Hybrid RN Care Transition Navigator — SNF at Home

Astrana Health Management; Johnston (RI); Hybrid; USD 95,000 - 130,000; Full time

Job summary

Astrana Health Management seeks a SNF at Home Navigator in Johnston, RI to support patients and families transitioning from hospital or SNF to home-based care. You will coordinate care, educate families, and serve as the trusted contact through the transition.

Requires RN license and an Associate degree in Nursing; experience in care coordination or discharge planning is preferred. This full-time role involves hybrid work and travel across Rhode Island.

Qualifications

• RN license required.
• Associate degree in Nursing required.
• Bachelor's degree preferred.
• Experience in care coordination or discharge planning preferred.
• Familiarity with SNFs, post-acute care, and home-based care programs preferred.

Responsibilities

• Engage patients and families about SNF at Home options and enrollment.
• Educate on services and logistics of home-based care.
• Coordinate outreach and transition activities with clinical teams.
• Schedule activities and enrollment-related coordination.
• Maintain HIPAA-compliant documentation.

Skills

Care coordination

Patient engagement

Documentation

HIPAA compliance

Communication skills

Education

Associate's degree in Nursing

Bachelor's degree in Nursing or Healthcare Administration

Job description

Astrana Health Management seeks a SNF at Home Navigator in Johnston, RI to support patients and families transitioning from hospital or SNF to home-based care. You will coordinate care, educate families, and serve as the trusted contact through the transition.

Requires RN license and an Associate degree in Nursing; experience in care coordination or discharge planning is preferred. This full-time role involves hybrid work and travel across Rhode Island.