frequent travel to patients' homes and hospitals
• The job involves managing multiple patient cases simultaneously, which may be challenging