Inpatient Care Transition Navigator

MaineGeneral Medical Center; Augusta (ME); On-site; USD 37,000 - 65,000; Full time

Benefits offered by this job

Health benefits

Tuition reimbursement

Retirement plan

Job summary

MaineGeneral Medical Center seeks an Inpatient Care Manager to collaborate with patients, families, and a multidisciplinary team to coordinate care from admission to discharge and ensure a safe transition home or to the next level of care.

The role emphasizes advocacy, barrier removal, and linkage to internal services and community resources, with a focus on personalized plans and quality outcomes.

Qualifications

• Licensure as LSW, LMSW, or LCSW is required.
• RN, PT, OT, or LPN licensure with relevant inpatient experience preferred.
• Certification as CCM or ACM is preferred.
• Strong teamwork and patient advocacy skills are essential.

Responsibilities

• Get to know the patient and their needs by completing assessments and planning a care approach.
• Coordinate care from admission through discharge, connecting patients with internal and community resources.
• Work with an interdisciplinary team to evaluate needs and ensure appropriate level of care.
• Assist patients and families with discharge planning, education, referrals, and transition logistics.
• Review medical records to identify barriers, gaps in service, or concerns about outcomes and costs.

Skills

LSW or LMSW

LCSW

RN

PT

OT

LPN

CCM/ACM preferred

Job description

MaineGeneral Medical Center seeks an Inpatient Care Manager to collaborate with patients, families, and a multidisciplinary team to coordinate care from admission to discharge and ensure a safe transition home or to the next level of care.

The role emphasizes advocacy, barrier removal, and linkage to internal services and community resources, with a focus on personalized plans and quality outcomes.