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Care Transitions Nurse (RN)

RN Clinical Transitions Specialist coordinates safe, efficient transitions of patients across care settings. Collaborates with physicians, nurses, case managers, and community providers to develop and implement discharge and transition plans that reduce readmissions.


Key duties

  • Review clinical information and identify barriers to care
  • Arrange appropriate follow-up services and continuity of care
  • Educate patients and families on discharge instructions and self-care
  • Ensure adherence to quality and safety standards
  • Coordinate resources across care teams and community providers

Qualifications & skills

  • Current RN licensure
  • Strong clinical assessment and care coordination skills
  • Effective communication and patient/family education abilities
  • Ability to collaborate across multidisciplinary teams
  • Detail-oriented approach to compliance and quality improvement
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