RN Care Navigator: Transitions & Community Care

Southwest Care Center; Santa Fe (NM); On-site; USD 65,000 - 85,000; Full time

Job summary

Southwest Care Center seeks a Registered Nurse Care Coordinator to join our Santa Fe, NM clinics. You will coordinate care across primary and specialty services, manage transitions from hospital to home, and advocate for patient needs within a diverse community.

The role emphasizes patient education, medication reconciliation, and collaboration with the healthcare team to improve outcomes and access to community resources.

Qualifications

• Must hold active RN license.
• Experience in hospital-to-home transitions is preferred.
• Strong communication and patient education skills required.

Responsibilities

• Identify and follow up on hospital and ED admissions and discharges.
• Oversee care transitions and coordinate post-discharge follow up with patients.
• Initiate patients' medication reconciliation.
• Link patients to community resources and social support.
• Educate patients and families on disease management and self-care.

Skills

Care coordination

Nursing assessment

Patient advocacy

Interdisciplinary teamwork

Education

RN license

Job description

Southwest Care Center seeks a Registered Nurse Care Coordinator to join our Santa Fe, NM clinics. You will coordinate care across primary and specialty services, manage transitions from hospital to home, and advocate for patient needs within a diverse community.

The role emphasizes patient education, medication reconciliation, and collaboration with the healthcare team to improve outcomes and access to community resources.