Job Description:

Job Description
The Transitional Nurse Navigator (TNN) is responsible for seeking and implementing interventions, methodologies, and best practices for the high-risk population. Using an evidence-based tool, the TNN identifies and assesses the patient for priority needs, key areas for needed support and services that contribute to readmissions; develop care plans and when appropriate refers for services to assist in navigating barriers to care. Will effectively collaborate and communicate with internal and external customers to maximize the patient's potential for a healthy lifestyle evidenced in reduced Emergency Department visits and readmissions to the hospital. Effective use of data is a responsibility of this role. The position is goal-oriented with a high level of accountability correlated to the reduction of readmissions, continuum of care, quality of care, and patient satisfaction.



**Must be available to go onsite approximately 2 times a month.**



Company Description
We're making Maryland stronger!


With roots that go as far back as 1895, the UM Rehab & Ortho Institute continues to be a pioneer in orthopedics and neurological disorders. From bones to brains, our cutting-edge hospital heals even the most serious of injuries, specializing in everything from total joint replacement to spinal cord injuries and neurological condition. In total, our 141-bed facility welcomes over 3,000 patients every year. As the state's largest provider of inpatient rehabilitation services, we offer some of the most advanced therapies for stroke, spinal cord injury, traumatic brain injury, orthopedic and sports injury, among many others.


Qualifications

Education and Experience

• Bachelor's degree in nursing or related field required.


• Current Maryland State Licensure as a Registered Nurse.


• Three (3) years of experience in care transitions/care coordination.

Additional Information
All your information will be kept confidential according to EEO guidelines. Apply Now