Nurse Navigator, Transitions of Care

The Transitions of Care Navigator is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the care of patients with medical, behavioral, and maternal health needs. The navigator is accountable for a designated caseload determined by the careful daily selection of eligible patients. They assess, plan, and facilitate, with patients/families and healthcare professionals involved in the patient’s care to meet treatment goals, and arrange for the appropriate next steps.

Oversees inter‑facility coordination and handoff between acute and outpatient services.

This position will be based in the Northern Region (Hackensack Univiersity Medical Center and Palisades Medical Center).

• Bachelor`s degree in nursing (BSN) or 1 year experience for non BSN Hackensack UMC employees.
• Knowledge of managed care principles.
• Knowledge of Quality Improvement Program - New Jersey program and its Quality Metrics.
• Knowledge of health care delivery system, utilization and review and case review procedures.
• Knowledge of Social Determinants of Health
• Good working knowledge of benefit plans;
  Medicaid-HMOs, etc.
• Computer skills to include Google Docs and data entry.
• Delegates effectively to Transitions Assistant.
• Strong organizational and problem solving skills.
• Excellent oral and written communication and interpersonal skills.
• Exceptional communication skills to enable communication and collaboration with physicians, patients, families and ancillary staff.
• Excellent critical thinking skills.
• Ability to work in a fast paced team environment.
• Ability to prioritize and multitask.
• Ability to make sound, independent clinical judgements and act professionally under pressure.
• Demonstrate ability to provide age appropriate patient education, age appropriate written and verbal communication skills, cultural competency and customer service skills and health literacy.

• Three to five years clinical experience.
• Experience with relevant systems;
  Google Docs, EPIC.

• NJ State Professional Registered Nurse License.
• AHA Basic Health Care Life Support HCP Certification.

• Certified Case Manager or Accredited Case Manager Certification.