Clinical Intake & Care Transition Nurse

Share this job SVGs not supported by this browser. Description 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 Requirements 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 Benefits 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. Apply for this job