Home Care Nurse Navigator

The Home Care Navigator supports high-risk patients transitioning from hospital to home or community-based care. This role focuses on reducing avoidable readmissions, improving care coordination, and ensuring timely post-acute services for patients with diagnoses.

The Home Care Navigator works collaboratively with hospital teams, physicians, home care staff, and community providers to improve continuity of care and patient outcomes.

Key Responsibilities

• Coordinate care and post-discharge services for high-risk patients.
• Collaborate with interdisciplinary teams to support safe transitions of care.
• Ensure timely initiation of home care services and follow-up appointments.
• Support patient education, medication reconciliation, and symptom management.
• Identify barriers to care and connect patients with appropriate community resources.
• Participate in readmission reduction initiatives, case reviews, and performance improvement activities.
• Review readmission trends and prepare reports for leadership and care teams.

Qualifications

• Current RN license required; BSN preferred.
• Experience in home care, care management, or transitions of care preferred.
• Knowledge of chronic disease management and post-acute care coordination.
• EPIC experience preferred.
• Strong communication, organizational, and collaboration skills.
• Proficiency in Microsoft Excel; PowerPoint experience preferred.

This range serves as a good faith estimate and actual pay will encompass a number of factors, including a candidate’s qualifications, skills, competencies and experience. The salary range or rate listed does not include any bonuses/incentive, differential pay or other forms of compensation that may be applicable to this job, and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, Catholic Health offers generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.

Salary : $90,000 - $110,000