Full time, Full Time
MUSC Health
SC
Job Description Summary The Transition Care Nurse (RN) promotes safe transitions across the care continuum by completing telephonic outreach to patients discharged from the hospital and ensuring timely follow up care within the primary care setting. This position supports value-based care initiatives by ensuring the requirements for transitional care are completed. This includes thorough documentation, timely follow-up appointments with the patient's primary care provider, and prevention of unnecessary utilization of acute care services during the discharge period. The nurse will access and review discharge reports, assign cases to the team based on acuity level, document the call summary, and identify priorities that need to be communicated to the provider for further intervention. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005802 MCP - Population Health Transitional Care Management (TCM) Pay Rate Type...