Health at Home Navigator, RN

CommonSpirit Health at HomeMiami Township, OH
Onsite

About The Position

The Health at Home Navigator - RN role will be based out of the Deaconess Gateway in Evansville, Indiana. This forward-thinking position is ideal for driven professionals who are passionate about creating solutions and thrive on the challenges of a startup environment. As a Navigator, you will be a part of the hospital team of discharge planners but with the sole focus of driving care to the home setting. The Health at Home Navigator (HHN), your expertise in home-based services is essential to ensuring continuity of care for patients transitioning from acute care to home. By collaborating with physicians, case managers, and hospital teams, you play a critical role in improving clinical outcomes, patient satisfaction, and the overall care experience.

Requirements

  • MUST BE A Licensed RN in the State of practice
  • A strong background in home health and hospice services is required.
  • Completion of an accredited registered nursing program.
  • Current unrestricted license as a registered nurse in state(s) of practice.
  • Home Health experience or prior navigator experience in a post-acute setting such as ALF/SNF/ILF.
  • Excel in communication and patient education
  • The courage to step into a startup type environment and make a lasting difference

Nice To Haves

  • Combination of Acute and Post-Acute care delivery experience preferred.
  • A desire to shape and lead an innovative program

Responsibilities

  • Collaborate with providers, case managers, and social workers to facilitate seamless and timely discharges to home-based services, prioritizing patient-centered care.
  • Assist patients and families in navigating post-acute care options, addressing barriers, and advocating for home-based services that align with their needs.
  • Identify opportunities to reduce financial and clinical risks, ensuring patients and families are supported during and after their hospital stay.
  • Actively participate in multidisciplinary rounds, serving as a patient advocate to ensure efficient and effective continuity of care.
  • Initiate discussions about care destinations and discharge planning upon patient admission, conducting informational visits to promote home health as a preferred option.
  • Work with hospital partners to identify and prioritize patient populations who will benefit most from home-based services, such as home health or hospice.
  • Address and navigate barriers within the healthcare system to ensure patients have access to appropriate home-based care.

Benefits

  • Excellent holiday and paid time off plans
  • Medical, dental, and vision plans
  • Tuition reimbursement for degree-seeking students
  • Employer contribution to your 401(k)
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