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• Contact patients and family members about SNF at Home options, eligibility, and enrollment
• Educate patients and caregivers about skilled nursing-level care in the home
• Serve as a point of contact throughout the transition process
• Conduct outreach and follow-up communications
• Coordinate transitions from hospitals or traditional SNFs into the SNF at Home program
• Collaborate with clinical teams, case managers, discharge planners, SNF staff, and internal team members
• Facilitate communication among patients, families, providers, facilities, and stakeholders
• Assist with scheduling, transition planning, follow-up, and enrollment coordination
• Identify transition barriers and escalate concerns
• Conduct in-person visits at hospitals and Skilled Nursing Facilities throughout Rhode Island
• Build relationships with discharge planners, case managers, SNF personnel, and healthcare providers
• Represent the organization during onsite meetings and care transition activities
• Document patient interactions, outreach, transition activities, and coordination notes
• Track outreach, enrollment progress, and transition outcomes
• Support reporting, workflows, administrative processes, team meetings, training, and special projects

Navigator jobs in Rhode Island

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