RN Discharge Navigator - Medical Group

Trinity Health

Mason City, IA

JOB DETAILS
SKILLS
Acute Care, Ambulatory Care, Behavioral Health, Cardiology, Cardiovascular, Cerebral Vascular Accident, Clinical Laboratory, Clinical Outcomes, Coaching, Communication Skills, Community Health, Computer Skills, Diabetes, Documentation, EMT-Paramedics, Family Medicine, Fellowship, Government Reporting, Healthcare, Healthcare Administration, Healthcare Providers, Healthcare Quality, Hospice Care, Hospital, Identify Issues, Internal Medicine, Intranet, Medical Assistance, Medical Record System, Medical Records, Medicine, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Myocardial Infarction, Nonprofit, Nursing, Nursing Administration, Order Delivery, Organizational Skills, Orthopedics, Outpatient Care, Patient Care, Patient Education, Performance Management, Pharmacy, PowerChart Touch, Process Development, Process Improvement, Radiology, Recreation, Registered Nurse (RN), Rehabilitation Medicine, Risk, Sports, Team Lead/Manager, Time Management, Training/Teaching, Wound Care
LOCATION
Mason City, IA
POSTED
4 days ago

Employment Type:

Full time

Shift:

Day Shift

Description:

At MercyOne, health care is more than just a doctor's visit or a place to go when you're in need of medical attention. Our Mission is based on improving the health of our communities - that means not only when you are sick but keeping you well.

MercyOne North Iowa is the largest provider of health care services in our region, and we are proudly the largest employer in Cerro Gordo County. Our hospital is a private, not-for-profit health care center, licensed for 346 beds, which serves more than 400,000 inpatients and outpatients each year. In addition, MercyOne North Iowa is a teaching institution. We conduct a Family Medicine Residency, Internal Medicine Residency, Cardiology Fellowship, Hospice and Palliative Medicine Fellowship, PGY1 Pharmacy Residency and a School of Radiologic Technology. MercyOne North Iowa is a clinical training site for approximately 500 students from 127 different colleges enrolled in programs for medical laboratory, nursing, paramedic, rehabilitation, medical assistants, pastoral services, physicians and many other medical fields.

Join the MercyOne Family! We are looking to hire a RN Discharge Navigator

As a RN Discharge Navigator at MercyOne, you will serve as a consistent care coordinator for MercyOne clinic patients being discharged from the hospital and emergency room. The coordinator will collaborate with the care coordination and clinical teams to assure the patient needs are met and all follow-up is transitioned to the ambulatory care team. The Navigator will be the liaison with the patient, providers, care team, family and other involved parties to identify and eliminate barriers to care to achieve an optimal clinical outcome. The coordinator will also serve as a resource for patients needing to establish care with MercyOne Clinics across the region.

Schedule:

  • Full time 40 hours a week
  • Days

General Requirements:

  • Knows, understands, incorporates, and demonstrates the MercyOne (Trinity Health) Mission, Vision, Core Values, Actions and Promise in behaviors, practices, and decisions.
  • Identifies problem areas in need of focused attention and implements actions to drive improved outcomes.
  • Coordinates patient care in collaboration with the acute and ambulatory care team across the continuum of care.
  • Manages the timely transition and follow-up post hospital discharges or emergency room visits ensuring appointments and follow up visits are scheduled.
  • Ensure care documents and discharge notes are accessible to the ambulatory care team to ensure seamless transition and communication.
  • Coordinates post hospitalization advanced imaging as needed, supporting communication with ambulatory care teams and ordering or tasking of discharge orders.
  • Coordinates with clinic manager for access challenges and concerns to ensure timely follow-up. Escalates access concerns to Medical Group leadership.
  • Identifies and refers patients appropriate for resource referrals including care management, high risk health coaching and community health workers.
  • Document all patient coordination activities, education, and other interactions in designated inpatient and outpatient electronic health record systems to assure a timely, complete patient record and effective communication with other members of the care delivery team. Assist with tracking, documentation and outcome reporting for navigation services.
  • Identify opportunities to develop improved processes and prevent hospitalizations, readmission and unnecessary emergency room visits.
  • Supports patients in establishing care with MercyOne clinics and maintaining awareness of providers with access and limitations.
  • Perform other duties consistent with the purpose of the job as directed.

Education:

  • Education: Bachelor's degree in nursing, health administration or related field required.
  • Iowa licensure as a Registered Nurse.
  • Experience: Requires a minimum of three (3) years in clinical setting.
  • Special Skills, Competencies, and Aptitudes:
  • Member of a professional healthcare organization.
  • Demonstrated expertise in the use of performance improvement methodology/tools.
  • Must be able to use computers for documentation and other relevant activities. Demonstrates specific knowledge related to software programs such as event reporting systems, government reporting systems, and other appropriate software programs. Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use of reporting tools. Helpful to have experience with PowerChart/EPIC or similar tool.

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system!

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care.

Want to learn more about MercyOne North? Click here: MercyOne North Iowa Medical Center

Mason City

Mason City is North Iowa's cultural, entertainment and economic hub. Just 120 miles north of Des Moines and 135 miles south of Minneapolis/St. Paul, it offers eclectic shopping, unique dining and a vibrant community where events are part of everyday life. With excellent schools, picturesque neighborhoods, quality health care and diverse career opportunities, Mason City is truly a great place to call home.

MercyOne North Iowa Medical Center in Mason City, Iowa, is a full-service acute-care hospital with a long-standing family medicine residency program dating back to 1974, with a focus on training rural physicians. It's recognized in 2024 by the American Heart Association with multiple Get With The Guidelines and Mission: Lifeline awards for stroke, ST-elevation myocardial infarction, non- ST-elevation myocardial infarction diabetes, resuscitation and rural stroke care - highlighting excellence in cardiovascular and stroke treatment.

New Hampton

New Hampton is a safe rural community with highly-rated schools in the New Hampton Community School District. Families enjoy small class sizes, strong sports programs and community-focused events. Outdoor recreation includes parks, trails and an aquatic center.

A faith‑based, 18‑bed critical‑access hospital serving Chickasaw County, MercyOne New Hampton Medical Center provides 24/7 emergency, inpatient/outpatient, maternity, family medicine, behavioral health, orthopedics, wound and diabetes care and rehab therapies. It supports around 20,000 outpatient visits annually, with 14 specialties available locally.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

About the Company

T

Trinity Health

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, the Trinity Health system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. In fiscal year 2023, the Livonia, Michigan-based health system invested $1.5 billion in its communities in the form of charity care and other community benefit programs.
COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
WEBSITE
https://jobs.trinity-health.org/search-results