Nurse Navigator, Home Hospital

Mass General Brigham•Newton, MA

3d•Onsite

About The Position

The Home Hospital program at Mass General Brigham is transforming how hospital-level care is delivered by providing safe, high-quality clinical care in the comfort of patients’ homes. As we continue expanding this innovative model to care for patients along a continuum of services, the Home Hospital Nurse Navigator plays a vital role in assessing and educating eligible patients and facilitating safe and timely transfers from our Emergency Departments and inpatient units. The Home Hospital Nurse Navigator serves as the first point of contact for patients and families transitioning into the Home Hospital program. This role is responsible for assessing, identifying, and educating eligible patients, completing clinical and safety screenings, and coordinating the transfer process in collaboration with the Home Hospital Admitting Provider, Case Management, Administrative Coordinators, and unit-based care teams. Navigators are the “face” of the Home Hospital program—providing education, addressing questions from patients, families, and the hospital staff, and ensuring a smooth introduction to this rapidly growing model of care. Nurses in this role value the autonomy, collaboration, and meaningful patient impact offered by this position.

Requirements

Current Massachusetts RN licensure required.
Minimum 3 years of Emergency Department, Home Hospital, or inpatient acute care experience required.

Nice To Haves

BSN is preferred.
Strong interpersonal, organizational, and ability to prioritize effectively
Comfortable working independently and collaboratively in a fast-paced hospital environment.
Ability to navigate multiple electronic communication platforms simultaneously.
Demonstrated critical thinking and sound clinical judgment.

Responsibilities

Identify eligible patients through participation in ED and inpatient huddles, rounds, and independent rounding.
Gather and interpret clinical information to assess Home Hospital eligibility and safety.
Collaborate with the Home Hospital Admitting Provider to confirm appropriateness for transfer.
Coordinate with Case Management, the Field Care Team, Administrative Coordinators, and inpatient teams to support patient flow and timely transfers.
Obtain informed consent and provide clear education about the Home Hospital program to patients, families, and hospital staff.
Maintain real-time knowledge of Home Hospital capacity, capabilities, and care pathways.
Serve as a clinical and program resource for hospital teams unfamiliar with Home Hospital services.
Demonstrate strong communication, professionalism, and patient-centered care.