RN NURSE NAVIGATOR- TRANSITIONAL CARE & DISCHARGE COORDINATION

Universal Hospital Services Inc.; Laredo (TX); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive Compensation & Paid Time Off

401(K) with company match

Tuition Reimbursement

Career development opportunities

HealthStream online learning catalogue

Job summary

Universal Hospital Services Inc. is hiring an RN Nurse Navigator for their facility in Laredo, TX. This position is crucial for managing patient transitions from hospital to home. You will collaborate with medical staff and families to ensure safe discharges, provide education, and strategize post-discharge care.

We require a Registered Nurse with at least three years of acute care experience, strong communication skills, and a dedication to improving patient outcomes. The role demands effective bilingual communication (English/Spanish preferred) and familiarity with electronic medical records.

Qualifications

• Minimum of three years of acute care nursing experience preferred.
• Preferred experience in case management or transitional care.
• Knowledge of community resources and discharge planning processes.

Responsibilities

• Proactively round on hospitalized patients to assess discharge needs.
• Collaborate with multidisciplinary teams for discharge planning.
• Provide education on disease management and post-discharge care.

Skills

Communication skills

Bilingual (English/Spanish)

Patient education

Care coordination

Education

Graduation from an accredited nursing education program

Current Registered Nurse (RN) license in Texas

Tools

Electronic medical records

Microsoft Office applications

Job description

Responsibilities

Doctors Hospital of Laredo, in Laredo, TX, is a 183-bed acute care facility that offers a range of medical services. You’ll feel a difference when you walk in our doors. There’s pride in the care we deliver and a commitment to serving Laredo’s growing healthcare needs.

To learn more visit https://www.doctorshosplaredo.com

Job Summary

The RN Nurse Navigator – Transitional Care & Discharge Coordination is a registered nurse responsible for proactively rounding on hospitalized patients to identify discharge needs, provide education, coordinate transition planning, and promote safe, timely discharges. The Nurse Navigator functions as a liaison between patients, families, physicians, nursing staff, case management, and community resources to improve continuity of care, reduce readmissions, and enhance the overall patient experience.

Essential Job Functions

• This position requires frequent patient rounding and direct interaction with patients and families throughout the hospitalization process to assess discharge readiness, identify barriers to discharge, and ensure a smooth transition of care.
• The RN Nurse Navigator will collaborate closely with physicians, nursing staff, case management, social services, therapy departments, and ancillary teams to coordinate discharge planning needs including follow-up appointments, home health services, durable medical equipment, transportation, medication access, and community resources.
• Provides individualized patient and family education regarding diagnosis, medications, discharge instructions, disease management, follow-up care, and prevention of complications to support patient understanding and self-management after discharge.
• Performs post-discharge follow-up telephone calls to assess patient status, reinforce discharge instructions, identify concerns or complications, ensure medication compliance, and confirm follow-up appointments were completed or scheduled appropriately.
• Maintains accurate and timely documentation in the electronic medical record and participates in quality improvement initiatives focused on patient satisfaction, transitions of care, readmission reduction, and discharge efficiency.

Benefit Highlights

• Challenging and rewarding work environment
• Competitive Compensation & Paid Time Off
• Excellent Benefit Packages
• 401(K) with company match and discounted stock plan
• Tuition Reimbursement
• Career development opportunities across UHS and its 300+ locations!
• HealthStream online learning catalogue with plenty of free CEU courses
• More information available on our Benefits Guest Website: uhsguest.com

Qualifications

• Graduation from an accredited nursing education program required.
• Current Registered Nurse (RN) license in the State of Texas required.
• Minimum of three (3) years of acute care nursing experience preferred.
• Preferred experience in case management, discharge planning, utilization review, patient education, care coordination, or transitional care preferred.
• Strong communication and interpersonal skills with the ability to effectively interact with patients, families, physicians, and multidisciplinary teams.
• Ability to prioritize, coordinate, and manage multiple patient needs in a fast-paced healthcare environment.
• Knowledge of community resources, discharge planning processes, and transitional care principles preferred.
• Ability to effectively communicate in English both verbally and in writing.
• Bilingual (English/Spanish) preferred.
• Proficient in electronic medical records and Microsoft Office applications.
• BLS required. ACLS preferred.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.