Work Shift:

Day - 8 Hour (United States of America)FT, 8a-430p

Performs and oversees transitional care management processes to recently discharged patients of HHC, providing the best possible care options for patients and their families. Working directly with Care Management and HHC Independent physicians to collaborate, monitor and evaluate patient status post discharge focusing on intermediate goals, outcomes, medication reconciliations ensuring the prevention of patient and family confusion, hospital readmissions and ensuring overall good patient hand offs from hospital to home. Oversees the appropriate after care activities to include but not limited to Paramedicine, Home Health, DME, Rehab services, Educare, Pharmacy and transportation needs. Also serves as direct resource for staff, and Independent physicians regarding their patients care after hospital discharge.

Job Summary:
Responsible for enhancing the patient experience by providing a seamless navigation process from diagnosis to survivorship. Responsible for collaborating with physicians and members of the interdisciplinary teams to triage, coordinate, and consistently manage patient care by educating, providing a link to research, serving as the primary point of contact for patients and families and providing indirect patient care. Works with patients and families to answer questions, provide emotional support and solve issues concerning the cycle of care.

Qualifications:
Minimum required:
Education - Graduate of an accredited school of nursing; BSN
Experience - Two years nursing experience.
Certification -
1. BLS
2. If completing virtual care activities that may include multi-state practice, an active compact/multistate license (eNLC) is required within 60 days of hire. Employees in role prior to 11/09/2025 will have until their next renewal date to achieve compact status

Preferred Qualifications:
Experience - 1 year case management

PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [email protected]. Please note that one week's advance notice is preferred.

Scheduled Weekly Hours:

40

FTE:

1

Expanded Work Shift:

On Call: