RN Care Navigator: Transitional Care & Outcomes

Swedish Hospital; Evanston (IL); On-site; USD 58,000 - 89,000; Full time

Job summary

Swedish Hospital in Illinois seeks an RN Transitional Care Navigator to lead case management and care coordination across settings. This full‑time role focuses on high‑risk patients, utilization management, and safe care transitions, coordinating with clinicians to improve cost and quality outcomes.

Responsibilities include developing individualized care plans, guiding patients through the health system, and collaborating with social work for resources.

Qualifications

• Bachelor’s degree in healthcare administration or nursing required/preferred.
• 3+ years of utilization review, discharge planning, or case management preferred.
• Nursing experience in home or ambulatory settings is beneficial.

Responsibilities

• Guide high‑risk patients through the health system from diagnosis to follow‑up.
• Create individualized care plans using evidence‑based guidelines.
• Partner with the care team to ensure timely decision making and discharge planning.
• Coordinate across departments and with community outreach for safe transitions.
• Educate patients and families on resources, medications, and goals of care.
• Monitor utilization and outcomes, aiming to reduce readmissions and cost.

Skills

Case management

Care coordination

Utilization management

Discharge planning

High-risk patients navigation

Interdisciplinary collaboration

Education

Bachelor's Degree Healthcare Administration

Bachelor's Degree Nursing

Tools

EMR

Microsoft Office

Job description

Swedish Hospital in Illinois seeks an RN Transitional Care Navigator to lead case management and care coordination across settings. This full‑time role focuses on high‑risk patients, utilization management, and safe care transitions, coordinating with clinicians to improve cost and quality outcomes.

Responsibilities include developing individualized care plans, guiding patients through the health system, and collaborating with social work for resources.