Overview
The Transition Navigator provides comprehensive, patient-centered transition planning for patients from hospital to the next destination of care. The Transition Navigator is a key member of the interprofessional team. With a focus on the provision of excellence throughout the transition process, the Transition Navigator builds collaborative relationships and strives to deliver an exceptional patient/family experience through the health care journey. The Transition Navigator begins the transition process on patient admission and develops a plan for a transition out of hospital that considers the needs of the patient from a: cultural; financial; social; and spiritual perspective. The Transition Navigator works toward a seamless and sustainable transition, while utilizing their knowledge and understanding of community resources, legislation as it relates to Alternative Level of Care (ALC), Substitute Decision Makers Act, Public Guardian and Trustee and the ...