RN Transitional Care Navigator-Post Acute

1100 Endeavor Health Clinical Operations; Evanston (IL); On-site; USD 58,000 - 89,000; Full time

Benefits offered by this job

Premium pay for eligible employees

Career Pathways to Promote Growth

Tuition Reimbursement

Free Parking

Wellness Program

Savings Plan

Health Savings Account Options

Retirement Options with Company Match

Paid Time Off

Community Involvement Opportunities

Job summary

Endeavor Health is seeking an RN Transitional Care Navigator to manage case and utilization across care settings. You will coordinate post-acute care, facilitate safe transitions, and partner with the healthcare team to ensure timely decisions and discharge planning.

This role emphasizes improving cost, readmission rates, and SNF utilization. The position requires an active RN license, and experience in management within skilled nursing facilities is preferred.

Qualifications

• Must hold a valid RN license.
• Certification: case management or rehabilitation nurse certification preferred.
• Experience: minimum 3 years in a management role in a skilled nursing facility preferred.
• Knowledge of Epic, Point Click Care and basic Microsoft Office programs

Responsibilities

• Support high-risk patients discharged to skilled nursing facilities and manage length of stay.
• Guide patients and families through the health system from diagnosis to follow-up care.
• Coordinate care transitions and ensure timely discharge planning.
• Analyze data to identify under/over utilization and improve cost and quality of care.

Skills

Leadership

Education

RN license

Tools

Epic

Point Click Care

Microsoft Office

Job description

Hourly Pay Range: $41.86 - $64.88 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.

Position Highlights:

• Position: RN Transitional Care Navigator
• Location: Glenview/Highland Park Regions
• Full Time: 40 hours per week
• Hours: Monday-Friday, 8:00a-4:30p
• Possible weekends in the future; coverage for team member's time off
• Required Travel: Expected to travel to meetings at assigned skilled nursing facilities and hospitals as needed

A Brief Overview: The RN Transitional Care Navigator (Population Health) is responsible for the case management, care coordination management, and utilization management of his/her population of patients across multiple care levels and settings. Serves as a catalyst to promote patients understanding their diagnosis, treatment options, and available resources and ensure that they are connected with the optimal resources across the continuum of care. This role will coordinate and facilitate smooth and safe care transitions while ensuring quality cost-effective patient outcomes. Serves as a liaison between their patient population and all other providers. Will be responsible for key metrics of success, which include improving the overall cost of care, length of stay optimization, reduction in excess days, reduction in SNF utilization and improvement in SNF care transitions, reduction in 30-day readmission rate and ED utilization.

What you will do:

The RN Transitional Care Navigator - Population Health is responsible for supporting high-risk patients who have been discharged to a skilled nursing facility. This role focuses on managing the length of stay in the sub-acute setting and minimizing readmissions for patients requiring post-acute care. Guides high-risk patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination. Partners with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate. Performs daily coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, smooth transitions of care, and manage utilization and total cost of care. Facilitates appointments for appropriate consultations and support services within established protocols Available to his/her assigned patient population and participates as part of a call coverage structure. Participates in the collection and analysis of data to identify under/over utilization; improve resource consumption; promote potential reduction in cost; and enhance quality of care consistent with organization strategic goals and objectives.

What you will need:

Education: Must hold a valid RN license

Certification: case management or rehabilitation nurse certification preferred

Experience: minimum 3 years in a management role in a skilled nursing facility preferred

Unique or Preferred Skills: knowledge of Epic, Point Click Care and basic Microsoft Office programs

Benefits (for full and part time positions):

• Premium pay for eligible employees
• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program
• Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off
• Community Involvement Opportunities

Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org. When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”. Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging - each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor. Welcome to Endeavor Health Careers At Endeavor Health, we believe every role plays an important part in advancing our mission to help everyone in our communities be their best. Whether you’re just beginning your career journey or are a seasoned professional, you’ll find opportunities here to learn, grow, and thrive. Your Career is our Endeavor.