Population Health RN Navigator(Transitional Care Center)

Job ID
Employment Type
Full Time
Community Benefit Programs
Hours / Pay Period
Marian Regional Medical Center
Standard Hours
M-F 8-
Work Schedule
8 Hour


Marian Regional Medical Center, located in Santa Maria, CA, is nationally ranked among the top 10% in the nation for safety core measures in Cardiac Services and has the only comprehensive Cancer treatment and resource program from Los Angeles to San Francisco. In April 2012, Marian opened its doors to a brand new state-of-the-art facility which houses the latest technology to support excellent physicians and caregivers who deliver compassionate care each and every day. Marian's new hospital includes 191 beds, expanded and enhanced Emergency Department, Critical Care Unit, NICU and women's services.


Marian is a Dignity Health member of the Central Coast, which also includes Arroyo Grande Community Hospital in Arroyo Grande, CA and French Hospital Medical Center in San Luis Obispo, CA. Dignity Health of the Central Coast is recognized for the highest quality hospitals, physicians from the top medical schools in the country, primary care offices to ensure access for all patients, premier ambulatory surgery centers, technologically advanced imaging centers, outpatient services and a comprehensive home health service; all recognized for quality, safety and service. Each hospital is supported by an active philanthropic Foundation to provide additional funding to support new programs and services, as well as to advance the community's access to health care.



Position Overview:

Under the supervision of the Central Coast Chronic Disease Program Coordinator and hospital site supervisor, the Chronic Disease Management Program RN plans, organizes and arranges for services patients with Chronic Disease will require. Applies concepts derived from management and communications theory, group dynamics, counseling methodologies, and clinical nursing judgment to implement a clinical nursing program or programs. Manages web-based care management data-base and functions as liaison between the provider, community and community based patients with Chronic Disease. Primarily provides remote case management via electronic &/or tele-monitoring. May provide direct patient assessments. Utilizes nursing process and formulates interventions utilizing current clinical knowledge. Initiates and participates in patient, family and staff education. Actively markets the program and participates on pertinent Dignity Health and/or community committees. Demonstrates leadership capabilities. Major responsibilities are listed; however, other duties may be assigned.



  • At least five years experience as a Registered Nurse in an acute care, critical care, home health or telehealth environment, with an emphasis on care of patients with chronic disease, e.g. CHF, COPD, Diabetes, required.
  • California Registered Nurse License, required.
  • Current CPR certification and current California drivers license with proof of liability insurance for automobile, required.



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