Transition of Care Nurse

Job Responsibilities

• Provides telephonic or onsite services to designated hospitals as assigned/necessary to assist hospital care coordination team with discharge planning needs of the members.
• Assess resource utilization and cost management; diagnosis, past and present treatment and prognosis.
• Coordinate member needs, develop and implement treatment plans, and establish measurable goals  to accomplish the goal of transitioning member to the appropriate level of care.
• Assess, implement, monitor, and evaluate available resources in an effort to promote quality, cost effective outcomes while meeting the individual’s health needs.
• Must have or be able to be licensed in multiple states if required.
• Digital positions must have the ability to effectively communicate via digital channels and offer technical support; typing and grammar skills assessment is required for these positions, in addition to standard Windows 7 Testing
• Must be able to pass Windows navigation test.
• Various immunizations and/or associated medical tests may be required for this position.
• Effective 7/22/13: This Position requires an 18 month commitment before posting for other internal positions.

Job Qualifications

License

• Registered Nurse (RN) with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

Experience

• 3 years – Clinical experience required
• 5 years – Experience in the health care industry

Skills\Certifications

• Excellent oral and written communication skills
• PC Skills required (Basic Microsoft Office and E-Mail)

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program.   The employee will also be required to adhere to the guidelines set forth through the program.  This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for “routine basis” is defined as daily, weekly or at regularly schedule times.