Job ID: 86975 Area of Interest: Nursing Location: Baltimore,MD US Hours of Work: 8am-4pm Job Facility: UM Rehabilitation & Orthopaedic Institute Employment Type: Full Time Shift: DAY What You Will Do: Transitional Nurse Navigator - Care Management Full Time - Days Baltimore, MD The Transitional Nurse Navigator (TNN) is responsible for seeking and implementing interventions, methodologies, and best practices for the high risk population. Using an evidence-based tool, the TNN identifies and assesses the patient for priority needs, key areas for needed support and services that contribute to readmissions; develop care plans and when appropriate refers for services to assist in navigating barriers to care. (About the Facility) We're making Maryland stronger! With roots that go as far back as 1895, the UM Rehabilitation & Orthopaedic Institute continues to be a pioneer in orthopaedics and neurological disorders . From bones to brains, our cutting-edge center heals even the most serious of injuries, specializing in everything from total joint replacement to spinal cord injuries and neurological conditions . Our surgeries take place in 6 operating rooms designed for Orthopaedic Surgery combined with our efficient 7-bed Medical Surgical Unit. And our rehabilitation occurs in our innovative William Donald Schaefer Rehabilitation Center. In total, our 141-bed facility welcomes over 3,000 patients every year. As the state's largest provider of inpatient rehabilitation services , we offer some of the most advanced therapies for stroke, spinal cord injury, traumatic brain injury, orthopaedic and sports injury, among many others. Job Summary : Consistently expresses and demonstrates respect, compassion and courtesy for patients, family/visitors, and team members. Assists the clinical nurse in providing individualized patient care consistent with the mission and values of University of Maryland Rehabilitation & Orthopaedic Institute and in accordance within the scope of practice, professional, and regulatory standards. Assists the clinical nurse in providing care appropriate to the age, culture, ethnicity, spirituality, and individual diagnostic needs of the persons served. Accountable to the clinical nurse, patients and families for processes and outcomes during an episode of care. Serves as a fully engaged member of the interdisciplinary patient care services team. Participates in cost effective strategies that optimize patient outcomes. What You Need to Be Successful: Bachelor's degree in nursing or related field required. Current Maryland State Licensure as a Registered Nurse. Three (3) years of experience in care transitions/care coordination. Current CRP certification. We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.