Transitions of Care Nurse

**Transitions of Care Nurse at Upward Health in Hayward, California, United States** **What you'll do** - Respond to ADT alerts in real time and deploy to the hospital at admission to enroll patients - Collaborate with hospital staff, providers, and discharge planners to create safe transition plans - Conduct a home visit within 2 business days of discharge to reconcile medications and assess home safety - Provide care management for up to 90 days post-discharge, with a focus on preventing readmissions **What they're looking for** - Registered nursing license (unrestricted) - Experience in hospital-based care coordination, case management, or transitions of care - Strong clinical assessment and critical thinking skills - Ability to perform in-home visits and collaborate across hospital and community settings **Details** - Location: Hayward, California, United States - Type: Not specified - Salary: null