RN Transitional Care Navigator - Care Continuum Lead

NorthShore University HealthSystem; Skokie (IL); On-site; USD 55,000 - 87,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Career Pathways—growth opportunities

Tuition Reimbursement

Free Parking

Job summary

Endeavor Health in Skokie, IL is seeking an experienced RN Transitional Care Navigator to support population health through case management, care coordination, and utilization management. The role focuses on guiding patients across care settings and optimizing transitions to improve outcomes and cost efficiency.

You will work with a multidisciplinary team, document individualized plans, and help patients access resources while meeting performance metrics related to readmission rates and LOS

Qualifications

• RN license in Illinois or eligible for licensure
• Bachelor's degree in healthcare administration required; nursing degree preferred
• Minimum 3 years in utilization review, discharge planning, case management or disease management
• Experience with high-risk patient populations and home/ambulatory care settings beneficial
• Strong communication and collaboration with multidisciplinary teams
• Clinical certification in case management or ambulatory care nursing preferred
• Knowledge of InterQual or MCG criteria preferred
• Proficient with EMR and data entry

Responsibilities

• Guide high-risk patients and families through diagnosis, testing, treatment and follow-up to navigate the continuum of care
• Develop individualized care plans using evidence-based guidelines
• Collaborate with healthcare team to ensure timely decisions and discharge planning
• Coordinate daily between departments and community partners to ensure safe transitions and manage costs
• Provide education on medications, resources, and goals of care to patients and families
• Arrange referrals and appointments within established protocols
• Perform Utilization Management, monitor admissions and LOS, document findings

Skills

RN

Care coordination

Discharge planning

Case management

Communication

Data entry

EMR

Microsoft Office

Education

Bachelor's Degree Healthcare Administration

Bachelor's Degree Nursing

Tools

EMR system

Microsoft Office Suite

Job description

Endeavor Health in Skokie, IL is seeking an experienced RN Transitional Care Navigator to support population health through case management, care coordination, and utilization management. The role focuses on guiding patients across care settings and optimizing transitions to improve outcomes and cost efficiency.

You will work with a multidisciplinary team, document individualized plans, and help patients access resources while meeting performance metrics related to readmission rates and LOS