RN Care Transitions Navigator

Jimmy Jazz; Homer (AK); On-site; USD 55,000 - 83,000; Full time

Benefits offered by this job

Health/Dental/Vision Insurance

HRA up to $2000

Generous PTO

Loan forgiveness

Tuition reimbursement

Job summary

South Peninsula Hospital seeks an experienced RN to lead comprehensive discharge planning and coordinate transitions of care across the healthcare continuum in Alaska. The role focuses on guiding patients from admission through hospitalization, addressing barriers and coordinating post-acute services with families and care teams.

Ideal candidates hold an Alaska RN license with a BSN and at least 2 years of acute care experience, strong clinical judgment, and EMR proficiency.

Qualifications

• Active RN license in Alaska.
• BSN with at least 2 years of acute care experience.
• Strong clinical judgment, communication, and care coordination skills.
• Experience with discharge planning, case management, or care transitions preferred.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Proficiency with electronic medical records (EMR) systems.
• Knowledge of payer requirements including Medicare, Medicaid, and private insurance.

Responsibilities

• Conduct comprehensive discharge planning assessments from admission through hospitalization.
• Identify and resolve barriers to discharge, including medical, psychosocial, and financial factors.
• Develop and coordinate individualized discharge plans with patients, families, and interdisciplinary teams.
• Arrange post-acute care services such as home health, skilled nursing, hospice, and community resources.
• Provide patient and family education on care plans, medications, and follow-up using teach-back.

Skills

Discharge planning

Care coordination

Communication

Multitasking

Education

BSN

RN license in Alaska

Tools

EMR proficiency

Job description

South Peninsula Hospital seeks an experienced RN to lead comprehensive discharge planning and coordinate transitions of care across the healthcare continuum in Alaska. The role focuses on guiding patients from admission through hospitalization, addressing barriers and coordinating post-acute services with families and care teams.

Ideal candidates hold an Alaska RN license with a BSN and at least 2 years of acute care experience, strong clinical judgment, and EMR proficiency.