Population Health RN: Transitional Care Navigator (Hybrid)

Endeavor Health; Des Plaines (IL); Hybrid; USD 56,000 - 86,000; Full time

Benefits offered by this job

Premium pay

Free Parking

Tuition Reimbursement

Health Savings Account Options

401(k) with Match

Paid Time Off

Community Involvement Opportunities

Job summary

Endeavor Health seeks a Transitional Care Navigator (RN) to lead case management, care coordination and utilization management across care settings. You will promote patient understanding of diagnoses, choices, and available resources to ensure safe, cost-effective transitions.

The role focuses on reducing readmissions, optimizing length of stay, and coordinating with the care team to improve outcomes and resource use. Some travel to patient homes may be required.

Qualifications

• RN with Illinois IDFPR license is required.
• Bachelors degree in Healthcare Administration or related field is required.
• 3+ years in utilization review, discharge planning, case management or disease management preferred.
• Nursing experience in home or ambulatory settings with high-risk patients is beneficial.
• 2+ years of clinical nursing experience preferred.
• Strong knowledge of care coordination and patient education is expected.
• Experience with InterQual or MCG criteria is preferred.
• Proficient with Microsoft Office and EMR systems.

Responsibilities

• Guides high-risk patients and families through the health system from diagnosis to follow-up to navigate care continuum.
• Establishes individualized care plans using evidence-based guidelines with focus on wellness and disease management.
• Collaborates with the healthcare team to ensure timely decisions, recommendations, and discharge planning.
• Coordinate daily between departments, clinics, and community resources to ensure patient safety and cost-effective care.
• Educates patients and families on medications, resources, and care options to promote informed decisions.
• Arranges consultations and supports services within established protocols.
• Performs Utilization Management and monitors admission appropriateness and LOS to optimize resources.
• May travel to visit patients at home as needed.
• Contributes to data collection to identify under/overutilization and improve care quality.

Skills

RN

Case management

Discharge planning

Utilization review

Home health experience

EMR experience

Communication skills

Microsoft Office

Nursing experience

Education

Bachelors in Healthcare Administration

Bachelor of Science in Nursing

Tools

InterQual/MCG

EMR platform

Job description

Endeavor Health seeks a Transitional Care Navigator (RN) to lead case management, care coordination and utilization management across care settings. You will promote patient understanding of diagnoses, choices, and available resources to ensure safe, cost-effective transitions.

The role focuses on reducing readmissions, optimizing length of stay, and coordinating with the care team to improve outcomes and resource use. Some travel to patient homes may be required.