Home Care Nurse Navigator

Catholic HealthEast Farmingdale, NY
$90,000 - $110,000Onsite

About The Position

The Home Care Navigator supports high-risk patients transitioning from hospital to home or community-based care. This role focuses on reducing avoidable readmissions, improving care coordination, and ensuring timely post-acute services for patients with diagnoses. The Home Care Navigator works collaboratively with hospital teams, physicians, home care staff, and community providers to improve continuity of care and patient outcomes.

Requirements

  • Current RN license required
  • Knowledge of chronic disease management and post-acute care coordination.
  • Strong communication, organizational, and collaboration skills.
  • Proficiency in Microsoft Excel

Nice To Haves

  • BSN preferred
  • Experience in home care, care management, or transitions of care preferred.
  • EPIC experience preferred.
  • PowerPoint experience preferred.

Responsibilities

  • Coordinate care and post-discharge services for high-risk patients.
  • Collaborate with interdisciplinary teams to support safe transitions of care.
  • Ensure timely initiation of home care services and follow-up appointments.
  • Support patient education, medication reconciliation, and symptom management.
  • Identify barriers to care and connect patients with appropriate community resources.
  • Participate in readmission reduction initiatives, case reviews, and performance improvement activities.
  • Review readmission trends and prepare reports for leadership and care teams.

Benefits

  • generous benefits packages
  • generous tuition assistance
  • a defined benefit pension plan
  • a culture that supports professional and educational growth
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