Job Information

AdventHealth Registered Nurse RN Transition Specialist in Altamonte Springs, Florida


All the benefits and perks you need for you and your family:

  • Benefits from Day One

  • Paid Days Off from Day One

  • Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)

  • Nursing Clinical Ladder Program

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.

Schedule: Full Time

Shift : Days

Location : 601 E Altamonte Dr, Altamonte Springs, FL 32701

The community you’ll be caring for:

  • Located north of Orlando in the community of Altamonte Springs, our facility is consistently named “Best Hospital” for overall quality, reputation, doctors and nurses by local residents

  • As the largest satellite campus within the AdventHealth system, AdventHealth Altamonte has been providing state-of-the-art healthcare to the community since 1973

  • The 398-bed hospital cares for more than 168,000 patients a year. We are proud to be revolutionizing health care with visionary leadership and world-class resources

The role you’ll contribute:

The Care Transitions Registered Nurse ensures that a care plan is carried out in partnership with the person at the center of the care plan. Works as part of the interdisciplinary Care Transitions Team to implement the AdventHealth’s readmission prevention programs, which are targeted to reduce the number of patients who are readmitted to the hospital. Follows selected patients that transition from the hospital to a lower level of care. Participates in routine readmission meetings with community partners as well as complies with data collection expectations. Works as part of various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons, physicians, pharmacists, dietitians, and leadership. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

  • Adheres to the nursing care Scope of Practice and Care Management Scope of Service in achieving the goals of the Care Transitions Team.

  • Applies appropriate criteria to identify patients who are at high risk for readmission or for high emergency room utilization. Follows up with patients at location of post discharge transfer. Conducts patient and family education, utilizing Teach Back method. Incorporates patient, physician, and customer needs and concerns into decision-making and organizational action. Identifies gaps in service that prevent the patient from achieving increased stability in daily living.

  • Prioritizes clinical problems, formulates treatment goals, and constructs treatment plan, revising as needed, based on continuous evaluation and assessment of progress. Quickly appraises crisis situation and selects appropriate intervention(s). Mediates highly complex situations and develops treatment plans with minimal supervision. Acquires working knowledge of motivational interviewing and working with resistant clients.

  • Documents in patient’s medical record after each significant contact and at closure of case.

  • Evaluates practice upon completion of case intervention, determining whether intervention was successful and whether client achieved expected outcome. Seeks appropriate consultation. Admits mistakes openly and seeks ways to resolve issues. Creates a safe environment for honest and open communication.


The expertise and experiences you’ll need to succeed:

Minimum qualifications :

  • Bachelor of Science in Nursing (BSN)

  • Two years of experience in acute care hospital discharge planning

  • One year of Experience Nursing, Case Management, and/or Social work

  • Current valid State of Florida or multi state license as an RN

Preferred qualifications:

  • Master of Science in Nursing (MSN)

  • Three years of experience in acute care hospital discharge planning

  • Experience in outpatient or home health setting and critical care

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Case Management

Organization: AdventHealth Altamonte Springs

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth Altamonte Springs

Req ID: 22018304

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.