RN, Navigator, Care Transitions (Full-time, Day Shift)

Adventist Health; Hanford (CA); On-site; USD 70,000 - 95,000; Full time

Job summary

Adventist Health in Hanford, California, is seeking a dedicated Registered Nurse to act as a patient advocate. The role involves guiding patients through the clinical care system and coordinating follow-up care post-hospitalization. Key qualifications include a Bachelor's Degree in Nursing (BSN) and case management experience. A valid RN license and CPR/BLS certification are required. Join our team to make a difference in patient care and improve recovery outcomes.

Qualifications

• Preferred Bachelor's Degree in Nursing (BSN).
• Experience in acute, emergency, or perinatal setting is preferred.
• Case management experience in a healthcare setting is preferred.

Responsibilities

• Acts as a patient advocate guiding them through the clinical care system.
• Coordinates the continuum of care for patients post-hospitalization.
• Collaborates with patients, families, and healthcare providers to provide care.

Skills

Patient advocacy

Coordination of care

Communication skills

Case management

Education

Bachelor's Degree in Nursing (BSN)

Experience in acute, emergency, or perinatal setting

Case management experience in a healthcare setting

Job description

Location

Located in a tight‑knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are a 173‑bed hospital with many outpatient clinics providing primary and specialty care services.

Job Summary

Acts as a patient advocate. Guides patients through the clinical care system, establishing contact with new patients, family members or caregivers. Understands the clinical care options for patients and directs them to healthcare services within the organization, at outside facilities and within the community for timely treatment and recovery. Actively identifies and addresses population‑ and patient‑specific barriers to care that might keep the patient from receiving timely and appropriate treatment. Coordinates the continuum of care for patients post‑hospitalization. This position works closely with case managers, discharge planners and home health staff to monitor the recovery of high‑risk patients and coordinate follow‑up care, including maintaining the patient’s initial follow‑up primary care visit, facilitating home health services, and coordinating care enhancements as needed post‑discharge.

Essential Functions

• Assists patient and family in identifying and accessing appropriate institutional and community resources. Implements appropriate care intervention and follow‑up to ensure patients receive timely care, preventing delays and ensuring access to appropriate services and follow‑up instructions from managing physicians. Interacts with other hospital departments to fulfill the needs of the patients.
• Makes initial and ongoing assessments of patient needs (clinical, emotional and social) and makes appropriate recommendations or referrals for care. Facilitates the timely completion and confidential reporting of diagnostic testing results to patients and families with interpretation, as well as to ordering clinicians through active tracking of ordered tests.
• Collaborates with the team of patients, families, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and the treatment team.
• Documents coordinator and patient interactions in electronic or hardcopy chart in a manner consistent with hospital standards. Creates reports from patient data such as volumes and outcomes. Monitors, analyzes, and reports to the clinic governing body clinical and operational key indicators and identifies opportunities for performance improvement.
• Identifies both index and readmission patients who are high‑risk for readmissions and who may require additional interventions and education. Helps monitor the recovery of high‑risk patients, coordinating follow‑up care, including follow‑up phone calls to the patient post‑hospitalization, assisting as needed with scheduling of primary or specialty care visits and facilitating home health services.
• Performs other job‑related duties as assigned.

Education and Work Experience

• Bachelor's Degree in Nursing (BSN): Preferred
• Case management experience in a healthcare setting: Preferred
• Experience in acute, emergency or perinatal setting: Preferred

Licenses & Certifications

• Registered Nurse (RN) licensure in the state of practice: Required
• Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required
• AHA‑BLS or ARC‑BLS: Required

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. All associates must receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.