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Clinical Intake & Care Transition Nurse

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Job Description - Clinical Intake & Care Transition Nurse

At Parx Home Health Care, we believe in being Your Partner at All Times. We are seeking a Clinical Intake & Care Transition Nurse to serve as a trusted clinical partner throughout the patient journey—from referral intake through admission and post-discharge follow-up.

This role is ideal for a nurse who enjoys clinical decision-making, collaboration, patient engagement, and ensuring the right care, at the right time, by the right team.

What You’ll Do

  • Serve as the clinical authority reviewing all incoming home health referrals
  • Evaluate referrals for clinical appropriateness, completeness, and feasibility
  • Proactively obtain missing documentation, orders, or information from physicians and referral sources
  • Assess patient needs against staffing models and clinical resources to ensure safe care delivery
  • Appropriately accept or decline referrals based on clinical capability and business alignment
  • Partner with operations, clinical leadership, and community liaisons to support strategic accounts
  • Confirm and coordinate signing physicians for Plans of Care (485s)
  • Act as the first clinical point of contact for patients through structured welcome calls
  • Educate patients and families on home health services, expectations, and next steps
  • Serve as the final point of contact post-discharge, conducting follow-up and satisfaction calls
  • Identify unresolved needs, facilitate re-admissions when appropriate, and ensure seamless transitions
  • Maintain accurate, timely documentation and ensure compliance with payer, regulatory, and Parx policies
  • Contribute to QAPI initiatives by identifying trends, gaps, and opportunities for improvement

What We’re Looking For

  • Current LPN or (RN) license in good standing
  • Home health, intake, care coordination, or transitional care experience preferred
  • Strong clinical judgment and ability to balance patient needs with operational realities
  • Excellent communication, organization, and relationship-building skills
  • Comfortable working in a fast-paced, collaborative environment
  • EMR experience preferred (KanTime a plus)

Work Environment

  • Monday–Friday schedule with occasional flexibility
  • Office-based 
  • Ability to sit and work at a computer for extended periods
  • Occasional travel as needed
  • Moderate risk exposure

Why Parx?

  • Mission-driven organization focused on quality, outcomes, and patient experience
  • Collaborative leadership and supportive team culture
  • Opportunity to make a meaningful impact at critical transition points in care
  • A role where your clinical expertise truly drives decisions

👉 Join Parx Home Health Care and be a partner—at all times.

Original job Clinical Intake & Care Transition Nurse posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.
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