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RN – Clinical Transition Specialist
Carle Health. Oversee, coordinate, and manage functional and financial outcomes during acute illness requiring hospitalization .
Posted 9/21/2026full-timeUrbana • Illinois • United StatesMid-LevelSenior💰 $36 - $58 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in case management, including conducting assessments, coordinating transitions of care, and managing patient outcomes during hospitalization. Proficient in utilizing case management software and leading interdisciplinary teams to optimize patient care and reduce readmissions.
Highest-signal resume keywords
Licensed Registered Nurse (RN)Accredited Case Manager (ACM)Basic Life Support (BLS)Case Management SoftwareInterdisciplinary Team Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient AssessmentDischarge PlanningUtilization ReviewCare CoordinationPlan-of-Care EvaluationReferral InitiationDocumentationReadmission AssessmentDME ArrangementPrior Authorization
Soft Skills
CommunicationCollaborationProblem-SolvingEducationLiaison Skills
Tools & Technologies
Case Management SoftwareMultidisciplinary Care Documents
Certifications & Qualifications
Licensed Registered Nurse (RN)Basic Life Support (BLS)Accredited Case Manager (ACM)
Industry Keywords
Acute CarePost-Hospital CareHealthcare TeamLength-of-Stay GoalsReadmission GoalsHome CareHospiceEmergency-Room Admissions
About the role
Key responsibilities & impact- Oversee, coordinate, and manage functional and financial outcomes during acute illness requiring hospitalization
- Conduct proactive initial assessments, ongoing evaluations, and discharge planning
- Facilitate safe and timely transitions from acute care to appropriate post-hospital care
- Act as a liaison among patients, families, physicians, and post-hospital providers
- Conduct case review presentations and educate peers on challenging cases and scope-of-practice issues
- Coordinate transitions from inpatient to post-hospital care
- Document plans of care and utilization issues in case management/utilization review software and multidisciplinary care documents
- Evaluate plan-of-care effectiveness and initiate interventions before, during, and after hospitalization
- Initiate referrals to healthcare team members and arrange services
- Investigate post-hospital coverage and present options to patients, families, and providers
- Lead interdisciplinary teams to achieve length-of-stay and readmission goals
- Track avoidable inpatient days and conduct readmission assessments
- Participate in daily multidisciplinary and white board rounds
- Arrange DME, home care, hospice, ECF returns, transportation, and care conferences
- Make follow-up appointments and post-discharge phone calls
- Obtain prior authorizations, maintain work queues, address denials, and perform initial utilization review for emergency-room admissions
Requirements
What you’ll need- Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
- Basic Life Support (BLS) within 30 days - American Heart Association (AHA)
- Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA)
- College Diploma: Nursing
- Weekend availability: Saturday/Sunday plus one weekday (Wednesday/Thursday/Friday)
- Holiday availability if a holiday falls on the weekend
- On-call availability for house from 4:30p-9p
Benefits
Comp & perks- Comprehensive benefits package for team members and providers
- Potential for growth and life-long careers at Carle Health