Health at Home Navigator, RN

CommonSpirit Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received: at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch.

As the Health at Home Navigator (HHN), your expertise in home-based services is essential to ensuring continuity of care for patients transitioning from acute care to home. By collaborating with physicians, case managers, and hospital teams, you play a critical role in improving clinical outcomes, patient satisfaction, and the overall care experience. 

Key responsibilities include:

• 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.

By fulfilling these responsibilities, the HHN plays a pivotal role in enhancing patient outcomes, improving satisfaction, and reducing care inefficiencies.

Why Join Us?

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.

If you’re ready to build something extraordinary, we want to hear from you.

Apply today and lead the way in reimagining patient care.

Benefits:

• Excellent Vacation Plan to recharge
• Seven paid holidays; Four days of Personal Time
• Blue Cross Blue Shield Standard PPO Plan/High Deductible Health Plan
• Delta Dental Plan
• EyeMed Vision Plan
• Fidelity 401(K) Plan
• Lyra Mental Health Benefits
• Cigna Life/AD&D Plans
• Cigna Long Term Disability
• Cigna Short Term Disability
•  Cigna Critical Illness/Group Universal Life Insurance

What We’re Looking For:

We seek experienced, compassionate leaders with:

• A strong background in home health and hospice services is required.
• Completion of an accredited registered nursing program. Current unrestricted license as a registered nurse in state(s) of practice.
• 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.
• A desire to shape and lead an innovative program
• Excel in communication and patient education
• The courage to step into a startup type environment and make a lasting difference 

At CommonSpirit Health at Home, we are proud to be an Equal Opportunity Employer, promoting diversity, equity, and inclusion in every aspect of our organization. We value the unique contributions of all individuals, including minorities, protected veterans, and individuals with disabilities.

The incumbent selected will serve Baylor St. Luke's Medical Center in Houston, TX.