RN Care Transition Specialist - Population Health

NorthShore University HealthSystem; Evanston (IL); On-site; USD 58,000 - 89,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Career Pathways to Promote Growth

Medical, Dental, and Vision options

Tuition Reimbursement

Free Parking

Job summary

Endeavor Health is seeking an RN Transitional Care Navigator to lead case management, care coordination, and utilization management across care settings. You will promote understanding of diagnoses and care options, ensuring connection to optimal resources and safe transitions.

Responsibilities include guiding high‑risk patients post‑acute care, coordinating with the care team, and supporting discharge planning while monitoring cost and quality outcomes.

Qualifications

• Must hold a valid RN license.
• Case management or rehabilitation nurse certification preferred.
• Minimum 3 years in a management role in a skilled nursing facility preferred.
• Knowledge of Epic, Point Click Care and basic Microsoft Office programs preferred.

Responsibilities

• Support high-risk patients discharged to skilled nursing facilities to manage length of stay and readmissions.
• Guide patients and families through diagnosis, testing, treatment and follow-up care.
• Collaborate with the healthcare team to ensure timely discharge planning and appropriate clinical decisions.
• Coordinate daily across departments and care settings to ensure safe transitions and optimize resource use.
• Arrange approved consultations and support services within established protocols.
• Participate in data collection and analysis to identify utilization patterns and cost reductions.

Education

RN license

Tools

Epic

Point Click Care

Microsoft Office

Job description

Endeavor Health is seeking an RN Transitional Care Navigator to lead case management, care coordination, and utilization management across care settings. You will promote understanding of diagnoses and care options, ensuring connection to optimal resources and safe transitions.

Responsibilities include guiding high‑risk patients post‑acute care, coordinating with the care team, and supporting discharge planning while monitoring cost and quality outcomes.