Regional Patient Navigator

Responsibilities

• Establish a consistent presence within assigned skilled nursing facilities to support post-discharge planning and care transitions
• Identify patients who may benefit from post-acute health services through collaboration with nursing, social services, and discharge planning teams
• Educate patients and families on available care options and support informed decision-making for post-discharge services
• Coordinate referrals and facilitate timely transitions to appropriate post-acute providers
• Serve as a liaison between SNF staff and post-acute care partners to ensure clear communication and continuity of care
• Document patient interactions, referrals, and outcomes in accordance with organizational and regulatory standards
• Build and maintain strong professional relationships within facilities through reliability, responsiveness, and ethical conduct

Requirements

• Bachelor’s degree required; Master’s degree (MSW, MHA, or related field) preferred
• Background in case management, care coordination, social work, patient advocacy, or related healthcare roles
• Strong understanding of care transitions, discharge planning processes, and patient support needs
• Excellent interpersonal, communication, and organizational skills
• Ability to work autonomously, manage time effectively, and prioritize in a dynamic environment
• Comfortable engaging with patients, families, and multidisciplinary healthcare teams
• Self-starter with strong initiative and follow-through
• Professional, compassionate, and patient-centered approach
• Adaptable and comfortable working across diverse facility environments
• Relationship-oriented with a collaborative mindset

Qualifications

• Strong understanding of care transitions, discharge planning processes, and patient support needs
• Excellent interpersonal, communication, and organizational skills
• Ability to work autonomously, manage time effectively, and prioritize in a dynamic environment
• Comfortable engaging with patients, families, and multidisciplinary healthcare teams
• Self-starter with strong initiative and follow-through
• Professional, compassionate, and patient-centered approach
• Adaptable and comfortable working across diverse facility environments
• Relationship-oriented with a collaborative mindset