Transitional Care Navigator

Patient ServicesCare Transition Dalton, Georgia


Hamilton Health Care System, Inc.
Job Description and Performance Standards

Title:  Transitional Care Navigator   554774518

Department:  Transition of Care

Reports To:  Director of Quality and  CMO 

Shift: 8:00am - 5:00pm / Monday - Friday

Status: Full-Time



The Transitional Care Navigator will be a clinically experienced nurse who serves as a member of the transition of care team.  He/She will work closely with the team members to assist patients in a myriad of ways in an effort to enhance the patient experience and overall patient satisfaction.  Among these may be:  evaluating patients for indigent assistance such as clinic vouchers, contacting primary care offices to establish outpatient care, handling referrals from the hospital call center, following up on pending studies and contacting the discharged patient and their PCP with these results. He/She will also complete necessary paperwork including FMLA, prior authorizations for medications, and DME.  The Transitional Care Navigator may act as the primary point of contact for pharmacies, for the consulting firm that evaluates medical necessity documentation, and for other clinical entities within the hospital.  In an effort to reduce readmissions, he/she will serve as liaison between the hospitalist department and outpatient physician offices, providing discharge information where needed and possibly scheduling appointments within the Hamilton Health Care System for follow up after hospital discharge.  



Education:  Graduation from an accredited Practical Nursing program or Bachelor’s in Family/Consumer Science or Social Work

Licensure:  current nursing license if applicable

Experience:   Minimum 2 years’ experience in inpatient care at Hamilton Medical Center preferred; outpatient experience in a clinical office setting required.

Skills: Excellent presentation, oral written and interpersonal communication skills to effectively interact with all level of management, internal and external customers and the ability to present information accurately and effectively;  Working knowledge of Cerner;  Ability to understand medical history, accurately report medication reconciliation, and present information to physician provider. Knowledge of the medical community and its resources.   Ability to coordinate efforts with case management and inpatient nurses.



Works in a typical office subject to constant interruptions and heavy work volume, as well as making visits to the bedside as required.  Flexible work schedule required.  Requires corrected vision and hearing to normal range.  Moderate amount of walking required with some bending or stooping.  Moderate to high levels of stress involved