Health at Home Navigator RN

apartment Dignity St. Mary's Medical Center San Francisco location_onLoveland, OH 45140, US

$35.29 - $51.17 / HOUR

Job Summary and Responsibilities

As the Health at Home Navigator (HHN), your expertise in home-based services is essential to ensuring continuity of care for patients transitioning from acute care to home. By collaborating with physicians, case managers, and hospital teams, you play a critical role in improving clinical outcomes, patient satisfaction, and the overall care experience.

Key responsibilities include:

Collaborate with Care Teams: Partner with providers, case managers, and social workers to facilitate seamless and timely discharges to home-based services, prioritizing patient-centered care.
Guide Patients Through Transitions: Assist patients and families in navigating post-acute care options, addressing barriers, and advocating for home-based services that align with their needs.
Safeguard Patient Well-being: Identify opportunities to reduce financial and clinical risks, ensuring patients and families are supported during and after their hospital stay.
Advocate During Rounds: Actively participate in multidisciplinary rounds, serving as a patient advocate to ensure efficient and effective continuity of care.
Engage Patients Early: Initiate discussions about care destinations and discharge planning upon patient admission, conducting informational visits to promote home health as a preferred option.
Prioritize Patient Populations: Work with hospital partners to identify and prioritize patient populations who will benefit most from home-based services, such as home health or hospice.
Overcome Healthcare Barriers: Address and navigate barriers within the healthcare system to ensure patients have access to appropriate home-based care.

By fulfilling these responsibilities, the HHN plays a pivotal role in enhancing patient outcomes, improving satisfaction, and reducing care inefficiencies.

Benefits:

Excellent Vacation Plan to recharge
Seven paid holidays; Four days of Personal Time
Blue Cross Blue Shield Standard PPO Plan/High Deductible Health Plan
Delta Dental Plan
EyeMed Vision Plan
Fidelity 401(K) Plan
Lyra Mental Health Benefits
Cigna Life/AD&D Plans
Cigna Long Term Disability
Cigna Short Term Disability
Cigna Critical Illness/Group Universal Life Insurance

Job Requirements

We seek experienced, compassionate leaders with:

A strong background in home health and hospice services is required.
Completion of an accredited registered nursing program. Current unrestricted license as a registered nurse in state(s) of practice.
Home Health experience or prior navigator experience in a post-acute setting such as ALF/SNF/ILF.
Combination of Acute and Post-Acute care delivery experience preferred.
A desire to shape and lead an innovative program
Excel in communication and patient education
The courage to step into a startup type environment and make a lasting difference

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

Where You'll Work

Be a Trailblazer in Home Health and Hospice but still have the work balance you desire

Are you a visionary leader in home health and hospice ready to embrace innovation and improve patient identification and home services transitions? Post-Health Home Care is offering an exciting hospital-based role: Health at Home Navigator.

Share this job

Related Jobs

Pediatric

Full-time

Pediatric Registered Nurse

apartment The Kidz Club location_onEdgewood, KY

Join our team of passionate pediatric healthcare professionals empowering Kidz to be kids through PPEC daily skilled nursing! The RN Case Manager (RNCM) is responsible for managing the care of pediatric patients, according to their individual needs and care plan using a multidisciplinary method. The Registered Nurse facilitates referrals to primary providers, specialists, healthcare facilities, and community resources. The Registered Nurse is responsible for direct client care including a holistic approach to the care of children and their families, including educational, psychosocial, behavioral, physical, mental, and emotional care/needs of the child. The Registered Nurse will educate the client and family regarding immediate care needs and preventative behaviors. Qualifications Graduate of an accredited school of nursing with current RN licensure eligible in the state of Kentucky. Recent graduate with a provisional RN license. Basic personal computer skills and comfort with learning electronic charting systems. Preferred: At least six months of current experience as a practicing RN with pediatric experience. Current negative Tuberculosis skin test (PPD) required. Current CPR (Basic Life Support) is required. Benefits: Paid Time Off for Full-Time Employees 401K and Student Loan Reimbursement Available for Full-Time and PRN Employees Health Benefits or HRA Vision and Dental Benefits Life Insurance (Basic and Voluntary) Long Term Care with Death Benefit FSA - Dependent Care Short- and Long-Term Disability Insurance packages available for Full-Time Employees Evelyn Mae Williamson Continuing Education Scholarship Always Closed Nights, Sundays, and Major Holidays! The Kidz Club PPEC provides daily skilled nursing care for children, ages birth to under 21, who have been diagnosed with medical complexities. PPECs initiate daily conversation among pediatricians, therapists, and family, providing continuity of care through case management, skilled nursing, and enrichment for the betterment of the child. Join us in our effort to provide innovative PPEC services, benefit from our investment in our employees through continuing education, and grow your skills within the field of pediatric healthcare. Pediatric day-shift opportunity with limited Saturdays, closed nights, Sundays, and major holidays! Impact the lives of amazing Kidz!

