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 -
BLS
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 careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
Scheduled Weekly Hours:
40
FTE:
1
Expanded Work Shift:
On Call:
West Houston Medical Center has been offering exceptional care to the West Houston community for 30 years. With more than 1,200 members on our care team and 400 of the region's most talented doctors, we are able to provide nationally-recognized quality care.
Since our founding, we have consistently enhanced key services and continue to grow, most recently with the addition of a $72 million, 95,000-square-foot expansion that includes The Heart Hospital at West Houston and The Woman's Hospital of Texas at West Houston.
Our hospital in Houston provides a wide range of services, several of which are nationally accredited or affiliated:
We offer additional emergency services at West Houston Medical Center 24 Hour Emergency Center, a freestanding emergency room in the Katy/Richmond area that is a department of the hospital.
The Sugar Land Diagnostic Center and the Sugar Land Cancer Center, both departments of West Houston Medical Center, are located in Sugar Land.
West Houston Medical Center – World-class Medicine. Personal Care from the heart of West Houston.