Stormont-Vail Health

Ambulatory Registered Nurse - Care Transformation - FT - Day

Stormont-Vail Health

Topeka, KSFull timePosted Aug 5, 2026

Job description

Position Status: Full time Shift: First Shift (Days

  • Less than 12 hours per shift) (United States of America) Hours per week: 40 Job Information Exemption Status: Non-Exempt A Brief Overview Transitional Care Management (TCM) provides comprehensive, consultative and management services that enhance patient satisfaction, reduce costs, and improve outcomes. The Transitional Care nurse will support the organizational transitional care program by providing and interactive contact via telephone call with the patient and/or caregiver within two business days following the patient's discharge to the community setting. Using the nursing process, the TCM nurse will assess the patient's transition to home, understanding of discharge instructions, medication compliance and will direct patients to the appropriate level of care within the organizational health care system. The TCM Nurse is accountable for quality assessment, efficient managed care, and client satisfaction in collaboration with the health care team. The TCM nurse will utilize multiple IT platforms for patient identification and documentation of transitional care interventions. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization.

Education

Qualifications Bachelor's Degree Bachelor's of Science in Nursing (BSN) Preferred Experience Qualifications Experience in a clinic setting. Preferred 2 years Ambulatory or medical surgical nursing experience.

Required Skills

and Abilities Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency) Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency) Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning.

Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency) Demonstrates competency in selected psychomotor skills. (Required proficiency) Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency) Licenses and Certifications Registered Nurse

  • KSBN A multistate license with the ability to practice within the State of Kansas is also accepted. Required Basic Life Support
  • BLS RQI, CPR or ACLS certifications may be required in lieu of or in addition to BLS depending on department. Must have within 90 days of hire.

What you will do

The TCM Nurse is accountable for quality assessment, efficient managed care, and client satisfaction in collaboration with the health care team. The TCM nurse will utilize multiple IT platforms for patient identification and documentation of transitional care interventions. Formulates a prioritized and goal directed plan of care, which is based on patient’s presenting problems and projected outcomes.

Implements care in a knowledgeable, skillful, consistent manner, while promoting the continuum of care. Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient’s condition and reaction to drugs and treatments to provider.

The TCM nurse will ensure that the patient has an appointment with their PCP or designee within 7-14 days of hospital discharge. Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information.

Compiles tests and examination results. Evaluates the patient’s progress towards achieving outcomes. Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making. Greets patients and prepares them for provider examination.

Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Participates in system wide/department patient care quality improvement activities as well as standards development.

Participates in development and attainment of system wide/department hospital goals. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions. Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act.

Adheres to staffing and scheduling practices. Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question. Required for All Jobs Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health Performs other duties as assigned Patient Facing Options Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.

Stable access to electricity and a minimum of 25mb upload and internet speed. Dedicate full attention to the job duties and communication with others during working hours. Adhere to break and attendance schedules agreed upon with supervisor. Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability On-Site; No Remote Scope No Supervisory Responsibility No Budget Responsibility Physical Demands Balancing: Occasionally 1-3 Hours Carrying: Occasionally 1-3 Hours Climbing (Ladders): Occasionally 1-3 Hours Climbing (Stairs): Occasionally 1-3 Hours Crawling: Occasionally 1-3 Hours Crouching: Occasionally 1-3 Hours Eye/Hand/Foot Coordination: Frequently 3-5 Hours Feeling: Frequently 3-5 Hours Grasping (Fine Motor): Frequently 3-5 Hours Grasping (Gross Hand): Frequently 3-5 Hours Handling: Frequently 3-5 Hours Hearing: Frequently 3-5 Hours Kneeling: Occasionally 1-3 Hours Lifting: Occasionally 1-3 Hours up to 10 lbs Operate Foot Controls: Occasionally 1-3 Hours Pulling: Occasionally 1-3 Hours up to 10 lbs Pushing: Occasionally 1-3 Hours up to 10 lbs Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs Reaching (Overhead): Occasionally 1-3 Hours up to 10 lbs Repetitive Motions: Occasionally 1-3 Hours Sitting: Frequently 3-5 Hours Standing: Occasionally 1-3 Hours Stooping: Occasionally 1-3 Hours Talking: Occasionally 1-3 Hours Walking: Rarely less than 1 hour Physical Demand Comments: Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.

Employees will spend a majority of time at workstation facing computer screen. Working Conditions Burn: Rarely less than 1 hour Chemical: Rarely less than 1 hour Combative Patients: Occasionally 1-3 Hours Dusts: Rarely less than 1 hour Electrical: Rarely less than 1 hour Explosive: Rarely less than 1 hour Extreme Temperatures: Rarely less than 1 hour Infectious Diseases: Occasionally 1-3 Hours Mechanical: Rarely less than 1 hour Needle Stick: Occasionally 1-3 Hours Noise/Sounds: Occasionally 1-3 Hours Other Atmospheric Conditions: Rarely less than 1 hour Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour Radiant Energy: Rarely less than 1 hour Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour Hazards (other): Rarely less than 1 hour Vibration: Rarely less than 1 hour Wet and/or Humid: Rarely less than 1 hour Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information.

This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment. Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.