Transitional Nurse Navigator
2 weeks ago
Our team members are the heart of what makes us better.
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Transitional Nurse Navigator, Pulmonary (TNNP), in collaboration with the medical care team, advanced practice providers, and the entire healthcare team, oversees and supports the pulmonary patient and their significant other(s). The TNNP is a member of the healthcare team and is responsible for coordinating, communicating and facilitating the care of selected patients with primary pulmonary care needs. The TNNP is accountable for a designated case load determined by the careful daily selection of eligible patients. They assess, plan, and facilitate, with patients/families and healthcare professionals involved in the patient's care to meet treatment goals, and arrange for the appropriate next steps. Promotes safe and timely transition of patients from varying levels of care in the hospital and community.
A day in the life of a Transitional Nurse Navigator at Hackensack Meridian Health includes:
- Participates in the collaboration with physicians, nursing staff, and interdisciplinary team in the assessment, planning, implementation and evaluation of care for selected patients and their families.
- Screening: All patients who are admitted for medical care will be screened for potential eligibility to the pulmonary transitions of care program. All eligible patients will be enrolled.
- Patient/Family interview: Meets directly with the patient/family to assess needs, based on assessment and prior evaluation from care coordinators/case management and develop an individualized needs assessment.
- Person-centered transitional care plan (TOC) development: Develops a TOC plan, in collaboration with the patient/family, patient caregiver, patient support persons and healthcare team that will provide maximum benefit for each patient. Reassesses periodically and evaluates against care goals and the plan of care and, when indicated, the plan or goals are revised. Completes all other necessary duties with attention to detail and in a timely manner.
- Educator: Provides appropriate patient and family education regarding diagnosis, treatment, and self-care management and documents outcomes in the medical record.
- Bidirectional communicator: Facilitates communication and coordination between members of the health care team and involves the patient/family in the decision making process, in order to minimize fragmentation of services, manage resources and remove barriers to the discharge plan of care.
- Safe transition and quality assurance: In addition to aligning with patient quality metrics, confirms the patient has a primary care provider, pulmonary providers upon discharge and refers appropriately to a primary care provider and/or pulmonologist if needed. Works collaboratively with all members of the multidisciplinary health care team and community partners for timely and appropriate transitions to the next appropriate level of care, including transition to the TOC unit. Ensures timely follow up appointments with appropriate care providers, post discharge.
- Networking and resources: Maintains current and up to date information of community resources and refers patients to those community resources which will enhance patient's life and clinical outcomes. Consults with other community agencies and committees to identify potential resources to support patients and their families. Provides patients and families with community resources and discharge care coordination options. Will actively work to find community partners across the care continuum.
- Documentation: Documents patient/family encounters, interventions provided, and communication delivered in the electronic health record. The Electronic Health Record will reflect the needs of the patient, any education needed based on the patient's medical history, coordination of follow-up care, and referral to community services. Medical records reflect that each patient's discharge plan is re-assessed in response to changes in patient's needs and Social Determinants of Health.
- Quality assurance and program development: Participates actively on appropriate workgroups, and/or meetings. Is a positive problem solver. Identifies and refers quality issues for review to the pulmonary/medical and transition of care team locally. Monitor readmission rates for Medicare and all payers, and implement needed performance improvement projects to improve scores in collaboration with the pulmonary/medical team.
- Other duties and/or projects as assigned.
- Adheres to HMH Organizational competencies and standards of behavior.
-
Transitional Nurse Navigator
1 week ago
Edison, United States Hackensack Meridian Health Full timeOur team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another...
-
Nurse Practitioner
4 days ago
Edison, New Jersey, United States JFK Medical Center Full timeJob SummaryThe Full-Time Nurse Practitioner at JFK Medical Center is responsible for delivering high-quality, patient-centered care to individuals and families across the lifespan.With a focus on acute and chronic care issues, including prenatal care, health education, and disease prevention, this role plays a critical part in ensuring continuity of care.The...
-
Breast Health Navigator
2 weeks ago
Edison, New Jersey, United States Recruitics JB Full timeBreast Health Navigator Job SummaryWe are seeking a highly skilled and compassionate Breast Health Navigator to join our team at Recruitics JB. As a key member of our breast center, you will play a vital role in ensuring the highest level of patient care and satisfaction.Key Responsibilities:Interface with the breast health team to coordinate all aspects of...
-
Edison, United States JFK Medical Center Full timeThe Full-Time Nurse Practitioner at JFKUMC is responsible for providing competent and comprehensive care to patients and their families throughout the patient's life span. Patient care responsibilities have a specific focus on treatment of acute and chronic care issues including prenatal care, health education and maintenance, disease prevention, and...
-
Nurse Practitioner
5 days ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our Transitional Care team in the COPD/Pulmonary population. The ideal candidate will have experience in transitional care management and a strong background in pulmonary medicine.ResponsibilitiesObtain a thorough patient history, including determination of their health status and primary...
-
Nurse Practitioner
7 days ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our Transitional Care team in the COPD/Pulmonary population. The ideal candidate will have experience in transitional care management and a strong background in pulmonary medicine.ResponsibilitiesObtain a thorough patient history, including determination of their health status and primary...
