• Job Title: Case Mgr-Transition Navigator
  • Job ID: 455629
  • Location: Ross Heart Hospital
  • Department: Clinical Case Mgmt - Ross
  • Full/Part Time: Full-Time
  • Regular/Temporary: Regular
  • Shift: Day
  • FTE %: 100
  • Salary Range Min: $63,300.00
  • Salary Range Max: $94,950.00

Position summary

Case Mgr-Transition Navigator (Job Opening 455629) - Scope of Position/Position Summary: The Transition Navigator improves outcomes by reducing all cause readmissions and coordinating episodes of care among patients in a defined population or disease process. The primary focus is on the coordination and delivery of efficient, effective, compassionate, patient centered care and safe transitions across the care continuum. The Transition Navigator monitors the patient care process and physiological needs; educates, documents, communicates, and collects data to evaluate and assure patient/family readiness for discharge. The Transition Navigator facilitates the lateral integration of the care team, collaborating with physicians, nurses and other staff across the continuum to provide comprehensive disease management, assessment, treatment, education, and follow-up evaluation for patients; and, to communicate the plan of care in coordination with post acute care settings.

Education and experience

Registered Nurse required, Masters preferred. Five years of recent clinical experience applicable to the population preferred; knowledge of evidenced-based practice and disease specific processes; knowledge of technology and payer protocols desired. Case management and post-acute care experience (home care, SNF, LTACH) experience desirable.