HOME-BASED HOSPITAL CARE RN CARE NAVIGATOR
4 weeks ago
The Home-Based Hospital Care Registered Nurse (RN) Care Navigator is an integral part of the Home-
Based Hospital Care clinical team, providing identification, screening, intake, care coordination,
monitoring, and interventions to support acute patients in the home setting. The RN Care Navigator
provides essential intake, clinical review, and care coordination to transition patients from point of
entry, such as but not limited to the Emergency Department, to the Home-Based Hospital Care
program. The RN Care Navigator works in collaboration with the interdisciplinary team including the
Home-Based Hospital Care provider, Home-Based Hospital Care Nurse Manager, Home-Based Hospital
Care RNs, Team Support Coordinator, Social Work, and ancillary services to ensure that patients receive
exemplary care in their home. The RN Care Navigator plays a crucial role in managing all aspects of the
patient's acute care needs, including coordination of supporting disciplines and ancillary care services.
Interdisciplinary conferencing is facilitated by the RN Care Navigator to ensure that all members of the
care team are actively participating in the patient's plan of care. The RN Care Navigator provides triage
to the Home-Based Hospital Care patient through various methods of communication, including digital
technology. This position is responsible to provide care for the Home-Based Hospital Care patient
population requiring the use of advanced assessment, technical, teaching, and decision-making skills.
The RN Care Navigator is required to work autonomously and apply critical thinking skills to each patient
during the Home-Based Hospital Care episode of care. The RN Care Navigator is responsible for
assessing post-acute needs and ensuring that appropriate referrals to other services are made.
This position may require evening/weekend hours, and rotating holiday scheduling responsibilities.
JOB REQUIREMENTS
Licenses: Current licensure as a professional nurse in the state of Wisconsin required.
Education: Bachelor's degree in nursing preferred.
Experience: Minimum of two years nursing experience required.
- Minimum of two years relevant medical surgical clinical nursing, care coordination, or nursing triage experience preferred.
- Recent, relevant experience in home health preferred.
- Experience using EPIC and virtual health platforms preferred.
- Experience in teaching self-care skills to patients and families.
Miscellaneous: Valid driver's license and current auto insurance required.
- CPR certification required.
- Knowledge regarding the impact of acute and chronic illness on the lives of patients and families in the community.
- Functions with a high degree of independence, flexibility, and autonomy.
- Collaborates with other disciplines to provide care.
- Excellent interpersonal and group process skills.
TECHNICAL RESPONSIBILITIES
• Utilizes monitoring, assessment, planning, intervention, and critical thinking skills to care for acute
care patient populations in the home.
• Works with health system partners to identify, review and intake new Home-Based Hospital Care
patients.
• Navigates patients and families across the continuum of the phases of care.
• Monitors and responds to biometric data per Home-Based Hospital Care protocols.
• Conducts audio/visual patient care visits as directed by the care team and/or protocol.
• Ensures all interventions in the patient's plan of care are implemented efficiently with a patient
centered approach.
• Leverages the resources and expertise of the Home-Based Hospital Care team and supplier partners
to implement collaborative workflows, standards, policies, protocols, guidelines, and
documentation systems to support safe, reliable, high-quality, evidence-based care with clinical
protocols as the foundation.
• Adheres to the clinical protocols and is willing to obtain the necessary training to provide care within
the context of providing evidence-based care.
• Promotes professional practice and a culture of safety; willingness to engage in process
improvement efforts.
• Provides transitional care responsibilities, as appropriate.
• Directs the use of equipment and supplies in an efficient and cost-effective manner.
• Sets priorities of home and virtual visits, adapting to the changing needs of the Home-Based
Hospital Care patient.
• Utilizes resources to problem solve new or unfamiliar patient situations.
• Works collaboratively with the interdisciplinary team to best meet the needs with the Home-Based
Hospital Care patient and family.
• Documents components of the nursing process to reflect a comprehensive and integrated approach
to nursing care.
• Recognizes potential problems and sets priorities according to changes in the patient's condition.
• Informs the provider and other appropriate members of the health care team of changes in the
patient's condition and needs.
• Evaluates patient's responses to care based on a continuing assessment and analysis of nursing
intervention and alternatives for nursing care.
• Facilitates and participates in formal and informal interdisciplinary care conferences to address the
needs of regarding complex patients.
• Exhibits sound nursing judgment and decision-making skills in coordinating patient care.
• Identifies and adapts teaching materials for Home-Based Hospital Care patients and caregivers to
optimize the learner's success. Involves the patient and caregiver in identification of individual
requirements/perceptions of learning needs.
• Develops, implements, and evaluates individualized teaching programs using teach-back and return
demonstration techniques to assess patient/caregiver level of understanding and adjust teaching
and plan of care accordingly.
• Maintains an updated clinical record on each patient at all times.
• Participates in the development of program goals and evaluates progress toward goal achievement.
• Participates in committees/meetings as delegated or appointed.
• Involves the patient and caregiver in the plan of care, incorporating their cultural, spiritual, and
other belief systems.
• Recognizes the importance of respecting individual patient and caregiver choices regarding care
and treatment options.
• Assists leadership in identifying potential clinical practice issues and contributes to the
development of specific plans to improve Home-Based Hospital Care patient outcomes.
-
Home-Based Hospital Care RN Care Navigator
2 weeks ago
Middleton, United States Chartwell Midwest Wisconsin Full timePOSITION SUMMARY The Home-Based Hospital Care Registered Nurse (RN) Care Navigator is an integral part of the Home- Based Hospital Care clinical team, providing identification, screening, intake, care coordination, monitoring, and interventions to support acute patients in the home setting. The RN Care Navigator provides essential intake, clinical review,...
