Remote Transition Nurse Navigator, Transitional Clinic | WFH

Job Overview

We are seeking a dedicated and compassionate Registered Nurse (RN) to serve as a Transition Nurse Navigator within our Transitional Clinic. This remote position, catering to high-risk patients in the Bel Air, MD area, is an excellent opportunity for healthcare professionals who are passionate about patient care and want to play a pivotal role in supporting patients during their healthcare transitions.

Key Responsibilities

• Utilize risk stratification tools to identify high-risk patients.
• Conduct thorough assessments and consultations, developing treatment and discharge recommendations, including remote patient monitoring.
• Facilitate complex care planning through telehealth, phone consultations, and in-person meetings.
• Coordinate all facets of patients’ transitions of care, which include follow-up appointments, home health services, community resources, and transportation needs.
• Enhance communication across various care settings (acute care, ambulatory, skilled nursing, palliative care, and hospice).
• Empower patients through educational initiatives focusing on disease management, medication adherence, access to care, and self-care strategies.
• Assess patient needs for referral to supplementary programs and services (e.g., social workers, community agencies).
• Collaborate regularly with inpatient teams, primary care physicians, and other stakeholders to ensure the relevance and feasibility of transition plans.
• Build rapport with patients in hospital settings to facilitate smooth transitions to outpatient care.
• Maintain solid relationships with patients, families, community resources, and payers.
• Implement comprehensive care plans that prioritize patient goals and needs.
• Lead initiatives for program improvement and team education.
• Perform additional duties as assigned.
  
  

Required Skills

• Proficient critical thinking and communication skills, both written and verbal.
• In-depth knowledge of discharge planning principles and guidelines.
• Strong collaborative skills to engage effectively with internal and external partners.
• Adaptability in dynamic and crisis environments.
• Excellent decision-making capabilities.
• Outstanding time management and prioritization skills.
• Proficiency in computer applications (e.g., word processing, data management).
  
  

Qualifications

• Associate Degree in Nursing (mandatory).
• Minimum of three (3) years of nursing experience (required).
• At least one (1) year of case management experience (required).
• Current Maryland RN license (required).
• BLS certification (required).
• Preferred: Bachelor of Science in Nursing.
  
  

Career Growth Opportunities

This position offers significant opportunities for professional development, enabling you to expand your skill set and advance your nursing career within a supportive and innovative environment.

Company Culture And Values

We are committed to fostering a collaborative and supportive workplace culture where every team member contributes to delivering exceptional patient care. Our values revolve around compassion, teamwork, and integrity, promoting an inclusive atmosphere focused on improving patient outcomes.

Compensation And Benefits

• Competitive hourly rate: \(40.61 - \)60.96.
• Comprehensive benefits package as per the 2024-2025 UMMS Benefits Guide.
  
  

If you are a compassionate RN eager to make a meaningful impact in patients’ lives, we invite you to apply for this rewarding opportunity!

Employment Type: Full-Time