Full-time

Registered Nurse (RN) Observation Unit Weekends

apartment St. Elizabeth Healthcare location_onEdgewood, KY

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 36 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: The licensed registered nurse is a professional nurse who is responsible and accountable for providing evidence-based clinical care to designated patients utilizing the nursing process. This is accomplished by assessing, planning, implementing, and evaluating care according to established ethical/cultural codes and standards of nursing practices and working collaboratively with interdisciplinary teams to achieve patient outcomes. The registered nurse is responsible to delegate tasks appropriately to other licensed and unlicensed health care team members. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Patient Care Utilize the nursing process with regard to the care, counseling, and health teaching of the ill, injured or infirm to develop and implement a plan of care for each patient. Determine appropriate nursing interventions to meet each patient outcome. Ensures the plan of care provides for the maintenance of health and prevention of illness. Incorporate into the patients’ plan aspects of cultural sensitivity, diversity, and non-discriminatory terms and approaches. Maintain current skills, knowledge, and competencies in area of specialty. Utilizes evidence-based practice, research, clinical judgment, and nursing skills based upon the principles of psychological, biological, physical, and social science in planning and providing nursing care. Document care provided utilizing Epic, Patient Data Base, Patient Education Record, Care Maps, Progress Notes, Flow Sheets, and other forms as applicable and/or required. Documentation requirements may apply during downtime. Exhibit critical thinking and problem-solving skills to assess, plan, implement, and evaluate care. Serve as the patient’s advocate. Responsible for the supervising, teaching, mentoring, and delegating licensed and unlicensed personnel based on their education. Work collaboratively with interdisciplinary team members to plan and deliver care. Patient Safety Demonstrate proficiency in the administration of medication and treatment as prescribed by physicians, dentists, or advanced registered nurse practitioners. Responsible for preparing and administering medications in the prescribed dosage, route, frequency and observing, recording, and reporting responses, untoward reactions, and side effects of drug therapy. Contact appropriate Management/Administrative Staff (chain of command) as any need arises. Observe and follow patient safety alerts by accurate and timely entry of patient information in the chart and or clinical documentation system. Quality/Customer Service Participate in unit-based PI activities to positively impact patient outcomes. Monitor and evaluate quality of care with the focus on nurse sensitive indicators by identifying areas for improvement and assisting in developing action plans. Serve as a clinical resource to unit/department and to new associates. Know Patient Satisfaction goals and expectations to meet customer needs in a positive and professional manner. Exhibits excellent verbal and telephone communication skills with all customers. Assists with adherence to Joint Commission, State and other regulatory requirements. Financial Responsibility Supports in maintaining budget within established target by assisting with setting priorities, appropriately allocating resources, and completing charges. Supports the department and the organization’s financial and productivity. Personal Growth & Competency Maintains licensure/certification and completes all mandatory NetLearning modules, MID, leadership development education, in-service programs, and programs intended to enhance skills pertinent to assigned clinical area. Participates in unit/department/system committees/councils. Participates in community activities and professional organizations to enhance the visibility of the Healthcare System and to promote the positive image of nursing. Stays current related to unit/department/organizational activities, policy and procedure changes, regulatory requirements, and KBN regulations. Performs other duties as assigned. Education, Credentials, Licenses: Graduate from accredited School of Nursing, licensed to practice nursing in the state where work is being performed. Meets contact hour requirements for licensure, including all state-required courses. Focus of education promotes nurses’ ability to practice in clinical area assigned. Specialized Knowledge: Demonstrates knowledge of nursing theory, clinical practice standards, procedures, policies and competence in mathematical calculations associated with medication administration. Competent to independently perform safe nursing skills and procedures. Kind and Length of Experience: Successful completion of preceptorship and orientation to the facility and clinical area. Able to critically think and problem solve in routine and emergency situations. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

