Rn Nurse Navigator- Transitional Care & Discharge Coordination

Responsibilities

Doctors Hospital of Laredo, in Laredo, TX, is a 183-bed acute care facility that offers a range of medical services. You’ll feel a difference when you walk in our doors. There’s pride in the care we deliver and a commitment to serving Laredo’s growing healthcare needs.

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The RN Nurse Navigator – Transitional Care & Discharge Coordination is a registered nurse responsible for proactively rounding on hospitalized patients to identify discharge needs, provide education, coordinate transition planning, and promote safe, timely discharges. The Nurse Navigator functions as a liaison between patients, families, physicians, nursing staff, case management, and community resources to improve continuity of care, reduce readmissions, and enhance the overall patient experience.

• This position requires frequent patient rounding and direct interaction with patients and families throughout the hospitalization process to assess discharge readiness, identify barriers to discharge, and ensure a smooth transition of care.
• The RN Nurse Navigator will collaborate closely with physicians, nursing staff, case management, social services, therapy departments, and ancillary teams to coordinate discharge planning needs including follow-up appointments, home health services, durable medical equipment, transportation, medication access, and community resources.
• Provides individualized patient and family education regarding diagnosis, medications, discharge instructions, disease management, follow-up care, and prevention of complications to support patient understanding and self-management after discharge.
• Performs post-discharge follow-up telephone calls to assess patient status, reinforce discharge instructions, identify concerns or complications, ensure medication compliance, and confirm follow-up appointments were completed or scheduled appropriately.
• Maintains accurate and timely documentation in the electronic medical record and participates in quality improvement initiatives focused on patient satisfaction, transitions of care, readmission reduction, and discharge efficiency.

• Challenging and rewarding work environment
• Competitive Compensation & Paid Time Off
• Excellent Benefit Packages
• 401(K) with company match and discounted stock plan
• Tuition Reimbursement
• Career development opportunities across UHS and its 300+ locations!
• Health Stream online learning catalogue with plenty of free CEU courses
• More information available on our Benefits Guest Website:

• Graduation from an accredited nursing education program required.
• Current Registered Nurse (RN) license in the State of Texas required.
• Minimum of three (3) years of acute care nursing experience preferred.
• Preferred experience in case management, discharge planning, utilization review, patient education, care coordination, or transitional care preferred.
• Strong communication and interpersonal skills with the ability to effectively interact with patients, families, physicians, and multidisciplinary teams.
• Ability to prioritize, coordinate, and manage multiple patient needs in a fast-paced healthcare environment.
• Knowledge of community resources, discharge planning processes, and transitional care principles preferred.
• Ability to effectively communicate in English both verbally and in writing.
• Bilingual (English/Spanish) preferred.
• Proficient in electronic medical records and Microsoft Office applications.
• BLS required. ACLS preferred.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.