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The Care Transitions Clinical Coordinator (CTCC) oversees all transitional care activities for a designated case load of patients, to ensure a timely transition along the care continuum. The CTCC is an active participant of the Interdisciplinary Team who contributes input into the management planning for all assigned patients. The CTCC identifies and escalates complex discharge concerns to the appropriate party. The CTCC oversees the discharge appeal process and manages all SNF returns. The CTCC demonstrates core and unit specific competencies based on the patient population served. Candidate must demonstrate proficiency in use of computer, including data entry, word processing and email. The CTCC is familiar with current health care delivery systems and has an understanding of post-acute care options. The CTCC has some understanding of chronic care management, as well as palliative and hospice care.

Requirements for CTCC position
NY State RN License, BSN degree at a minimum with 5 years of clinical nursing experience.
The CTCC must be PRI certified with proof of certification.
Board certification in Case Management is preferred

Daily work schedule 8:30am- 5pm - 5 day work week, weekends are included. Rotating Schedule.


Department: Care Management Bargaining Unit: NYSNA Campus: MOSES  Employment Status: Regular Full-Time Address: 111 East 210th Street, BronxShift: Day Scheduled Hours: 8:30 AM-5 PM Req ID: 193715 


Diversity, equity and inclusion are core values of Montefiore. We are committed to recruiting and creating an environment in which associates feel empowered to thrive and be their authentic selves through our inclusive culture. We welcome your interest and invite you to join us.


Montefiore is an equal employment opportunity employer. Montefiore will recruit, hire, train, transfer, promote, layoff and discharge associates in all job classifications without regard to their race, color, religion, creed, national origin, alienage or citizenship status, age, gender, actual or presumed disability, history of disability, sexual orientation, gender identity, gender expression, genetic predisposition or carrier status, pregnancy, military status, marital status, or partnership status, or any other characteristic protected by law. 



To heal, to teach, to discover and to advance the health of the communities we serve.

To be a premier academic medical center that transforms health and enriches lives.

Define our philosophy of care, they shape our actions and motivate and inspire us to pursue excellence and achieve the goals we have set forth for the future. Our values include:

  • Humanity
  • Innovation
  • Teamwork
  • Diversity
  • Equity