Transition of Care Nurse

Who We Are

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity.

What You’ll Do

As a Nurse Care Manager on our Transition of Care team (TOC Nurse) at Imagine Pediatrics you will develop positive, long-term relationships with pediatric offices, specialty practices, hospital discharge planners/social workers, private duty nurses and aides, and other members of the community teams to support eligible patients and their families. The TOC Nurse will directly outreach Imagine Pediatric patients after they are discharged from the hospital to assist with coordination of care. You will collaborate with other members of the interdisciplinary team including MDs, APPs, social workers, community health navigators, and clinical pharmacy to ensure comprehensive care and support for families.

• Outreach caregivers and patients after hospital discharge for a Transition of Care visit
• Review discharge plan with the caregiver and assess for any barriers the family may have post discharge
• Leverage reporting and dashboards to prioritize telephonic outreach to patients and caregivers
• Collaborate with Transition of Care Coordinator and other team members to ensure families have everything they need post discharge
• Coordinate care between patients and their PCP/specialists post discharge to ensure continuity of care
• Other duties as assigned.

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. A qualified candidate will be empathetic, caring, organized, and has strong relationship-building skills. In this role, you will need:

• Graduate with a Bachelor’s in Nursing from an accredited university
• Compact Licensed RN, or the eligibility to register for other state licenses
• Minimum of 2 years direct clinical experience in an outpatient setting, Emergency Department/Triage, Complex Care, or PICU preferred
• Bilingual in English and Spanish required
• Comfortability communicating care with external partners/practices
• Comfortable with telephonic outreach to eligible families
• Experience with discharge planning and care coordination preferred

What We Offer (Benefits + Perks)

We offer competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

• Competitive medical, dental, and vision insurance
• Healthcare and Dependent Care FSA; Company-funded HSA
• 401(k) with 4% match, vested 100% from day one
• Employer-paid short and long-term disability
• Life insurance at 1x annual salary
• 20 days PTO + 10 Company Holidays & 2 Floating Holidays
• Paid new parent leave
• Additional benefits to be detailed in offer

What We Live By

We’re guided by our five core values:

Our Values:

• Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future.
• Earn Trust. We listen first, speak second. We build lasting relationships by cre