Care Transitions Navigator (RN/LCSW/LMSW)

Ascension At Home; Indianapolis (IN); Sur place; USD 65 000 - 85 000; Plein temps

Avantages offerts par ce poste

Meaningful Work

Career Development

Innovation Meets Compassion

Enhanced Benefits

Recognition and Support

Culture of Belonging

Résumé du poste

Ascension at Home, in collaboration with Compassus, seeks an experiencedClinical Care Partner III to coordinate safe transitions from hospital to home-based care. The role emphasizes bedside engagement, interdisciplinary teamwork, and comprehensive discharge planning within Indianapolis-area facilities.

The position targets improving patient outcomes, reducing readmissions, and aligning care with value-based pathways.

Qualifications

• Required healthcare licenses (RN or LCSW or SLP) demonstrated by credentials.
• Experience in care coordination or discharge planning preferred.
• Knowledge of EMR systems (Epic) and post-acute pathways is beneficial.

Responsabilités

• Evaluate patients for home-based and post-acute care needs based on clinical factors.
• Coordinate discharge planning and transitions with care teams.
• Educate patients and families on post-acute options and expectations.
• Collaborate with physicians and case management to ensure appropriate level of care.

Connaissances

RN license

LCSW license

SLP degree

Formation

RN license

LCSW license

MS in Speech-Language Pathology

Description du poste

Ascension at Home, in collaboration with Compassus, seeks an experiencedClinical Care Partner III to coordinate safe transitions from hospital to home-based care. The role emphasizes bedside engagement, interdisciplinary teamwork, and comprehensive discharge planning within Indianapolis-area facilities.

The position targets improving patient outcomes, reducing readmissions, and aligning care with value-based pathways.