RN Transitional Care Navigator – Population Health Hybrid

Endeavor Health; Prospect Heights (IL); Hybrid; USD 55,000 - 87,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Career pathways for professionalGrowth

Medical, Dental, Vision options

Tuition reimbursement

Free parking

Wellness program

Job summary

Endeavor Health seeks a Transitional Care Navigator (RN) to oversee case and utilization management across care settings. The role emphasizes patient education, smooth care transitions, and collaboration with multi-disciplinary teams to achieve quality outcomes and cost containment.

Responsibilities include creating individualized care plans, coordinating discharge, and ensuring timely follow-up. A nursing background and familiarity with care management guidelines are essential, with some home

Qualifications

• Bachelor's degree in Healthcare Administration or related field is required.
• Bachelor of Nursing preferred and RN license in IL is required/preferred depending on role.
• 3+ years in utilization review, discharge planning, case management or disease management is preferred.
• Nursing experience in home/ambulatory settings with high-risk patients is beneficial.
• CC note: familiarity with InterQual/MCG criteria is preferred.

Responsibilities

• Guide high-risk patients and families through the health system from diagnosis to follow-up.
• Create and document individualized care plans aligned with patient goals.
• Coordinate with healthcare teams to ensure timely discharge planning.
• Perform daily coordination across departments to optimize transitions and cost of care.
• Provide education on medications, resources, and care options to patients and families.
• Facilitate appointments and consultations within established protocols.
• Monitor utilization and length of stay to drive cost-effective care.
• Occasionally travel to visit patients at home as needed.
• Participate in data collection to identify utilization opportunities and improve quality of care.

Skills

RN license

Case management

Care coordination

Discharge planning

Utilization management

Patient education

Communication

Leadership

Education

Bachelor's degree in Healthcare Administration

RN license in Illinois

Certification in case management (optional)

Tools

Microsoft Office

EMR systems

InterQual/MCG criteria

Job description

Endeavor Health seeks a Transitional Care Navigator (RN) to oversee case and utilization management across care settings. The role emphasizes patient education, smooth care transitions, and collaboration with multi-disciplinary teams to achieve quality outcomes and cost containment.

Responsibilities include creating individualized care plans, coordinating discharge, and ensuring timely follow-up. A nursing background and familiarity with care management guidelines are essential, with some home