**Job Summary and Responsibilities**

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 ...