Transition Care Coach; RN | Case Management

Overview

UF Health Spanish Plaines Hospital, formerly known as The Villages Regional Hospital and acquired by University of Florida Health in January 2020, has been serving residents of The Villages as well as patients in Lake, Sumter and Marion counties since 2002. At UF Health The Villages® Hospital, we are committed to providing the community with leading‑edge patient care, clinical training and research programs.

Our teams of physicians and clinical staff work together to offer specialty services, advanced technology and clinical studies – bringing world‑class health care closer to you and your loved ones.

We are part of UF Health Central Florida, a not‑for‑profit health care system and the largest most comprehensive provider of health care services in the region. UF Health Central Florida provides inpatient acute hospital services at UF Health Spanish Plaines Hospital and UF Health Leesburg Hospital, inpatient rehabilitation services at UF Health Rehab Hospital – The Villages and diagnostic laboratory services at several locations.

We take pride in providing progressive, innovative technology, along with building strong relationships with patients, families, physicians and residents of the communities we serve.

The Transition Care Coach utilizes professional clinical judgment and critical thinking skills to assess patient and family scenarios for clinical appropriateness for the setting and establishing plans for effective management of their applicable disease process within the continuum of care. Assessment, planning, intervention, and reassessment are performed in a collaborative environment in both the hospital and home setting. The key goals of the Care Transitions Coach include proactive, individualized planning for patients’ progress that optimizes quality of care, appropriate utilization, and patient satisfaction.

Bachelor’s Degree preferred

Diploma/Associate’s Degree in Nursing required

Florida Registered Nurse License

BLS

Effective communication skills to facilitate contact with physicians, patients/clients, families and staff. Minimum of 5 years clinical experience, Case Management experience preferred.

Must be able to read, write, speak, and understand English.