Health at Home Navigator

About the role

St. Joseph Medical Center in Tacoma, WA is hiring a Health at Home Navigator (HHN), RN. As a licensed RN, you will facilitate seamless discharges from acute care to home‑based services, collaborate with physicians, case managers, and hospital teams, and advocate for patients transitioning to home health or hospice. The role is hospital‑based, working with discharge planners to identify patients who would benefit from home health or hospice services and to drive care to the home setting. At CommonSpirit Health at Home you’ll find not just a job but a mission: to transform the home healthcare landscape and touch lives in a profound way—all while maintaining the work‑life balance you deserve.

Responsibilities

• Collaborate with Care Teams: Partner with providers, case managers, and social workers to facilitate seamless and timely discharges to home‑based services, prioritizing patient‑centered care.
• Guide Patients Through Transitions: Assist patients and families in navigating post‑acute care options, addressing barriers, and advocating for home‑based services that align with their needs.
• Safeguard Patient Well‑being: Identify opportunities to reduce financial and clinical risks, ensuring patients and families are supported during and after their hospital stay.
• Advocate During Rounds: Actively participate in multidisciplinary rounds, serving as a patient advocate to ensure efficient and effective continuity of care.
• Engage Patients Early: Initiate discussions about care destinations and discharge planning upon patient admission, conducting informational visits to promote home health as a preferred option.
• Prioritize Patient Populations: Work with hospital partners to identify and prioritize patient populations who will benefit most from home‑based services, such as home health or hospice.
• Overcome Healthcare Barriers: Address and navigate barriers within the healthcare system to ensure patients have access to appropriate home‑based care.

Requirements

• Current unrestricted license as a registered nurse in the state(s) of practice.
• Completion of an accredited registered nursing program.
• Strong background in home health and hospice services is required.
• Home Health experience or prior navigator experience in a post‑acute setting such as ALF/SNF/ILF.
• Combination of acute and post‑acute care delivery experience preferred.
• Desire to shape and lead an innovative program.
• Excellent communication and patient‑education skills.
• Willingness to step into a startup‑type environment and make a lasting difference.

Pay

$45.26 - $67.32 per hour