Transition of Care Nurse at Imagine Pediatrics

The Transition of Care Nurse will develop relationships with pediatric offices, specialty practices, hospital discharge planners, private duty nurses, and community teams to support eligible patients and their families. They will outreach to Imagine Pediatric patients after hospital discharge to assist with care coordination, review discharge plans, and assess for post-discharge barriers. The nurse will leverage reporting to prioritize telephonic outreach, collaborate with the interdisciplinary team to ensure families have necessary post-discharge support, and coordinate care between patients and their providers for continuity. Other duties as assigned will also be performed.