Job Description

The Transitional Nurse Navigator (TNN) is responsible for seeking and implementing interventions, methodologies, and best practices for the high-risk population. Using an evidence-based tool, the TNN identifies and assesses the patient for priority needs, key areas for needed support and services that contribute to readmissions; develop care plans and when appropriate refers for services to assist in navigating barriers to care. Will effectively collaborate and communicate with internal and external customers to maximize the patient’s potential for a healthy lifestyle evidenced in reduced Emergency Department visits and readmissions to the hospital. Effective use of data is a responsibility of this role. The position is goal-oriented with a high level of accountability correlated to the reduction of readmissions, continuum of care, quality of care, and patient satisfaction.

Must be available to go onsite approximately 2 times a month.

Qualifications

Education and Experience

• Bachelor’s degree in nursing or related field required.
• Current Maryland State Licensure as a Registered Nurse.
• Three (3) years of experience in care transitions/care coordination.

Additional Information

All your information will be kept confidential according to EEO guidelines.