Transition Care Program - Transition Care Program Registered Nurse

Your opportunity As a Transition Care Program Registered Nurse, you'll provide comprehensive assessment, care coordination and clinical management for older people transitioning from hospital to home. Working as part of a multidisciplinary team, you'll support clients to achieve their restorative goals, maximise independence and safely connect with ongoing community supports. You'll manage clients throughout their Transition Care journey, from admission and assessment through to goal monitoring, clinical review and discharge planning. Partnering closely with clients, families, hospitals, GPs and community providers, you'll play a key role in ensuring safe transitions and positive client outcomes You’ll make an impact by Partnering with clients and families to complete comprehensive assessments, develop personalised care plans and establish meaningful restorative goals. Coordinating care throughout the Transition Care episode, monitoring progress and supporting clients to achieve greater independence and wellbeing. Delivering evidence-based nursing care, including clinical interventions such as wound care, medication management, continence support and chronic disease management. Leading discharge planning and coordinating referrals to ensure seamless transitions to community services, Support at Home and other ongoing care pathways. Identifying, managing and escalating clinical risks, while maintaining high standards of documentation, compliance and client safety What you’ll bring Current registration as a Registered Nurse with AHPRA Minimum two years' clinical experience Demonstrated experience in community nursing, rehabilitation or aged care Experience in comprehensive clinical assessment and care planning Current driver's licence National Police Check We would also love you to bring the following skills: Strong assessment, care coordination and clinical decision-making skills Experience supporting restorative, wellness and reablement approaches to care Excellent communication and relationship-building skills with clients, families and stakeholders Strong organisational skills with the ability to manage competing priorities and documentation requirements A proactive approach to quality improvement and evidence-based practice Commitment to helping older people maintain independence, confidence and quality of life Why join ECH? We want you to be MORE with us. We’re passionate about supporting our people through wellbeing programs, opportunities for career growth and competitive benefits. You’ll enjoy all of this in a supportive work environment where you can create meaningful connections with colleagues who have your back. What does this mean for you? As part of a not-for-profit organisation, you can enjoy salary packaging benefits of up to $18,549 per year to reduce your taxable income We support your health and fitness with free access to ECH gyms and discounted wellness services Free Employee Assistance Program (EAP) and access to the Moving Mindz app-based wellness program Opportunities to connect with your ECH community through annual employee team dinners, Christmas celebrations and town hall gatherings Grow your career through mentoring programs, supported scholarships and annual performance & development planning (PDP) For more information on our benefits and what it’s like to work at ECH, visit our careers page. https://www.ech.asn.au/careers Ready to be part of something special? Join us and help older South Australians get MORE out of life. We will review applications as they come in and move quickly to secure the right candidate. Applications close Sunday 6th September 2026 For more information, please contact employ@ech.asn.au We encourage individuals from diverse backgrounds to apply, including those living with a disability, from culturally or linguistically diverse backgrounds, part of the LGBTI community, and Aboriginal and Torres Strait Islander people. If you require reasonable adjustments or would like to share your pronouns at any stage of the application or interview process, please let us know.