RN Liaison Transitional Care Manager, Home Care, Full or Part Time

2 weeks ago(1/4/2018 3:09 PM)
Position ID
Clinical MGT/Nurse MGT/QA


BAYADA Home Health Care has an immediate opening for a Registered Nurse Transitional Care Manager at a major progressive teaching hospital in Philadelphia, PA. 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"!





  • Develop a yearly marketing plan and set strategic quarterly goals.
  • 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 MCO/VMC to ensure high quality and safe transition to the home care clinical team.
  • 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)



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