Oncology

Med-Surg

Full-time

Registered Nurse (RN) Med Surg Oncology

apartment St. Elizabeth Healthcare location_onEdgewood, KY

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 36 💙 Why You’ll Love Working with St. Elizabeth Healthcare At St. Elizabeth Healthcare, every role supports our mission to provide comprehensive and compassionate care to the communities we serve. For more than 160 years, St. Elizabeth Healthcare has been a trusted provider of quality care across Kentucky, Indiana, and Ohio. We’re guided by our mission to improve the health of the communities we serve and by our values of excellence, integrity, compassion, and teamwork. Our associates are the heart of everything we do. 🌟 Benefits That Support You We invest in you — personally and professionally. Enjoy: - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules - Retirement savings with employer match - Tuition reimbursement and professional development opportunities - Wellness, mental health, and recognition programs - Career advancement through mentorship and internal mobility Job Summary: The licensed registered nurse is a professional nurse who is responsible and accountable for providing evidence-based clinical care to designated patients utilizing the nursing process. This is accomplished by assessing, planning, implementing, and evaluating care according to established ethical/cultural codes and standards of nursing practices and working collaboratively with interdisciplinary teams to achieve patient outcomes. The registered nurse is responsible to delegate tasks appropriately to other licensed and unlicensed health care team members. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Job Duties Patient Care:A. Utilize the nursing process with regard to the care, counseling, and health teaching of the ill, injured or infirm to develop and implement a plan of care for each patient. Determine appropriate nursing interventions to meet each patient outcome. Ensures the plan of care provides for the maintenance of health and prevention of illness. Incorporate into the patients’ plan aspects of cultural sensitivity, diversity, and non-discriminatory terms and approaches.B. Maintain current skills, knowledge, and competencies in area of specialty. Utilizes evidence-based practice, research, clinical judgment, and nursing skills based upon the principles of psychological, biological, physical, and social science in planning and providing nursing care.C. Document care provided utilizing Epic, Patient Data Base, Patient Education Record, Care Maps, Progress Notes, Flow Sheets, and other forms as applicable and/or required. Documentation requirements may apply during downtime.D. Exhibit critical thinking and problem solving skills to assess, plan, implement, and evaluate care.E. Serve as the patient’s advocate.F. Responsible for the supervising, teaching, mentoring, and delegating licensed and unlicensed personnel based on their education.G. Work collaboratively with interdisciplinary team members to plan and deliver care. Patient Safety: A. Demonstrate proficiency in the administration of medication and treatment as prescribed by physicians, dentists, or advanced registered nurse practitioners. Responsible for preparing and administering medications in the prescribed dosage, route, frequency and observing, recording, and reporting responses, untoward reactions, and side effects of drug therapy.B. Contact appropriate Management/Administrative Staff (chain of command) as any need arises.C. Observe and follow patient safety alerts by accurate and timely entry of patient information in the chart and or clinical documentation system. Quality/Customer Service:A. Participate in unit based PI activities to positively impact patient outcomes. Monitor and evaluate quality of care with the focus on nurse sensitive indicators by identifying areas for improvement and assisting in developing action plansB. Serve as a clinical resource to unit/department and to new associates.C. Know Patient Satisfaction goals and expectations to meet customer needs in a positive and professional manner. Exhibits excellent verbal and telephone communication skills with all customersD. Assists with adherence to Joint Commission, State and other regulatory requirements. Financial Responsibility:A. Supports in maintaining budget within established target by assisting with setting priorities, appropriately allocating resources, and completing charges.B. Supports the department and the organization’s financial and productivity goals. Maintains efficient time management and through adherence to time and attendance policy and completing duties within the defined shift. Personal Growth & Competency:A. Maintains licensure/certification and completes all mandatory NetLearning modules, MID, leadership development education, in-service programs, and programs intended to enhance skills pertinent to assigned clinical area.B. Participates in unit/department/system committees/councils.C. Participates in community activities and professional organizations to enhance the visibility of the Healthcare System and to promote the positive image of nursing.D. Stays current related to unit/department/organizational activities, policy and procedure changes, regulatory requirements, and KBN regulations. Qualifications:Education, Credentials, Licenses:Graduate from accredited School of Nursing, licensed to practice nursing in the state where work is being performed. Meets contact hour requirements for licensure, including all state-required courses. Focus of education promotes nurses’ ability to practice in clinical area assigned.Specialized Knowledge: Demonstrates knowledge of nursing theory, clinical practice standards, procedures, policies and competence in mathematical calculations associated with medication administration. Competent to independently perform safe nursing skills and procedures.Kind and Length of Experience: Successful completion of preceptorship and orientation to the facility and clinical area. Able to critically think and problem solve in routine and emergency situations. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.

