RN Case Manager - Transitions of Care

ABOUT US

Galileo is a team-based medical practice working to improve the quality and affordability of health care for all. Operating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Regional and national health plans, employers, and Fortune 500 organizations trust Galileo as the leading solution to improve population health. Founded by Dr. Tom X. Lee, the healthcare pioneer behind One Medical and Epocrates, Galileo is a team of leading innovators from healthcare, technology, and human-centered design. Our mission is to apply that talent and scientific thinking to transform society by solving our largest, toughest healthcare problems, while at the same time bringing patient and provider closer.

ABOUT THE ROLE

The Registered Nurse (RN) - Transitions of Care plays a critical role on the Galileo care team. This individual will collaborate with our multidisciplinary team to ensure patients transition safely and successfully from an inpatient setting back to their homes.

This is a remote, full-time position at 40 hours/week. The core working hours will be between 9:00am-5:30pm EST, Monday through Friday with a requirement of 1 weekend day coverage per month.

Here’s what you’ll do

• Telephonic outreach to patients newly discharged for medical or mental health conditions to assess symptoms, barriers to medication adherence, safety concerns and social needs
• Assess risk of BH-related emergencies and execute appropriate protocol with interdisciplinary team
• Recognize the unique needs of patients with co-morbid medical and BH concerns (example: differential diagnosis, acute psychiatric decompensation, severity of withdrawal symptoms) and triage appropriately
• Coordinate all aspects of the care transition from hospital/ facility to home
• Provide compassionate and empathetic care to patients and their families post-discharge, to support safe transitions
• Collaborate with primary care, behavioral staff and other support teams to provide excellent patient care
• Additional, ad hoc tasks as dictated by capacity and organization needs (such as gap closure outreach, medication adherence assessment and urgent care triaging)

ABOUT YOU

We look for a passionate Registered Nurse who are invested in solving complex problems that impact millions of lives and are excited about fixing what’s broken to improve care quality and health outcomes for everyone. We believe in a culture that fosters teamwork, excellence, and sound decision-making—one that is based on mutual respect and trust. 

We …