Transitional Care Nurse

Why Work For Us?

Interested in joining an award winning organization that positively impacts the lives of homecare and hospice patients? We proudly serve the community and our staff, ensuring a supportive, positive and inclusive environment, driven by our mission. Our engaging culture offers competitive pay, training, reimbursement for mileage, respect, generous benefits package, state of the art equipment and so much more. This is a great opportunity to take your nursing career in a new direction! Hours are 8-5 Monday thru Friday. Once fully trained this will be a hybrid TCN role.

Service Areas: We service 25 communities in southern NH from Hooksett to Nashua. We are the preferred provider for 3 hospitals. We pay travel time in between locations and reimburse .625 cents a mile!

Why You'll Love Us:

Competitive pay rates!

Medical, Dental, Vision benefits starting the 1st of the month following your start date!

Accrued Earned time (PTO)

403b with matching (fully vested) and discretionary annual core contributions!

Responsibilities:

Ensure the comprehensive coordination, continuity of health care and prevention of further health complications as patients transfer between care settings to service with HHHC. Responds to hospital/facility patient referrals in a timely manner building positive relationships with referral partners, demonstrating HHHC's value through positive patient outcomes and seamless collaboration. The position requires in person meetings with patients and families in a hospital as needed. Additionally, they will participate in community collaborations with hospital partners.

Communicate with referral case managers and others to obtain clear assessment of patients needs.

Gain strong understanding of patient's clinical status, home support and goals of care.

Request comprehensive clinical data to be available to HHHC Intake and TCN for review.

Educate patients and families as well as referral partners on Home Care and Hospice and what to expect with services.

Communicate with Home Care/Hospice Managers re. safety concerns for clinical staff prior to accepting referral.

Complete TCN Note using Home Care/Hospice Template.

Advocate for patients/families to ensure that needs and goals are represented.

Track pending list to ensure that all required documentation was received in order to hand off referral to appropriate clinical department for scheduling of admission. Qualifications

Associates or Bachelors of Nursing Degree.

Registered as RN or LPN with New Hampshire Board of Nursing or Compact license.

Two years minimum community / public health nursing.

Marketing / sales experience preferred.

Microsoft office suite skills are required. Required

Satisfactory criminal record.

Satisfactory motor vehicle record.

Bureau of Elderly and Adult (BEAS) clearance.

We value diversity - in backgrounds and in experiences. Healthcare is a universal concern, and we need people from all backgrounds and swaths of life to help build the future of healthcare.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

#DAL

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.