Guthrie Medical Group-Sayre

Per Diem/As Needed

GCL/N10

The Transitional Care Manager must have or receive prior to position start date, current licensure by the Commonwealth of Pennsylvania and New York State as a Registered Professional Nurse, as required. Upon completion of orientation, must pass an inter-rater reliability competency at 80% or higher, and maintain this annually.

Exempt

The Transitional Care Manager is a professional nurse who applies theory based professional knowledge in the planning, facilitation and provision of quality patient and family education for adults with a diagnosis of a chronic disease. The Transitional Care Manager uses a mentorship framework incorporating the concepts of consultation, support, and empowerment to assist the clinical nurse, and other healthcare professionals in the delivery of care. Their clinical expertise enables them to provide advanced, evidenced based care to patients and positively impact the assessment, planning, and evaluation of patients diagnosed with a chronic disease. The Transitional Care Manager utilizes and applies change theory in matters related to clinical practice; fosters communication when interacting with staff, patients, and other members of the healthcare organization. The Transitional Care Manager assists with navigating from and between the acute care setting and the outpatient arena. Additionally, the Transitional Care Manager will work in collaboration with members of the ambulatory healthcare team to identify at risk patients, develops a plan of care, and coordinate care with the patient’s involvement.

Bachelor’s Degree in Nursing or related field required.  With an employment agreement, will consider applicant who is actively pursuing their bachelor’s degree. Master’s Degree preferred. Certified in Case Management, within one year of hire. Licensed Nurse Practitioner considered. 

A minimum of Five years’ experience in an acute healthcare setting, preferably with case management, utilization review, and payor knowledge. Experience caring for patients diagnosed with a chronic disease. Demonstrated capability and competence in clinical nursing practice, teaching, and leadership. 

Guthrie is an equal opportunity employer. To apply for a position at Guthrie please visit