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RN Navigator - Health at Home Services

CHI Health at Home Lincoln Lincoln, Nebraska
Requisition ID 2022-263498 Employment Type Full Time Department Home Health and Hospice Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Remote No Category Case Management and Social Work

HAH CHI Health at Home (NE)
#The Power to Advance Care in the Home

Do you know the inner-workings of the hospital discharge process?  Are you familiar with Home Health and Hospice?  Are you a Care Coordination Guru?

We’re trying to get patients out of the hospital sooner.  And we’ve found the secret to making it happen.  Our Health at Home Navigator!  Be a key contributor to getting patients home quicker to the right level of care, at the right time. As part of the CHI Health Care Coordination team inside the hospital, the Home Health Navigator educates pre-identified, at-risk patients about home-based services, preparing patients and families for their journey home.


The Health at Home Navigator (HHN) has expert knowledge of geriatric home-based services, including home health, hospice and home infusion, and is an integral member of the hospital's health care team. The HHN will work with home-based service providers to increase the opportunity for timely discharge to home. Collaborate with physicians, Care Management, and other hospital team members to facilitate the discharge plan of care and enhance the quality of clinical outcomes while increasing patient satisfaction.


  • The HHN works within the hospital and will guide patients through to care in the home upon discharge. 
  • Works with and alongside hospital partners to identify and prioritize patient populations who will benefit from post-acute services.
  • Guides patients through and around barriers within the healthcare system.
  • Identifies opportunities to reduce both financial and clinical risks to patients and families who have been discharged from the hospital.
  • Acts as an active participant in multidisciplinary hospital/facility rounds as a patient advocate to ensure efficient continuity of care throughout the continuum.
  • Collaborates with physicians and staff around care planning.
  • Communicate pertinent care destination information and the home services candidates who were identified to the case manager and/or social worker.
  • Maintains communication with patients, families, and health care providers to monitor patient satisfaction.
  • Facilitates follow-up services with home services providers.
  • Maintains documentation of coordination of home services.

A compensation range of $65,000 - $95,000 is the reasonable estimate that CHI Health at Home in good faith believes it might pay for this particular job based on the circumstances at the time of posting. CHI Health at Home may ultimately pay more or less than the posted range as permitted by law


  • Active registered nurse (RN) license in state of practice, and/or Licensed MSW from an completed accredited MSW program
  • Home Health and/or Hospice experience and/or knowledge is required.
  • Combination of Acute and/or Post-Acute care delivery experience preferred. 
  • Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost).
  • Must have strong organizational (time management) skills and the ability to handle multiple priorities. 
  • Excellent communication skills and the ability to interact with nurses, physicians and skilled healthcare professionals.
  • Ability to work autonomously within a matrix environment without direct supervision or support.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.