Discharge Nurse Navigator

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

The Nursing Discharge Navigatoris responsible for coordinating andfacilitatingsafe, efficient, and patient-centered discharges. This role ensures continuity of care by arranging follow-up appointments, completing post-discharge outreach, coordinating prescriptions, providing comprehensive discharge education, and confirming transportation arrangements prior to discharge.

A key focus of this position is proactively supportingtimelydischarge planning to reduce length of stay, particularly for patients with Heart Failure, whilemaintaininghigh-quality outcomes and reducing readmissions.

• Coordinate and schedule follow-up appointments with primary care providers and specialists prior to patient discharge.

• Conduct discharge phone calls to assess patient understanding, answer questions, address concerns, and ensure post-discharge needs are met.

• Ensure prescriptions are reconciled, called in, and accessible to patients prior to discharge.

• Provide clear and comprehensive discharge education, including medication instructions, symptom monitoring, dietary guidance, weight monitoring, and when to seek medical attention.

• Confirm transportation arrangements are secured prior to discharge to ensure safe return home.

• Collaborate with physicians, case management, pharmacy, social work, therapy services, and other departments to support safe andtimelytransitions of care.

• Identify and address potential barriers early in the hospitalization that may delay discharge.

• Work proactively with the interdisciplinary team to streamline discharge processes and decrease length of stay for Heart Failure patients through early education, medication coordination, and post-discharge planning.

• Support Heart Failure management initiatives aimed at reducing readmissions and improving clinical outcomes.

• Document discharge coordination activities accurately andtimelyin the medical record.

• Track and support quality metrics related to length of stay, readmissions, and follow-up compliance.

Qualifications:

• Bachelors in Nursing

• 3+ years of clinical nursing experience

• Nurse case management experience

• GA RN license

These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment.

1.
Patient-Centered Care - Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.
2.
Integrity & Accountability - Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.
3.
Collaboration & Teamwork - Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.
4.
Communication - Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.
5.
Respect & Inclusion - Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.
6.
Quality & Safety - Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.
7.
Adaptability & Resilience - Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.
8.
Continuous Improvement - Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.
9.
Leadership & Professionalism - Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.
10.
Employee Experience Focus - Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.

At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

• Health & Wellness:
  Medical, dental, vision, and prescription drug coverage.

• Financial Security:
  Retirement savings plans with employer contributions, life…