RN, Skilled Care Transitional Care Manager

Location US-PA-Philadelphia
Posted Date 1 month ago(2/15/2018 3:06 PM)
Position ID
Clinical MGT/Nurse MGT/QA


BAYADA Home Health Care is seeking an RN to work full time  as a home care/hospital liaison in the Philadelphia area. 

In this dynamic opportunity, you will have the chance to apply your  nursing skills and knowledge, positive entrepreneurial spirit and relationship-building proficiencies to coordinate all phases of the discharge process from hospital to home care services.


The Transitional Care Manager is responsible for identifying current and future clients and for facilitating the smooth transition of clients from hospital to home. As Transitional Care Manager, you will focus on building and maintaining relationships with clients and families, discharge planners, social workers and other hospital personnel. 


In this role you will utilize your nursing abilities to assess patients' medical and social needs to identify appropriate home care services. Working with the staff of local BAYADA offices, you will lead the intake process and coordination of discharge care for clients that will be returning home.


Find out why BAYADA Home Health Care has received theNational Provider’s Best of Home Care Award for 2017” and "Forbes Top 50 companies Hiring for Flexible Jobs"!






  • Interact with referral sources to facilitate positive long-term relationships to represent BAYADA as the preferred home care provider for complex, chronically ill patients.
  • Educate and engage prospective clients and their families about home care and prepare them for the transition home, in collaboration with the client’s physician.
  • Promote effective care coordination with the facility, and communicate clinical status and staffing needs to the service office and support staff.
  • Provide post-transition home follow up to confirm effective care handover and positive outcomes to prevent re-hospitalization of the client during the first thirty days.
  • Develop and edit quarterly and year to date referral reports.
  • Collaborates with Directors in targeting business development opportunities.
  • Plans and coordinates joint venture marketing efforts with multiple service offices.
  • Coordinates DME, supplies, and in-services needed for discharge.
  • Represent BAYADA at facility functions, fundraisers, child life events and community activities


  •  Minimum of a Bachelor’s degree required
  • CRRN (Certified Rehabilitation Registered Nurse) Preferred
  • Licensed Registered Nurse (RN) in good standing in the state of Pennsylvania required
  • Five plus years’ experience in nursing, discharge planning or home care
  • Excellent verbal and written communication skills required
  • Ability to represent the company effectively in a variety of settings, with respect to service area, payer sources, etc.
  • Demonstrated record of strong interpersonal skills and relationship building
  • Competence in basic PC skills required to perform job functions. (Word, Excel, SharePoint, Outlook)


Posted Date


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