Overview UF Health Leesburg Hospital has been serving the health care needs of our community for 58 years. The hospital offers advanced cardiac care including one of the largest cardiothoracic surgery programs in the state. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation — its highest and best level of accreditation. UF Health Leesburg Hospital also offers advanced orthopedic surgery, stroke care, emergency services as well as labor and delivery care. Responsibilities The Transition Care Coach utilizes professional clinical judgment and critical thinking skills to assess patient, and family scenarios, for clinical appropriateness for the setting and establishing plans for effective management of their applicable disease process within the continuum of care. Assessment, planning, intervention, and reassessment are performed in a collaborative environment in both the hospital and home setting. The key goals of the Care Transitions Coach include proactive, individualized planning for patients’ progress that optimizes quality of care, appropriate utilization, and patient satisfaction. Qualifications Education Bachelor’s Degree preferred Diploma/Associates Degree in Nursing required Licensure/Certification/Registration Florida Registered Nurse License BLS Special Skills/Qualifications/Additional Training/Experience Required Effective communication skills to facilitate contact with physicians, patients/clients, families and staff. Minimum of 5 years clinical experience, Case Management experience preferred Must be able to read, write, speak, and understand English.