PCU

Telemetry

Full-time

Registered Nurse (RN) – TCU Neuroscience Telemetry

apartment St. Elizabeth Healthcare location_onEdgewood, KY

Full-time

RN First Assist 24 36 2-12 Surgery Edgewood

apartment St. Elizabeth Healthcare location_onEdgewood, KY

Engage with us for your next career opportunity. Right Here. Job Type: Regular Scheduled Hours: 36 Job Summary: Performs/assists with surgical procedures under the direct supervision of the surgeon. The professional nurse provides evidence-based nursing care utilizing the nursing process to meet the surgical needs of the patient in the perioperative setting. The RNFA is responsible for appropriately delegating tasks to other licensed/unlicensed health care team members as deemed appropriate by training and education. The RNFA collaborates with multidisciplinary healthcare team members when providing nursing care. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background. Job Description: Provides hemostasis and wound exposure, handles tissue to reduce the potential for injury, sutures tissue, and applies dressings to the wound under the direction of the surgeon. Uses instrumentation, including advanced technology, consistent with their design and purpose. When assigned to Open Heart Surgery, removes vein from the patient’s leg under direct supervision of the surgeon. Utilizes the nursing process and functions as the patient advocate for the patient’s plan of care based on an accurate/concise patient assessment. Respects the patient’s ethnic origin and spiritual beliefs and the right to privacy and confidentiality. Demonstrates knowledge of aseptic techniques when functioning in the perioperative setting in role of circulating and scrub nurse. Demonstrates knowledge of accurate medication administration by properly administering medications. Appropriately prioritizes multiple tasks simultaneously. Responds in the required time frame for emergent surgical cases and is prepared/ready within the required time frame. Performs and documents accurate and complete sponge, needle, sharps, and instrument counts. Completes accurate and concise documentation. Participates in performance improvement activities and utilizes data to positively impact patient outcomes Maintains a safe environment for optimal patient outcomes. Works with anesthesia providers in delivering nursing care to patients requiring anesthesia. When assigned as the charge nurse, collaborates with perioperative management team, anesthesia coordinator and surgeons in the provision of surgical patient care throughout the surgical suite. Demonstrates fiscal accountability by efficient cost-effective utilization of equipment/supplies based on the needs of the patient/surgeon/ anesthesia provider. Ensure accurate completion of the patient charging process, including preoperative and pre-anesthesia equipment and supplies. Demonstrates excellent customer service skills by effectively communicating in a professional manner with patients, visitors, and health care team members. Assists in transporting the patient postoperatively. Communicates information to receiving unit (PACU, SDS, ICU, nursing units, etc.). Demonstrates professionalism as a perioperative nurse. Ensures ongoing personal growth and development. Performs other duties as assigned. Education, Credentials, Licenses: Graduate of an accredited school of nursing. Current registration to practice in the state where work is being performed. Meets contact hour requirements for licensure, including all state-required courses. Successful completion of RNFA program and internship that meets AORN’s Standards for RN First Assistant Programs criteria. Basic Cardiac Life Support (BCLS) required. CNOR required and maintained as current status. Specialized Knowledge: Expert knowledge of anatomy and physiology, surgical procedures and instrumentation. Knowledge of suture, suturing techniques and wound closure. Knowledge of assisting the surgeon with dissection and retraction. Competent in mathematical calculations associated with medication administration. Competent to independently perform safe nursing skills and procedures. Kind and Length of Experience: Two years of operating room experience in both the scrub and circulating roles as an RN. FLSA Status: Non-Exempt Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.