Case Mgr-Transition Navigator
Ross Heart Hospital
Clinical Case Mgmt - Ross
Salary Range Min
Salary Range Max
The Transition Navigator improves outcomes by reducing all cause readmissions and coordinating episodes of care among patients in a defined population or disease process. The primary focus is on the coordination and delivery of efficient, effective, compassionate, patient centered care and safe transitions across the care continuum.
The Transition Navigator monitors the patient care process and physiological needs; educates, documents, communicates, and collects data to evaluate and assure patient/family readiness for discharge. The Transition Navigator facilitates the lateral integration of the care team, collaborating with physicians, nurses and other staff across the continuum to provide comprehensive disease management, assessment, treatment, education, and follow-up evaluation for patients; and, to communicate the plan of care in coordination with post acute care settings.
Ohio State University Wexner Medical Center