-
Home-Based Hospital Care RN Care Navigator
1 week ago
Middleton, United States Chartwell Midwest Wisconsin Full timeJoin our Home-Based Hospital Care Program.We're offering a $5,000 onboarding bonus for registered nurses who join our team, as a token of our appreciation for your dedication and expertise. Apply today to start your rewarding career with us! UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly...
-
Full-time Registered Nurse in Home Health Care
4 weeks ago
Middleton, WI, United States UW Health Care Direct Full timeJoin our Home Health Agency team today! UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community- based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health Care...
-
Home Health
4 weeks ago
Middleton, United States UW Health Care Direct Full timeJoin our **Home Health Agency** team today! - UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community - based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health...
-
Travel nurse
7 days ago
Berlin, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Home Health Long Term Care for a travel nursing job in Berlin, Wisconsin. Specialty: Long Term Care Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a Skilled Nursing Facility in Berlin, Wisconsin to hire RNs. For more than 30 years, we've specialized in helping...
-
Home Health Visit Nurse
4 weeks ago
Middleton, WI, United States UW Health Care Direct Full timeJoin our Home Health Agency team today! UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community- based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health Care...
-
Burlington, WI, United States Fresenius Medical Care Full timeTraining in Dialysis Provided! Position is will cover Kenosha and Burlington clinics Full-Time (40 hours per week) Monday-Friday, 8am-5pm This position will assist patients with their training to transition to home dialysis Kenosha clinic address: Burlington clinic address: The registered professional nurse Home Therapies RN CAP 1 is an entry level...
-
Immediate Care RN
1 week ago
Marinette, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Med Surg for a travel nursing job in Marinette, Wisconsin. Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with a hospital in Marinette, Wisconsin to hire Medical-Surgical Registered Nurses. For more than 30 years, we've specialized in helping nurses find the...
-
Staff RN
1 week ago
Madison, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Madison, Wisconsin. Specialty: OR - Operating Room Start Date: ASAP Employment Type: Travel As one of the largest Healthcare jobs placement agencies in the U.Supplemental Health Care has been partnering with RNs for more than 30 years. We’re now...
-
RN- Health Care
1 week ago
Summit, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Special Procedures for a travel nursing job in Summit, Wisconsin. Start Date: ASAP Employment Type: Travel Supplemental Health Care is working with hospitals in Summit, Wisconsin to hire Cath Lab RNs. For more than 30 years, we've specialized in helping healthcare professionals find the...
-
RN- Health Care
7 days ago
Milwaukee, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Gastroenterology for a travel nursing job in Milwaukee, Wisconsin. Gastroenterology Start Date: ASAP Employment Type: Travel As one of the largest Healthcare jobs placement agencies in the U.Supplemental Health Care has been partnering with RNs for more than 30 years. We’re now seeking...
-
Travel Nurse RN
7 days ago
Berlin, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Home Health Long Term Care for a travel nursing job in Berlin, Wisconsin. Job Description & Requirements Specialty: Long Term Care Discipline: RN Start Date: ASAP Duration: 13 weeks Employment Type: Travel Job Description: Supplemental Health Care is working with a Skilled Nursing Facility in...
-
Travel Nursing Home RN
7 days ago
Milwaukee, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Milwaukee, Wisconsin. Specialty: Home Health Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking Registered Nurses in Milwaukee, Wisconsin with prior OASIS/Medicare Certified Visits for contract assignments with a partnering home...
-
Registered Nurse
7 days ago
Madison, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN PICU - Pediatric Intensive Care for a travel nursing job in Madison, Wisconsin. Specialty: PICU - Pediatric Intensive Care Start Date: ASAP Employment Type: Travel Supplemental Health Care is seeking PICU RNs in Madison, Wisconsin for a 13-week assignment at a partnering hospital. With our...
-
Home Health Rn Case Manager
4 weeks ago
Middleton, United States UW Health Care Direct Full time**How does competitive pay, over 3 weeks' vacation accrual in first year and a great benefit package sound to you!?** UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community - based home health services to Chartwell from UW...
-
Home Health Visit Nurse
4 weeks ago
Middleton, United States UW Health Care Direct Full time**Join our Home Health Agency team today!** UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community - based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health...
-
Hospice Registered Nurse
13 hours ago
Neenah, WI, United States Supplemental Health Care Full time $1,880 - $2,022Supplemental Health Care is seeking Registered Nurses in Neenah, Wisconsin with prior OASIS/Medicare Certified Visits for contract assignments with a partnering home health agency. Local or travel, we want to connect you with assignments that fuel the miracles within your life. Home Health RN Contract Details: - $SHC Home Health Nurses are paid by the...
-
Nurse Practitioner or Physician Assistant
1 week ago
Milwaukee, WI, United States Optum Full time40,000 Student Loan Repayment Or $20,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an...
-
Registered Nurse Medical Care Center
7 days ago
Berlin, WI, United States Supplemental Health Care Full timeSupplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Berlin, Wisconsin. Specialty: Home Health Start Date: ASAP Employment Type: Travel As one of the largest Healthcare jobs placement agencies in the U.Supplemental Health Care has been partnering with RNs for more than 30 years. We’re now seeking RNs for...
-
Home Health Visit Nurse
4 weeks ago
Middleton, United States UW Health Care Direct Full timeJoin our Home Health Agency team today!UW Health Care Direct has been an affiliate of UW Health since 1994. In July of 2020 UW Health Care Direct (formerly known as Chartwell Midwest Wisconsin) officially consolidated all community- based home health services to Chartwell from UW Health and Unity Point Health leading to the establishment of UW Health Care...