Care Transitions Nurse Navigator - Full Time - weekend - days

Care Transitions RN Navigator - located in the Pulse Center in Big Flats, NY!
 This position is Fri-Sun 7a-7p.

This position is eligible for a $25,000 sign on bonus! 

At Guthrie, you’ll find

* Strong clinical leadership and interdisciplinary support
* A mission‑driven culture grounded in compassion and excellence
* The stability and resources of a large, integrated health system
* A role that supports longevity, growth, and work‑life balance

What Guthrie Offers You

* $25,000 Sign‑On Bonus for eligible, experienced RNs
* Newly Increased RN Rates!
* Medical, Dental & Vision Coverage starting the first of the month after hire
* Generous PTO beginning on Day 1 which is based on years of experience!
* 403(b) Retirement Plan with employer match
* Tuition Reimbursement after 90 days
* Relocation Assistance - Up to $12,000 based on distance.
* Stable, Predictable Scheduling compared to inpatient bedside roles
* Supportive, Team‑Focused Culture
* Free On‑Site Parking
* Flexibility with self scheduling 
* America's Greatest Workplaces in Healthcare 2026 - Newsweek

Who We Are

At Guthrie, you’ll find more than just a job—you’ll find a career that supports
both your professional growth and your personal life.

Summary

The Care Transitions Nurse Navigator is responsible for managing a patient’s
successful transition from hospital to home, providing disease management, care
coordination, and patient triage.  The Nurse Navigator will be responsible to
linking mobile resources together, integrate and coordinate them to respond
appropriately to patient needs.  Telephonic patient triage is provided following
established evidence-based protocols to assist in navigating care across the
health care continuum.  The Navigator is responsible for telemonitoring and
patient education activities, and actively coordinates team care in a virtual
setting. 

Experience

A minimum of five (5) years relevant clinical experience who demonstrates
leadership and autonomy in nursing practice. Preferred experience in an
emergency or acute care setting, chronic disease management or care
transitions. 

Education

Graduate from an accredited School of Nursing. Bachelor’s degree in nursing
preferred. 

Licenses

The Care Transitions Nurse Navigator must be licensed as a Professional
Registered Nurse in both New York and Pennsylvania.  The applicant must have a
current license as a Professional Registered Nurse in their state of practice
prior to the position’s start date. Additional state licensure must be obtained
within 6 months of hire. Patient outreach and contact will be limited to those
patients living in the state of current licensure until dual licensure is
obtained. 

Essential Functions

1. Paramedicine Program
2. Access and navigate EMR System (Epic) to identify patients referred for a
community paramedicine visit.
3. Provide education to the patient virtually at bedside on paramedicine visit
and obtain verbal consent for the visit. 
4. Facilitate the referral to the appropriate EMS provider for the initial
post-discharge paramedicine visit. 
5. Acts as a primary contact source for patients to escalate concerns,
worsening symptoms.
6. Collaborate with primary care, Care Coordination staff, specialists, EMS
crews, Pulse Center team to meet patient needs. 
7. Coordinate deployment of home-based services as appropriate (home health,
paramedicine, urgent/emergent EMS response) with appropriate Pulse Center
staff and agencies
8. Schedules follow up appointments for the patient as needed. 
9. Care Coordination
10. Act as a point of contact for patients enrolled in the Chronic Care
Management program.
11. Triage patient questions/concerns, and coordinate care as appropriate
12. Provide feedback to the appropriate care coordination staff members
regarding patient interactions. 

Other Duties

1. Travel for this position may be required. 
2. The individual must demonstrate knowledge of the principles of growth and
development over the life span and possess the ability to assess data
reflective of the patient's status and interpret the appropriate information
needed to identify each patient's requirements as to his/her specific needs,
and to provide the care needed as described in the appropriate policies and
procedures.
3. It is understood that this description is not intended to be all inclusive,
and that other duties may be assigned as necessary in the performance of
this position.

The pay range for this position is $40 to $54.12

#LI-SF1

Joining the Guthrie team allows you to become a part of a tradition of
excellence in health care. In all areas and at all levels of Guthrie, you’ll
find staff members who have committed themselves to serving the community.

The Guthrie Clinic is an Equal Opportunity Employer.

The Guthrie Clinic is a non-profit, integrated, practicing physician-led
organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty
group practice of more than 500 physicians and 302 advanced practice providers
offers 47 specialties through a regional office network providing primary and
specialty care in 22 communities. Guthrie Medical Education Programs include
General Surgery, Internal Medicine, Emergency Medicine, Family Medicine,
Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular,
Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is
also a clinical campus for the Geisinger Commonwealth School of Medicine.