Transition Care RN: Post-Discharge Care Coordinator

Midtown Hospital in Evansville, IN is seeking a Transition Care Nurse to contact patients after discharge and coordinate care for those with chronic conditions. You will work with physicians and the hospital team to ensure patients recover safely at home and to schedule follow-ups.

The role emphasizes identifying barriers to care, improving outcomes, and ensuring timely, guideline-driven post-discharge calls, with focus on high-risk patients to reduce readmissions.