-
Nurse Practitioner
1 week ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeJob SummaryWe are seeking a highly skilled Nurse Practitioner to join our team in Transitional Care, specializing in COPD/Pulmonary management. As a key member of our healthcare team, you will provide comprehensive care to patients and their families, focusing on treatment of acute and chronic care issues.ResponsibilitiesConduct thorough patient assessments,...
-
Nurse Practitioner
2 days ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeJob SummaryThe Full-Time Nurse Practitioner at Hackensack Meridian Health is responsible for providing high-quality, patient-centered care to individuals with complex pulmonary conditions, including COPD and pneumonia. This role requires a strong foundation in transitional care management, leadership, and program development.Key ResponsibilitiesConduct...
-
Edison, United States Hackensack Meridian Health Full timeOverview The Full-Time Nurse Practitioner at JFKUMC is responsible for providing competent and comprehensive care to patients and their families throughout the patient's life span. Patient care responsibilities have a specific focus on treatment of acute and chronic care issues including prenatal care, health education and maintenance, disease prevention,...
-
Edison, United States Hackensack Meridian Health Full timeOverview The Full-Time Nurse Practitioner at JFKUMC is responsible for providing competent and comprehensive care to patients and their families throughout the patient's life span. Patient care responsibilities have a specific focus on treatment of acute and chronic care issues including prenatal care, health education and maintenance, disease prevention,...
-
Pulmonary Care Coordinator
6 days ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeAbout the RoleAt Hackensack Meridian Health, we're committed to delivering exceptional patient care and transforming the healthcare experience. As a Transitional Nurse Navigator, you'll play a vital role in ensuring seamless transitions for patients with pulmonary care needs.Key ResponsibilitiesCollaborate with healthcare teams to assess, plan, and...
-
Pulmonary Care Nurse Coordinator
1 month ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeOverviewAt Hackensack Meridian Health, our team members are essential to our mission of enhancing patient care and fostering a supportive work environment.We are dedicated to helping our patients lead healthier lives while ensuring our employees thrive in their roles. Our culture emphasizes collaboration and connection, where competitive benefits are just...
-
Pulmonary Care Coordinator
2 weeks ago
Edison, New Jersey, United States JFK Medical Center Full timeAbout the RoleWe are seeking a skilled Transitional Nurse Navigator to join our team at JFK Medical Center. As a key member of our healthcare team, you will play a vital role in coordinating and facilitating the care of patients with primary pulmonary care needs.Key ResponsibilitiesCollaborate with the medical care team, advanced practice providers, and the...
-
Pulmonary Care Nurse Coordinator
1 month ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeOverviewAt Hackensack Meridian Health, our team members are integral to our mission of enhancing patient care and community health.We are dedicated to fostering a culture of collaboration and support, where competitive benefits are just the beginning of our commitment to each other and our patients. Our goal is to continuously improve healthcare delivery and...
-
Pulmonary Care Nurse Coordinator
1 month ago
Edison, New Jersey, United States Hackensack Meridian Health Full timeOverviewAt Hackensack Meridian Health, our team members are essential to our mission of enhancing patient care and fostering a supportive work environment.We are dedicated to helping our patients achieve healthier lives while also ensuring that our employees thrive within a culture of collaboration and connection. Our commitment to continuous improvement...
-
Pediatric Nurse Specialist
2 weeks ago
Edison, New Jersey, United States Travel Nurse Source Full timeAbout the PositionPrime Time Healthcare, a nationwide leader in staffing Allied Health Professionals, is partnering with Travel Nurse Source to find a qualified Pediatrics RN in a dynamic healthcare environment.Key ResponsibilitiesAdvocate for patients from diverse backgrounds, refining your skills in patient care and clinical judgment.Develop expertise in...
-
Registered Nurse
17 hours ago
Edison, New Jersey, Middlesex County, NJ, United States Incredible Health Full timeHospitals on Incredible Health are actively hiring and accepting applications in the Edison, NJ area for the following position: Registered Nurse - Oncology Navigator. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Director, Manager, Supervisor, or VP. ...
-
Travel Nurse RN
3 weeks ago
Edison, New Jersey, United States Travel Nurse Source Full timeAbout the PositionWe are seeking a qualified Pediatric Intensive Care Unit (PICU) Registered Nurse to join our team at Travel Nurse Source. This is a 13-week assignment in a leading medical facility.Job SummaryThe successful candidate will provide high-quality patient care in the PICU, working closely with a multidisciplinary team to ensure the best possible...
-
Travel Nurse RN
2 weeks ago
Edison, United States Travel Nurse Source Full timeTravelNurseSource is working with Prime Time Healthcare to find a qualified NICU RN in Edison, New Jersey, 08817 About The Position Prime Time Healthcare is a nationwide leader in staffing Allied Health Professionals, RN Travel Nurses, Travel CNAs, and Travel LPNs. With access to thousands of Hospitals and community facilities across the country, our mission...
-
Travel Nurse RN
2 days ago
Edison, United States Travel Nurse Source Full timeTravelNurseSource is working with talent4health to find a qualified NICU RN in Edison, New Jersey, 08818 About The Position Provides specialized care for premature and critic 25933189EXPTEMP Job Requirements Required for Onboarding De-escalation Training 5 Benefits of Travel Nursing Adapting to new facilities and teams challenges your problem-solving skills....
