Saint Luke’s Health System is committed to the health and safety of our patients, visitors, and staff. Effective Nov. 1, 2021, full COVID-19 vaccination is a condition of employment for all SLHS employees.

Person, Nurse, Doctor

Transitional Care Nurse, Full Time.

Kansas City, Missouri.



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Transitional Care Nurse

  • 901 E 104 St, Saint Luke's Heath System - Headquarters, Kansas City, Missouri, United States, 64131
  • Case Management
  • Full Time

Job Description​

Saint Luke’s Home Care & Hospice is seeking a full-time Transitional Care Home Health Registered Nurse to join our team. The Transitional Care Nurse TCN, under the direction of the Director of Operations, Home Care and Hospice serves as a key point of contact for care coordination and transitional management for SLHS Home Care and Hospice patients moving across the continuum of care. 

The TCN will also serve as a key point of contact for SLHS patients that are enrolled in the Primary Care at Home program and other collaborative efforts with the Population Health Management Team and will facilitate virtual visits with their healthcare providers periodically. The TCN will also perform visits in the home for both SLHS Home Care and Hospice patients as well as Primary Care at Home patients, providing assessment, evaluation, education, coaching and counseling of patient and families.  The TCN will play an integral role in providing in home visits for SLHS Hospital In Your Home program. The TCN will also study the Care Coordination Transitional Care Management curriculum and pass an exam within the first year of employment in this position.  The core curriculum consists of:  advocacy, education and engagement of individuals and families, coaching and counseling of individuals and families, person-centered care planning, support for self-management, nursing process, teamwork and collaboration, cross setting communications and care transitions, population health management, informatics to support nursing practice, telehealth nursing practice.

A strong orientation team of leadership, educators and preceptors are available to you to ensure a successful transition into this position. This is a multidisciplinary team of medical professionals with various skills, experience, education, and specialties working together through the care management process.

As a TCN, you will perform the following functions:

  • Disease management
  • Monitoring of telehealth patients as appropriate.
  • Utilize the nursing process throughout the provision of patient/family care.
  • Collaborate with the medical staff and the other disciplines to provide and enhance patient care
  • Adhere to all nursing policies and standards, and proactively strive to maintain and improve quality outcomes

To be successful in this role, you must have strong critical thinking, time management, proactive total patient care, and organizational skills. You must be confident in your skills and able to work autonomously, as well as with a collaborative and supportive team. The ideal candidate will be comfortable working with patients in their home. You must be able to stay positive in a changing environment with the ability to change directions quickly as needed.

Missouri and Kansas RN License Required.

Why Saint Luke’s Home Care and Hospice?

  • Our leadership supports nurse engagement and allows their voices to be heard. 
  • We value our nurses’ knowledge, experience, and expertise to improve patient outcomes and quality care. 
  • The opportunity to balance all facets of your life through flexible and creative scheduling that meet your needs as well as your patients.
  • Strong nurse governance and we encourage all of our RNs to participate 
  • Various CEU, Continuing Education, Leadership and other career training available
  • Career Advancement Program dedicated to RNs.
  • Saint Luke’s offers competitive salaries and benefits packages to all of their employees, click here to find out more.

Job Requirements

Applicable Experience:

2 years

Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various

Bachelor's Degree

Job Details

Full Time

Day (United States of America)

The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.

Effective November 1st, 2021, full COVID-19 vaccination is a condition of employment for all Saint Luke’s Health System employees unless a medical or religious exemption is approved.

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