Transitional Care Nurse Navigator (Hybrid)

UNC Health Care; Patton Park (NC); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Pardee UNC Health Care is seeking a Transitional Care Case Manager (RN) to coordinate care for high-risk inpatients transitioning to the next level of care, with follow-up for up to 30 days (90 days for TKA/THA). The role uses evidence-based care coordination to streamline plans and reduce readmissions.

Responsibilities include assessing needs, coordinating post-discharge care, educating patients, and collaborating with the care team while maintaining HIPAA-compliant communications.

Qualifications

• Must be licensed to practice as a Registered Nurse in the state of North Carolina or a compact state.
• Basic Life Support (BLS) certification.
• Bachelor's of Science in Nursing (BSN) preferred.
• Experience in Case Management/Discharge Planning is desirable.

Responsibilities

• Identify high-risk admissions and prioritize patients using assessment, planning, implementation, and evaluation.
• Review discharge plans and coordinate follow-up with primary care; ensure transportation if needed.
• Collaborate with healthcare team to promote health and safe environments; protect patient privacy and HIPAA compliance.
• Monitor complex patients and work with interdisciplinary team to solve problems and track action items.

Skills

Case management

Discharge planning

Education

Licensed Registered Nurse (NC)

BSN (preferred)

Job description

Pardee UNC Health Care is seeking a Transitional Care Case Manager (RN) to coordinate care for high-risk inpatients transitioning to the next level of care, with follow-up for up to 30 days (90 days for TKA/THA). The role uses evidence-based care coordination to streamline plans and reduce readmissions.

Responsibilities include assessing needs, coordinating post-discharge care, educating patients, and collaborating with the care team while maintaining HIPAA-compliant communications.