RN Care Navigator: Discharge & Transitions Lead

CHI; Turtle Lake (ND); On-site; USD 35,000 - 47,000; Full time

Benefits offered by this job

$20,000 employment incentive

Job summary

CHI St. Alexius Health Turtle Lake is seeking an RN Care Coordinator to oversee care progression and discharge planning for identified patients, coordinating with utilization management, nursing, physicians, insurers, and post-acute providers to ensure optimal outcomes at the appropriate level.

You will advocate for patients and families, addressing barriers to care transitions and improving the patient experience, drawing on strong clinical judgment and communication skills.

Qualifications

• Graduate of an accredited school of nursing.
• Minimum two years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
• RN license in the state(s) covered is required. North Dakota RN:ND or Compact.
• BLS required within 3 months of hiring.

Responsibilities

• Discharge Assessment & Planning: Conduct and document comprehensive discharge assessments, updating plans as patient needs evolve to ensure clinical and psychosocial goals are met.
• Multidisciplinary Coordination: Lead the development and implementation of discharge plans by collaborating with the healthcare team, patients, families, and post-acute providers.
• Care Progression & Utilization: Partner with the clinical team to manage resource utilization and ensure the progression of care using evidence-based criteria.
• Transition & Readmission Management: Facilitate seamless transitions to post-acute settings and implement targeted interventions to mitigate readmission risks for at least 30 days.
• Patient Education & Advocacy: Serve as a patient advocate, ensuring all mandatory notifications are delivered, documentation is accurate, and patients are effectively educated on their care.
• Compliance & Professional Standards: Maintain adherence to organizational mission, hospital policies, and regulatory standards while participating in performance improvement and ongoing professional education.

Skills

Clinical judgment

Communication

Collaboration

Patient advocacy

Education

Bachelor's Degree in Nursing (BSN)

Masters degree in Case Management or Nursing

Job description

CHI St. Alexius Health Turtle Lake is seeking an RN Care Coordinator to oversee care progression and discharge planning for identified patients, coordinating with utilization management, nursing, physicians, insurers, and post-acute providers to ensure optimal outcomes at the appropriate level.

You will advocate for patients and families, addressing barriers to care transitions and improving the patient experience, drawing on strong clinical judgment and communication skills.