Transition of Care Nurse

Summary

Join Imagine Pediatrics as a Nurse Care Manager on our Transition of Care team and develop positive relationships with pediatric offices, specialty practices, and other community teams to support eligible patients and their families. You will directly outreach Imagine Pediatric patients after hospital discharge to assist with care coordination, collaborating with an interdisciplinary team. Review discharge plans, assess post-discharge barriers, and leverage reporting to prioritize outreach. Coordinate care between patients and their PCPs/specialists to ensure continuity of care. This role requires a passion for improving care for children and a willingness to adapt in a startup environment. Imagine Pediatrics offers competitive benefits and a values-driven culture.

Requirements

• Graduate with a Bachelor’s in Nursing from an accredited university
• Compact Licensed RN, or the eligibility to register for other state licenses
• Minimum of 2 years direct clinical experience in an outpatient setting, Emergency Department/Triage, Complex Care, or PICU preferred
• Bilingual in English and Spanish required
• Comfortability communicating care with external partners/practices
• Comfortable with telephonic outreach to eligible families

Responsibilities

• Outreach caregivers and patients after hospital discharge for a Transition of Care visit
• Review discharge plan with the caregiver and assess for any barriers the family may have post discharge
• Leverage reporting and dashboards to prioritize telephonic outreach to patients and caregivers
• Collaborate with Transition of Care Coordinator and other team members to ensure families have everything they need post discharge
• Coordinate care between patients and their PCP/specialists post discharge to ensure continuity of care
• Other duties as assigned

Preferred Qualifications

Experience with discharge planning and care coordination preferred

Benefits

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer