CSIG Holding Company

  • Transitional Nurse Navigator

  • Overview

    Transitional Care Navigator / Nurse Liaison
    StoryPoint - Rockford & Portage


    Our employees come first. Period. We’ve grown our business with this mindset, it’s the basis of everything we do: Employee First. We are one team, with one plan and everyone’s included. This means we move forward together, always leading with empathy and viewing all decisions through the lens of every employee.


    We believe in this so strongly that every employee in our company has scheduled monthly conversations with their leader to discuss their performance, growth and opportunities to improve the employee and customer experience.


    We live the constant pursuit of better and are always looking for ways to improve. Not only would we love for you to join us we also want input. Please CLICK HERE to take our 2 minute survey!  


    Position Summary:
    The Transitional Care Navigator is a clincian, LPN, or MSW (BSW) and is expected to follow patients at the assigned hospital through the patient’s transition of care from hospital to skilled nursing facility/rehab to home with homecare referral providing education to patient bedside at established frequency throughout the transition. The Transitional Care Navigator will interact/coordinate with Physician, Hospital and Skilled Nursing Facility/Rehab Administration, Case Managers and Discharge Planners, hospital support staff, and patients and families in coordination of Transitional Care and home care referral to Progress at Home Office.


    Required Experience for Navigator / Nurse Liaison:

    • Currently Licensed Practical Nurse (LPN) for the State of Michigan, or MSW (BSW)
    • Excellent communication, negotiation and public relations skills
    • Ability to market effectively with customers, referral sources, and the community
    • Compliance with accepted professional standards and practices
    • Self-directed with the ability to work with little supervision 
    • Moderate to Heavy travel between locations (Company provided training at our corporate office in Milford, MI)
    • Present professional appearance/dress
    • Maintain a positive attitude which supports team performance and productivity

    Primary Responsibilities for Navigator / Nurse Liaison:

    • Transitional Care Navigator identifies opportunities for relationships with physicians and organizations
    • Utilizes and maintains relationships with community partners to increase referrals at hospital, skilled nursing facility/rehab, and physician offices.
    • Develops and maintains strong relationships with professional referral sources
    • Seeks new opportunities to expand our growing number of referral sources
    • Works with staff to ensure that new business successfully goes to start of care
    • Provide ongoing contact with family and/or responsible party to obtain consent to assess/follow patient; coordinates between physician and patient about changes in plan of care; acts as patient advocate with external medical care providers 
    • Ensures quality patient care and excellent customer service is being provided
    • Establishes home care plans before discharge from a hospital or rehab facility
    • Adheres to modified coaching model to include bedside teaching to patient and family across the care continuum specifically medication reconciliation, personal health record, red flags for risk of readmission and how to manage, and securing follow up appointment with primary care physician to occur within 5 to 7 days of patient discharge to home
    • Transitional Care Navigator serves as an educational resource for patients, care givers and staff members
    • Proactively identifies and assesses needs of client and community
    • Carrying out supervisory responsibilities in accordance with the organizations policies and applicable laws
    • Completion of appropriate paperwork and recommendations as to better and/or more efficient ways of operating the department

    Serving is our Business

    Navigating the Path of HealthCare
    CorsoCare provides patient-based home health care services while protecting patient rights and giving them the dignity and respect they deserve. Our experienced certified home health care professionals are highly skilled and completely focused on our patients. Our services are comprised of three core divisions: Certified Home Health Care Services, Private Duty/Private Pay Services and Transitional Care Navigation Services.



    This classification description is intended to indicate the general kinds of tasks and levels of work difficulty that are required of positions given this title and should not be construed as declaring what the specific duties and responsibilities of any particular position shall be.  It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of the employees under her/his supervision.  The use of a particular expression or illustration describing duties shall not exclude other duties not mentioned that are of a similar kind or level of difficulty.



    Equal Opportunity Employer


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