Summary
Assists in managing the activities of Transitional Care Management (TCM) nurse activities and Continuing Care Network (CCN)
program. in alignment with the mission statement. policies and procedures of the Baptist Health System. Manages, facilitates TCM
program and supervises staff in the discharge planning and post-acute care services for patients with diagnosis of Congestive Heart
Failure (CHF), Acute Myocardial Infarction (AMI) and Pneumonia(PN) and other targeted diagnosis groups. Collaborates with the Case
Management directors and senior leadership to support and implement activities and programs as defined. Coordinates care and
services, of selected patient populations. Designs plan of care to avoid patterns of frequent acute hospital or emergency department use,
readmissions, and health status decline. Completes established competencies for the position within designated introductory period.
Other related duties as assigned.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.