Shift Schedule: Monday - Friday 8:00AM - 5:00PM

General Summary

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.

Mission

All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.

Reporting Relationships

Reports to the Manager, Population Health

Experience the highest level of appreciation at UM Baltimore Washington Medical Center — named Top Workplace in the Baltimore area by The Baltimore Sun two years in a row (2019 & 2020); Top Workplace in the USA for 2021! As part of the acclaimed University of Maryland Medical System, our facility is one of three ANCC Pathway to Excellence® designated hospitals in Maryland. UM BWMC features one of the state’s busiest emergency departments, as well as a team of experts who care for our community and one another. The University of Maryland Baltimore Washington Medical Center (UMBWMC) provides the highest quality health care services to the communities we serve. Our medical center is home to leading-edge technology, nationally recognized quality, personalized service and outstanding people. We have 285 licensed beds and we’re home to 3,200 employees and over 800 physicians. Our expert physicians and experienced, compassionate staff are connected to medical practices in the local community as well as at University of Maryland Medical Center in downtown Baltimore. For patients, this means access to high-quality care and research discoveries aimed at improving Maryland’s health. Our physicians and nursing staff specialize in emergency, acute, medical-surgical and critical care. In addition, our medical center is home to many Centers of Excellence, offering expert outpatient health care.

• Bachelor’s degree in nursing or related field required,
• Master’s degree preferred. Current Maryland State Licensure as a Registered Nurse.
• Three (3) years of experience in discharge planning, case management or disease management required.
• Strong skills in patient education, coordination of discharge planning, and post discharge follow-up.
• Proficiency in use and interpretation of word, excel and other data collection programs.
• Must be proficient in effective verbal and written communication; have strong organizational and problem-solving skills, the ability to perform multiple tasks with interruptions, and to manage time effectively in order to achieve simultaneous goals.
• Must demonstrate a commitment to goals, teamwork, and standards of excellence.