Care Transitions Navigator (RN/LCSW)

Compassus; Lacey (WA); Sur place; USD 50 000 - 75 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

401k

Résumé du poste

Compassus in Washington state is seeking a Clinical Care Partner (RN or LMSW/LCSW) to coordinate safe, efficient patient transitions from hospital to home-based or post-acute care services.

This in-person role collaborates with physicians, case management, and families to ensure timely discharge planning, appropriate level-of-care decisions, and seamless handoffs to post-acute providers.

Qualifications

• Active and unencumbered RN, LMSW, LCSW, or LICSW licensure required.
• Experience in care coordination or discharge planning preferred (2–3 years).
• Experience with EMR systems and post-acute care referrals is a plus.

Responsabilités

• Coordinate hospital discharge planning and post-acute care arrangements.
• Evaluate patients for suitability for home-based and post-acute services.
• Collaborate with physicians, case management, and post-acute providers.
• Educate patients and families on post-acute options and expectations.
• Participate in rounds and care coordination discussions.
• Maintain accurate documentation of referrals and transitions.

Connaissances

Care coordination

Discharge planning

Interdisciplinary teamwork

Communication

Formation

RN licensure

LMSW/LCSW licensure

Outils

Epic EMR

Description du poste

Compassus in Washington state is seeking a Clinical Care Partner (RN or LMSW/LCSW) to coordinate safe, efficient patient transitions from hospital to home-based or post-acute care services.

This in-person role collaborates with physicians, case management, and families to ensure timely discharge planning, appropriate level-of-care decisions, and seamless handoffs to post-acute providers.