Registered Nurse, RN Care Transition Manager - FT
Most applications go out cold — see where you stand first. No sign-up to start.
Don't just apply. Show up ready.
Olive works from this exact posting — no sign-up to start.
At a glance
Requirements
Credentials this posting asks for.
Job overview
Texas Health Resources is hiring a Registered Nurse, RN Care Transition Manager - FT. Texas Health seeks a Registered Nurse Care Transition Manager to coordinate patient discharge, assess social determinants, and reduce readmissions at its Bedford, Texas hospital. The role involves evaluating transitions, reviewing risk scores, and arranging follow‑up care, contributing to the organization’s patient‑centered mission.
Key focus areas include Complete transition evaluations and collect SDOH data within 48 hours of identification, Review daily risk of unplanned readmission scores for assigned patients, and Assist in identifying primary care physicians and schedule follow‑up appointments prior to discharge.
Preferred (not required): Social Determinants of Health (SDOH) Data Collection, Risk of Unplanned Readmission (RUR) Score Review, Primary Care Physician (PCP) Coordination, and Patient and Caregiver Interviewing.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
Registered Nurse, RN Care Transition Manager
Bring your passion to Texas Health so we are Better + Together
Work location: Texas Health HEB, 1600 Hospital Parkway, Bedford, TX 76022
Work hours: Full Time - Days; Friday, Saturday, and Sunday; 7:30am - 8:00pm
At Texas Health HEB we're committed to providing Northeast Tarrant County with a patient and family-centered approach to care. We're a 296-bed, acute-care, full-service hospital serving our community since 1973. Our location in the DFW mid cities provides convenient care to the residents of Hurst, Euless, Bedford and the surrounding areas.
If you're looking for women's services, outpatient surgery, oncology, cardiac rehabilitation and emergency medicine, we've got it. Plus, we're an accredited Cycle IV Chest Pain Center, a Level III neonatal intensive care unit and provide nuclear medicine, neonatal intensive care, respiratory therapy and orthopedic medicine.
And did we mention our awards? Texas Health HEB is Joint Commission-certified in both Heart Failure and Chest Pain, a Primary Stroke Center, a Level III Trauma Center and a designated Baby Friendly facility. We're a top-notch choice in North Texas for emergency services, women's services, cardiac care and much more.
As part of the Texas Health family, we employ over 26,000 employees and are among the top five largest employers in the DFW area. Join us and be a part of our exceptional team as we provide outstanding care and deliver award-winning results. You belong here!
What You Will Do
Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner. In addition to the required qualifications, a successful RN will:
-
Completes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of identification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and as needed.
-
Reviews the Risk of Unplanned Readmission (RUR) scores daily for all assigned patients.
-
Assists in the identification of a primary care physician (PCP) for patients without a PCP and attempts to schedule follow up appointments with either a PCP, specialist, clinic, physician or other transitional care visit prior to discharge.
Here's What You Need
-
Bachelor's Degree Nursing Individuals hired as CTRN prior to May 11, 2017, will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017. Required
-
3 years of Staff Nurse at an acute care hospital is required.
-
1 year of discharge planning and/or care management is highly preferred.
-
Must hold an active RN license - Registered Nurse Upon Hire is required.
-
CPR - Cardiopulmonary Resuscitation is required upon hire.
-
ACM - Accredited Case Manager upon hire is preferred OR CCM - Commission for Case Manager Certification or other ANCC upon hire is preferred.
Additional perks of being a Texas Health Employee
-
Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
-
Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
-
Strong Unit Based Council (UBC).
-
A supportive, team environment with outstanding opportunities for growth.
-
Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we've won and more.
Do you still have questions or concerns? Feel free to email your questions to [email protected] .
#LI-SB1
Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.
We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
You've read the whole posting — now see how you match it.