Transition of Care Nurse

As a Transition of Care Nurse at Imagine Pediatrics, your responsibilities will include conducting telephonic outreach to families post-hospital discharge, reviewing discharge plans, collaborating with an interdisciplinary team for comprehensive care, and addressing any barriers families may face after discharge. By connecting with pediatric and specialty practices, you will ensure a smooth transition and coordination of care tailored to each child’s unique needs.

To qualify for the Transition of Care Nurse position at Imagine Pediatrics, candidates must hold a Bachelor’s in Nursing from an accredited university, possess a Compact Licensed RN, or be eligible for other state licenses. Additionally, a minimum of two years of direct clinical experience in relevant environments, such as outpatient settings or PICUs, is essential. Bilingual skills in English and Spanish are also required.

Imagine Pediatrics seeks a Transition of Care Nurse with a minimum of two years of direct clinical experience, preferably in areas such as outpatient settings, Emergency Departments, or complex pediatric care. Familiarity with discharge planning and care coordination is highly desirable. Strong relationship-building skills and comfort with telephonic outreach to families are essential for success in this role.

Yes, being bilingual in English and Spanish is a requirement for the Transition of Care Nurse position at Imagine Pediatrics. This skill is vital in ensuring effective communication with a diverse patient population and their families, allowing for better care coordination and support.

Transition of Care Nurses at Imagine Pediatrics enjoy a comprehensive benefits package that includes competitive medical, dental, and vision insurance, a healthcare and dependent care FSA, a 401(k) plan with a 4% company match, and generous PTO. Additionally, the role offers opportunities for professional growth within an inclusive and supportive workplace dedicated to improving pediatric care.

When prioritizing tasks as a Transition of Care Nurse, I consider factors such as patient needs, discharge timelines, and collaboration with team members. Utilizing reporting tools can help identify families who may require immediate attention, allowing me to create a structured plan that effectively addresses the most urgent cases first.

In a previous role, I faced a situation where a family struggled with access to follow-up care after discharge. I actively listened to their concerns, collaborated with community health resources, and created a detailed care plan. This not only addressed their immediate needs but also helped empower the family to navigate the healthcare system, significantly improving their overall experience.

To build rapport with families, I focus on active listening and empathy. Taking the time to understand their concerns and showing that I genuinely care about their child's well-being creates trust. I also share relevant information clearly and ensure they feel supported throughout the transition process.

Effective communication is key when coordinating care with external partners. I prioritize maintaining clear, honest dialogue, utilizing professional etiquette, and summarizing discussions to ensure all parties are on the same page. Documenting interactions helps create a comprehensive care network for the patient.

I find that utilizing electronic health records (EHR) and care coordination software significantly enhances my ability to track patient care. These tools provide real-time data and access to care plans, making it easier to identify appointments, communicate with other care team members, and monitor patient progress effectively.

In a past role, I managed multiple discharges in a single day. By using checklists and scheduling follow-ups in advance, I ensured each family's unique needs were addressed promptly. This heightened organization allowed for smooth transitions and fostered better patient outcomes.

To ensure continuity of care, I maintain well-organized communication with all involved providers, sharing updates and pertinent information. Regular check-ins and team meetings provide opportunities to discuss any changes in the patient’s condition and necessary adaptations to their care plan, ensuring comprehensive support.

The most critical aspect of a Transition of Care Nurse's role is building strong, trusting relationships with families. This trust allows them to feel comfortable reaching out for assistance and enables me to provide the empathetic, tailored support they need during a vulnerable time.

In a situation with a resistant family, I approach them with empathy and understanding, seeking to uncover any underlying concerns. I provide information to clarify the importance of follow-up care and explore alternatives to meet their needs, fostering an ongoing conversation to find common ground.

Working as a Transition of Care Nurse in a pediatric setting is motivating for me because I see the direct impact of my work on children's lives. Knowing that I can help guide families through challenging transitions and ensure their children receive the care they need reinforces my commitment to improving health outcomes for the most vulnerable populations.