10 days old

Hospice - RN Care Transitions Coordinator

Aveanna Healthcare
Nashville, TN 37201
  • Job Code

Care Transitions Coordinator 1 (CTC1)

A qualified CTC is a RN who assists in the transition of a patient from the hospital (or other facility) to home. He/she will coordinate care, work with scheduling, collect orders, and administer skilled nursing care as directed to patients on an intermittent basis in their place of residence. This is performed in accordance with physician orders and plan of care under the direction and supervision of the Clinical Director. Services are furnished in accordance with Agency policies.


Must have a current RN License.

At least 2 years healthcare, home health, hospice Sales experience (plus for Home Health experience) Established community relationships/connections/referrals (contacts/referrals) Excellent People and Relationship Skills (referral sources, patients, family members, general public) Strong ability to present and effectively communicate (verbally and in writing) Ability to work well independently as well as in groups..

Understands and adheres to established policies and procedures. Works with referral sources to collect patient referral information and MD orders. Works directly with prospective patients and families to introduce the idea of home health. Interacts with referral sources to provide education and in-services regarding home health. Works with Clinical Director to plan and schedule patient care. Works within Kinnser system to document care delivery. Responsibilities for this role include administrative tasks associated with agency systems. Implements the nursing care plan for each patient. Provides nursing services, treatments and diagnostic and preventive procedures as assigned. Initiates preventive and rehabilitative nursing procedures as appropriate. Observes signs and symptoms and reports to the physician and RN reactions to treatments, including drugs and changes in the patient's physical or emotional condition. Teaches and counsels the patient and family/significant others regarding the nursing care needs and other related problems of the patient at home. Evaluates with registered nurse the effectiveness of the LPN's nursing service to the patient and family under the guidance of the registered nurse. Maintains accurate and complete records of observations, treatments and care of patient. Participates in medical record audit as assigned. Attends staff meetings, patient care conferences and in-services as scheduled. Takes on-call duty, nights, weekends and holidays as assigned.

Is responsible for:
Submitting any changes in schedule to Director of Clinical Services/Nursing Supervisor on a daily basis.
Participating in patient care conferences to discuss the need for involvement of other members of the health team, such as physical therapist or speech language pathologist.

Prepares clinical and progress notes. Assists the physician and RN in performing specialized procedures. Prepares equipment and materials for treatments. Observes aseptic technique as required. Assists the patient in learning appropriate self-care techniques.


Works indoors in Agency office and patient homes and travels to/from patient homes and hospitals.


Supervised by: Area Director of Business Development


High risk


Ability to perform the following tasks if necessary:
Ability to participate in physical activity.
Ability to work for extended period of time while standing and being involved in physical activity.
Heavy lifting.
Ability to do extensive bending, lifting and standing on a regular basis.

CCPA Notice for Job Applicants, Contractors, and Employees Residing in California


As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Posted: 2022-05-10 Expires: 2022-06-08
Sponsored by:
ADP Logo
Sponsored by:
Bank of America Logo

Featured Jobs[ View All ]

Featured Employers

Before you go...

Our free job seeker tools include alerts for new jobs, saving your favorites, optimized job matching, and more! Just enter your email below.

Share this job:

Hospice - RN Care Transitions Coordinator

Aveanna Healthcare
Nashville, TN 37201

Join us to start saving your Favorite Jobs!

Sign In Create Account
Powered ByCareerCast