Registered Nurse, Transition of Care

Join our Springfield, MA team! We’re hiring a Registered Nurse, Transition of Care, offering $50–$60 per hour to support older adults through safe, well-coordinated care transitions.

Requirements to Apply:
• Active Registered Nurse (RN) license in the state of Massachusetts
• Graduate of a board-approved nursing program
• At least one year of RN experience with frail or elderly populations in community-based, long-term care, or similar settings
• Ability to work independently while collaborating effectively with an interdisciplinary team

Registered Nurse, Transition of Care full-time role with a primarily daytime schedule, supporting frail and elderly adults through a PACE-based, community-focused care model.

Job Overview:
The Transition of Care RN plays a critical role in ensuring seamless, high-quality transitions for participants moving between hospitals, skilled nursing facilities, home health, and the community. Working closely with the interdisciplinary team, this nurse serves as the primary liaison among providers, facilities, participants, and families to ensure continuity of care. Responsibilities include coordinating care during hospitalizations and discharges, supporting safe discharge planning, conducting medication reconciliation, providing participant and caregiver education, and maintaining accurate EMR documentation. The ideal candidate is organized, clinically strong, and passionate about serving older adults, with the ability to build trusted relationships and advocate for person-centered care that helps participants remain safely in their community.

Benefits:
• Competitive hourly pay of $50–$60 per hour

Other Perks:
• Collaborative interdisciplinary team environment
• Meaningful work supporting aging in the community
• Opportunity to build strong relationships with community providers and families
• Use of electronic medical records and coordinated care technology

Where?
Springfield, Massachusetts is a historic and diverse city in western New England known as the “City of Firsts.” It offers a lower cost of living compared to larger Northeast metro areas, with affordable housing options and a manageable commute. Residents enjoy access to parks, museums, cultural attractions, and nearby outdoor recreation in the Berkshires. The area is home to colleges, healthcare systems, and a growing arts and food scene, making it an appealing place for professionals and families alike.

Who Are We?
Our client is a mission-driven healthcare organization operating under the PACE model, dedicated to helping older adults with complex medical needs live safely and independently in their communities. Their culture emphasizes dignity, compassion, and teamwork, bringing together nurses, providers, and specialists to deliver coordinated, person-centered care. With a strong commitment to quality, collaboration, and respect for each individual, our client focuses on improving outcomes and quality of life for the seniors they serve.