Discharge Nurse/ Health Coach-Case Manager LPN-RN

  • VitalCore Health Strategies
  • Georgetown, Delaware
  • Full Time
VitalCore Health Strategies, (VCHS), an industry leader in Correctional Health Care has openings for a Discharge Nurse/Health Coach-Case Manager Licensed Practical Nurse (LPN) or Registered Nurse (RN)Nurse at Sussex Correctional Institution located in Georgetown, DE!

Looking for a rewarding career in the field of healthcare with competitive wages, annual incentive bonus, and excellent benefits?

At VitalCore we pride ourselves on retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.

DISCHARGE PLANNER POSITION SUMMARY

The Discharge Planner remains focused on connectivity, preparing the inmate-patient for transitioning into the community. This role involves a great deal of information gathering, compiling discharge summaries from various sources, providing chronic care patients with a summary of their healthcare treatment while in the custody of the Department of Correction. This service is provided for those patients who are scheduled for release, as well as those who are suddenly released (i.e., pre-sentenced detainees).

RESPONSIBILITIES :

Identifies chronic care patients and reviews medical, mental health, and substance abuse treatment needs

Develops written individualized Discharge Summary, including relevant diagnoses, test results, findings, and treatment while in custody of the Department of Correction

Reviews the risks and needs of each chronic care patient and identifies community-based providers capable of providing ongoing treatment

Reviews health care records of all chronic care patients in order to develop Discharge Summaries

Consults with medical, mental health, and substance abuse treatment providers when appropriate

Consults with Case Managers to ensure patient has the means for connecting with the community-based treatment providers

In consultation with other treatment staff, maintains database of community-based treatment providers for various specialties Respects the dignity and confidentiality of patients

Attends mandatory staff meetings and trainings

Performs other duties as assigned

Knowledge, Skills, and Abilities

Clinical Knowledge: Possesses understanding of assessment and intervention skills, specifically evidence-based practices. Implementation of these skills is done in a professional manner.

Critical Reasoning: Excellent observation skills and the ability to combine pieces of information to form general rules or conclusions, as well as extracting themes or patterns from seemingly unrelated pieces of information

Communication: Ability to convey complicated clinical and professional information to various audiences, in both written and oral form. Understanding the context in which information exists, and the ability to temper opinions diplomatically, all in an effort to model mature, positive, and appropriate behavior. Written communication is edited for spelling and grammar, and presents numerical and scientific data appropriately in clear, concise, and accurate manner.

Adaptability: Quickly adapts to changes in the work environment, manages competing interests, and demonstrates the ability to deal with frequent changes, delays, or unexpected events

Stress Tolerance: Recognizes crisis situations and reacts to such in a calm, mature, professional manner. Accepts criticism and feedback, and is able to deal calmly and effectively with high stress situations

DISCHARGE PLANNER REQUIREMENTS:

Minimum one year of clinical experience (Preferred)

Must have and maintain current licensure as a Licensed Practical Nurse or Registered Nurse in Delaware

Pre-employment Tuberculin Skin Test and CPR Certification

Must maintain Full Security Clearance, approved by the Delaware Department of Correction

Satisfactory background investigation report

HEALTH COACH CASE & MANAGER POSITION SUMMARY

The Health Coach & Case Manager oversees various components of wellness education and connectivity, linking the patient with information, services, and supports during and after incarceration. The Health Coach & Case Manager provides wellness information for patients with chronic care concerns, such as diabetes, hypertension, obesity, and hepatitis, using materials developed by the Director of Education and Case Management. Additionally, an awareness of social supports and services within the community, such as connecting patients with Medicaid and insurance, is critical to the position.

RESPONSIBILITIES:

Identifies high-risk populations and provides wellness education, encouraging patients to lead healthier lives

Implements curricula developed by Director of Education and Case Management, which focuses on providing patients with information regarding chronic care and healthy living

Assesses infrastructure issues pertaining to the individual patient and prioritizes patients with the highest risks and the greatest needs

Provides education on social service infrastructure components, such as accessing Medicaid, Healthcare.gov, and other components relating to the Affordable Care Act

Conducts post-release follow-up with patients to assess outcomes regarding connectivity, and to continuously evaluate the effectiveness of education and case management

Provides data to Statewide Performance Improvement team for analysis

Consults with Discharge Planners as appropriate

Respects the dignity and confidentiality of patients

Attends mandatory staff meetings and trainings

Performs other duties as assigned

HEALTH COACH & CASE MANAGER REQUIREMENTS:

Must have and maintain current licensure as Licensed Practical Nurse or Registered Nurse in Delaware

Minimum one year of clinical experience (Preferred)

Pre-employment Tuberculin Skin Test and CPR Certification

Must maintain Full Security Clearance, approved by the Delaware Department of Correction

Satisfactory background investigation report

LPN payrates are NOT equivalent to RN payrates.

We re people who are fueled by passion, not by profit.

Keywords: Registered Nurse, RN, Correctional Healthcare, Nurse, rn, registered nurse
Job ID: 522903869
Originally Posted on: 5/29/2026

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