RN Care Navigator — SNF-to-Home Transitions (Hybrid)

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

Job summary

Astrana Health, Inc. is seeking a SNF at Home Navigator to support patients and families through transitions from hospital or SNF to home-based care in Rhode Island.

You will educate on options, coordinate enrollment, and serve as a trusted contact throughout the process. The role requires an RN license and an associate degree, with a strong emphasis on patient engagement, care coordination, and cross-functional collaboration with hospitals and SNFs.

Qualifications

• Associate degree in nursing is required.
• Registered Nurse (RN) license required.
• Bachelor's degree preferred in related fields.
• Experience in care coordination or post-acute care is preferred.

Responsibilities

• Engage patients and families, educate on SNF at Home options and enrollment.
• Coordinate transitions from hospital/SNF to home-based care with teams.
• Conduct field visits, build relationships with discharge planners and providers.
• Document interactions and ensure HIPAA-compliant records.

Skills

Care coordination

Patient engagement

Transition of care

Communication

Time management

Field-based work

Education

Associate's degree in Nursing

Bachelor's degree in Nursing, Healthcare Administration, Public Health, or related field

Tools

Microsoft Office

Care coordination platforms

Job description

Astrana Health, Inc. is seeking a SNF at Home Navigator to support patients and families through transitions from hospital or SNF to home-based care in Rhode Island.

You will educate on options, coordinate enrollment, and serve as a trusted contact throughout the process. The role requires an RN license and an associate degree, with a strong emphasis on patient engagement, care coordination, and cross-functional collaboration with hospitals and SNFs.