Patient Navigator - Transitions of Care (Hybrid)

Patient Navigator conducts telephonic outreach to patients transitioning from hospitals to primary care, conducts assessments, coordinates follow-ups, and links patients to needed resources and supportive services. Works with Erie’s Transitions of Care team to facilitate care coordination across hospital, physicians, and community resources; performs chart reviews, uses electronic medical records, conducts brief assessments and motivational interviewing, and documents patient-reported medication management. Requires a High School diploma (Associates or higher preferred) and experience in healthcare/community settings, with strong communication and resource connection abilities. Hybrid work arrangement in Chicago, IL.