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Phoebe Putney Memorial Hospital

Albany, Georgia

MaineHealth

Westbrook, Maine

UHS of Delaware

King of Prussia, Pennsylvania

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Buffkin/Baker

Albany, Georgia

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Northwest Medical Center

Tucson, Arizona

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South Portland , Maine

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Maitland, Florida

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Santa Fe, New Mexico

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Santa Fe, New Mexico

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Vanderbilt Health

Nashville, Tennessee

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WMCHealth

Valhalla, New York

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St. Charles Health System

Bend, Oregon

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Nemours Childrens Hospital

Orlando, Florida

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Wilmington, Delaware

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CHRISTUS Health

Alamogordo, New Mexico

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Onvida Health

Yuma, Arizona

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Alexandria, Louisiana

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Penn State Health

Hershey, Pennsylvania

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Transitional Nurse Navigator (RN), Population Health
Job DescriptionGeneral SummaryThe 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. Will effectively collaborate and communicate with internal and external customers to maximize the patient's potential for a healthy lifestyle evidenced in reduced Emergency Department visits and readmissions to the hospital. Effective use


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