ChristianaCare CareVio is hiring an RN Case Manager for Transitional Care Coordination for Post Acute Care. The RN will work remotely after orientation to provide frequent outreach under the designed protocols, ensuring each patient discharged from a post-acute facility has at minimum a weekly outreach through Day 30 to support reducing readmissions and ED visits.
Scope & Frequency of Contacts:
Ongoing contact with member and multidisciplinary care team including in-patient facility team members such as Case Managers, Social Workers or Discharge Planners, CareVio longitudinal Care Coordinators, and payer or other external care managers. Contact with providers in the community and alternate level of care settings with the ability to complete onsite visits as needed.
Primary Function:
- The Transitions Care Coordinator is responsible for managing a patient’s successful transition from an acute care or rehabilitation facility to home or next level of service. They are accountable for developing, implementing, and evaluating comprehensive transitional care interventions for high-risk, medically complex patients as well as for patients at high-risk for poor health outcomes, frequent emergency room visits, and hospital readmissions.
- The Transitions RN identifies patients admitted for acute or subacute care in either an acute care or rehabilitation facility for program enrollment and communicates with all entities involved in the care of the patient to promote and maximize care coordination. Key aspects of the Transitions Program includes participation in regularly scheduled huddles, patient and family education regarding disease state and self-care/exacerbation management, identification of patient-level concerns regarding discharge, assessment for social risk factors, and anticipation of potential gaps in care. This position requires a high level of critical thinking to advocate for members based on their comprehensive clinical and social needs. Cases begin on admission and are followed for the 30-day transitional period.
ChristianaCare Offers:
- Full Medical, Dental, Vision, Life Insurance, etc.
- Two retirement planning offerings, including 403(b) with company contributions.
- Generous paid time off with annual roll-over and opportunities to cash out.
- 12 week paid parental leave.
- Tuition assistance
- Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial mentor, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!
Education & Special Requirements:
- DE RN License or Compact Nursing License,
- BSN Required.
- 2-5 years of experience in acute or subacute care
- Experience in Utilization Management or Case Management (preferred)
- Basic Life Support (BLS) certification
- The ability to obtain a non-compact state RN Licensure as needed.
- Case Management Certification through the Commission for Case Management (CCM) or obtained within 18 months of eligibility.
PHYSICAL DEMANDS:
Ability to ambulate within an office setting (walking, stairs, etc.)
Occasional sitting, standing and lifting loads of 5-10 pounds.
HAZARDOUS MATERIALS:
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Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
Post End Date
Jun 22, 2026EEO Posting Statement
ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/
Skills Required
- DE RN License or Compact Nursing License
- BSN degree
- 2-5 years of experience in acute or subacute care
- Basic Life Support (BLS) certification
- Ability to obtain non-compact state RN licensure as needed
- Case Management Certification (CCM) or obtain within 18 months of eligibility
- Experience in Utilization Management or Case Management
What We Do
Headquartered in Wilmington, Delaware, ChristianaCare is one of the country’s most dynamic health care organizations, centered on improving health outcomes, making high-quality care more accessible and lowering health care costs. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,336 beds), a freestanding emergency department, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health. It also includes the pioneering Gene Editing Institute. ChristianaCare is nationally recognized as a great place to work, rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation’s Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America’s 50 Best Hospitals and continually ranked among the nation’s best by U.S. News & World Report, Newsweek and other national quality ratings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and a focus on population health and value-based care, ChristianaCare is shaping the future of health care

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