25 Transition Care Navigator

The Transitional Care Navigator is responsible for coordinating post-hospital discharge care to ensure a safe and successful transition from the inpatient setting to outpatient care. This position conducts timely outreach to recently discharged patients, assesses post-discharge needs, promotes medication adherence, coordinates follow-up appointments, and serves as a liaison between patients, providers, hospitals, and community resources.

The coordinator plays a key role in reducing hospital readmissions and improving patient outcomes.