AdventHealth
Registered Nurse RN Transition Specialist Division Team-Float
AH COURTLAND CAMPUS
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hirly's read of this role
- Role family
- Healthcare
- Seniority
- Mid level
- Country
- US
- Work mode
- On-site / unstated
- First seen by hirly
- 15 Oct 2026
Derived automatically from the posting. Upload your resume above to see how the role scores against it.
the posting
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
602 COURTLAND ST
City:
ORLANDO
State:
Florida
Postal Code:
32804
Job Description:
- Identifies patients with moderate to high-risk conditions for readmission and collaborates with the treatment team to ensure safe and effective transitions of care.
- Assesses, educates, and provides interventions for patients and families in disease self-management both during the hospital stay and post discharge
- Assesses medication adherence and regimen and provides education with interventions to improve the patient’s medication compliance.
- Coordinates care of patients at risk for readmission from discharge through 30-90 days post discharge.
- Arranges post-acute resources for patients requiring additional support post-discharge from the hospital.
Schedule: On Site Monday - Friday 8am- 5pm with rotating weekends (on-site)
Knowledge, Skills, and Abilities:
- Ability to utilize the nursing process (assessing, planning, implementing, and evaluating) to achieve the goals of the client and to utilize internal and external resources [Required]
- Excellent time management, organizational, and self-motivation skills [Required]
- Ability to work independently, effectively problem solve, plan, organize, direct, advocate, and teach [Required]
- Expertise in patient advocacy and complex navigating systems [Required]
- Ability to communicate effectively orally and in writing and present self well to others with tact and diplomacy [Required]
- Knowledge of chronic disease management [Required]
- Ability to function and assist others in stressful, fast-paced environments and effectively apply stress management techniques [Required]
- Ability to empower individuals/families to take charge of their own whole health needs [Required]
- Proficiency in Microsoft Word and Excel, Windows [Required]
- Proficiency with Cerner applications [Preferred]
Education:
- Associate's of Nursing [Required]
- Bachelor's of Nursing [Preferred]
- Master's of Nursing [Preferred]
Work Experience:
- 1+ nursing [Required]
- 2+ care management, chronic disease management, or care coordination in a healthcare setting. [Required]
- Experience in an outpatient or home health setting and critical care [Preferred]
Additional Information:
- Experience in Chronic Disease Management (heart failure, COPD, Pneumonia, myocardial infarction)
- Adaptive to quick changes
- Leadership Mentality
Licenses and Certifications:
- Registered Nurse (RN) [Required]
- Accredited Case Manager (ACM) [Preferred]
- Certified Case Manager (CCM) [Preferred]
- Physical Requirements: (Please click the link below to view work requirements)
- Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range:
- $31.86 - $59.27
- Background Screening Requirement (Florida Law)
Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law.
- Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse :
- https://info.flclearinghouse.com/
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Listed on hirly, a job board. hirly is not the employer: AdventHealth is hiring for this role.
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