Care Transitions Navigator (NP/PA) - ED & Inpatient

Tryon Med; Charlotte (NC); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Tryon Med is seeking an Advanced Care Provider– ED/Inpatient Navigator to act as a clinical liaison across care settings, coordinating patient transitions from emergency and inpatient care to outpatient follow-up. The role focuses on timely coordination, reducing care gaps, and improving continuity of care and patient outcomes.

The candidate should be a Nurse Practitioner or Physician Assistant with NC licensure, board certification, and BLS.

Qualifications

• Graduate of accredited NP/PA program.
• Current North Carolina licensure.
• Board certification (NP or PA-C).
• BLS certification (ACLS preferred where applicable).
• Strong clinical, communication, and documentation skills.
• Ability to travel between hospital facilities as needed.

Responsibilities

• Reviews ED and inpatient census to identify patients requiring follow-up.
• Management of acute health concerns as needed, including coordination with acute care providers and care team.
• Coordinates post-discharge care, including scheduling and care plans.
• Communicates with physicians, care teams, and patients to ensure continuity.
• Performs clinical outreach and assessment as appropriate.
• Facilitates transitions of care and addresses barriers to access.
• Documents coordination activities in the EHR.
• Supports readmission reduction and care management initiatives.
• Collaborates with practice teams, care management, and external providers.
• Other patient care tasks as directed.

Education

Graduate of accredited NP/PA program

Current North Carolina licensure

Board certification (NP or PA-C)

BLS certification

Strong clinical, communication, and documentation skills

Ability to travel between hospital facilities

Job description

Advanced Care Provider– ED/Inpatient Navigator

General Job Summary:
Serves as a clinical liaison across care settings to support patient transitions from emergency and inpatient care to outpatient follow-up. Ensures timely coordination, reduces care gaps, and improves continuity of care and patient outcomes.

Primary Job Responsibilities

ACP Core Responsibilities:

• Reviews ED and inpatient census to identify patients requiring follow-up
• Management of acute health concerns as needed, including coordination with acute care providers and care team
• Coordinates post-discharge care, including scheduling and care plans
• Communicates with physicians, care teams, and patients to ensure continuity
• Performs clinical outreach and assessment as appropriate
• Facilitates transitions of care and addresses barriers to access
• Documents coordination activities in the EHR
• Supports readmission reduction and care management initiatives
• Collaborates with practice teams, care management, and external providers
• Other patient care tasks as directed

Education and Experience
Required:

• Graduate of accredited Nurse Practitioner or Physician Assistant program
• Current North Carolina licensure
• Board certification (NP or PA-C)
• BLS certification (ACLS preferred where applicable)
• Strong clinical, communication, and documentation skills
• Ability to travel between hospital facilities as needed if covering other ACP ED/Inpatient Navigators

Preferred:

• Prior experience in any clinical role at the hospital system where the position will be assigned
• Experience in value-based care, care coordination, case management or population health

Physical Requirements

• Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Must be able to lift and support weight of 35 pounds.
• Ability to concentrate on details.
• Use of computers for long periods of time.