This role focuses on pediatric transition-of-care support for members needing help moving safely between care settings. The clinician coordinates follow-up, reinforces discharge plans, and helps address barriers that could affect recovery or continuity of care.
Key Responsibilities
- Conduct transition-of-care outreach for pediatric members after hospital or other care episodes
- Coordinate follow-up care, referrals, and communication across providers and care settings
- Provide education on discharge instructions, medications, and warning signs to monitor
- Use clinical assessment and care management workflows to identify gaps in care and support member needs
- Participate in multidisciplinary collaboration with internal teams and external providers
- Document interactions, care plans, and follow-up activities in required systems
Required
- Registered Nurse (RN) licensure
- Experience in pediatric care, care management, discharge planning, or transition-of-care support
Preferred
- Prior experience supporting pediatric populations in managed care or population health
- Background in care coordination across inpatient and outpatient settings