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Home-Based Hospital Care RN Care Navigator
2 months ago
We are seeking a highly skilled and experienced Registered Nurse to join our Home-Based Hospital Care team as a RN Care Navigator. This is a challenging and rewarding role that requires strong clinical skills, excellent communication, and a passion for delivering high-quality patient care.
Key Responsibilities- Provide identification, screening, intake, care coordination, monitoring, and interventions to support acute patients in the home setting.
- Work collaboratively with the interdisciplinary team to ensure that patients receive exemplary care in their home.
- Manage all aspects of the patient's acute care needs, including coordination of supporting disciplines and ancillary care services.
- Facilitate interdisciplinary conferencing to ensure that all members of the care team are actively participating in the patient's plan of care.
- Provide triage to the Home-Based Hospital Care patient through various methods of communication, including digital technology.
- Assess post-acute needs and ensure that appropriate referrals to other services are made.
- Develop, implement, and evaluate 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.
- Maintain an updated clinical record on each patient at all times.
- Participate in the development of program goals and evaluate progress toward goal achievement.
- State of Wisconsin Professional licensure for Registered Nurse
- Associate degree in Nursing required; Bachelor's degree in Nursing preferred
- Minimum of 2 years of recent experience in nursing required
- Experience and strong knowledge base in 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
- Certifications (including but not limited to CPR/BLS)
- 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
Chartwell Midwest is a leading provider of home-based hospital care services. We are committed to delivering high-quality patient care and improving health outcomes in the community. Our team is dedicated to providing exceptional service and support to our patients and their families.
