Transition Program Case Manager job shadow

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Specializes in Cardiac Telemetry.

I've had two interviews for a Transition Nurse Case Management role (hospital based) and will be shadowing a nurse on Friday. I was wondering if those of you that have similar experience could suggest questions to ask, or provide any advice for the job or shadowing? My job will be to "ensure an efficient and coordinated hospital discharge and transition process for patients recently hospitalized or treated in the emergency room that are at high risk for increased use of healthcare resources." In our program we will identify these high risk patients and follow them for 30 days post discharge. I feel that I would really thrive in this position but would just like some pointers and advice. Thank you!

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This sounds like a interesting job. Did you take the position? What kind of work/education experience does this job require?

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Specializes in Med Surg, Tele, PH, CM.

I do Transitional Care for Medicaid/Medicare patients. I do not work for a hospital, however, I work for the State. I am happy to see more hospitals coming on board with transitional care. You will find this job very interesting and fulfilling. There is a great need for this service, I can't tell you how many interventions I have made because the best discharge planning in the world does not seem to work once the patient is home - Rx go unfilled, f/u visits are not kept...etc. I consider myself lucky if my patient can even produce the discharge instructions they were given so we can review them. Hope you get the job, it's only a small part of what I do, but I really feel as if I make a difference.

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Specializes in Ambulatory Case Management, Clinic, Psychiatry.

I would ask about caseload #s, % of work done in office vs community if you are going into the community, major population/diagnoses

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Specializes in Ambulatory Case Management, Clinic, Psychiatry.
On 3/19/2019 at 10:24 PM, Cg-RN said:

I've had two interviews for a Transition Nurse Case Management role (hospital based) and will be shadowing a nurse on Friday. I was wondering if those of you that have similar experience could suggest questions to ask, or provide any advice for the job or shadowing? My job will be to "ensure an efficient and coordinated hospital discharge and transition process for patients recently hospitalized or treated in the emergency room that are at high risk for increased use of healthcare resources." In our program we will identify these high risk patients and follow them for 30 days post discharge. I feel that I would really thrive in this position but would just like some pointers and advice. Thank you!

Cg-- did you get/take the position? I would love to hear more about it since I am looking into a very similar position

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On 11/1/2019 at 12:11 AM, Katie82 said:

I do Transitional Care for Medicaid/Medicare patients. I do not work for a hospital, however, I work for the State. I am happy to see more hospitals coming on board with transitional care. You will find this job very interesting and fulfilling. There is a great need for this service, I can't tell you how many interventions I have made because the best discharge planning in the world does not seem to work once the patient is home - RX go unfilled, f/u visits are not kept...etc. I consider myself lucky if my patient can even produce the discharge instructions they were given so we can review them. Hope you get the job, it's only a small part of what I do, but I really feel as if I make a difference.

I am interested in Transitional care, did you have any experience before going into that field?

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