Breast Oncology Nurse Navigator

Trinity Health

6d•$33 - $57•Onsite

About The Position

The Nurse Navigator is accountable for facilitation and management of care coordination across the healthcare continuum for a designated population. Serves the advanced nursing needs of stroke patients across the continuum by providing direction for patient care and individualized education for patients and family. Acts as a patient advocate and link to community resources. Provides post-discharge care coordination. Provides continuity of care by ensuring smooth transitions between care settings. Develops a relationship with the patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care. Performs post-discharge follow-up on identified patient population at defined intervals. Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care, and identifying barriers to care. Navigates patients and family members throughout the diagnosis, treatment, and follow-up of a patient throughout the continuum of care. Attends diseasespecific support group and assists program coordinator with facilitation of community-based initiatives. Participates in multidisciplinary rounds and supports nursing staff in development of individualized, evidence-based outcome oriented, safe and timely practices

Requirements

Advanced nursing needs of stroke patients
Individualized education for patients and family
Patient advocacy
Link to community resources
Post-discharge care coordination
Continuity of care
Smooth transitions between care settings
Relationship with patient and multidisciplinary team
Facilitation of treatment and follow-up
Post-discharge follow-up
Education
Addressing psychosocial needs
Identifying barriers to care
Navigating patients and family members through diagnosis, treatment, and follow-up
Participation in multidisciplinary rounds
Support of nursing staff in development of individualized, evidence-based outcome oriented, safe and timely practices

Responsibilities

Facilitation and management of care coordination across the healthcare continuum for a designated population.
Serving the advanced nursing needs of stroke patients across the continuum by providing direction for patient care and individualized education for patients and family.
Acting as a patient advocate and link to community resources.
Providing post-discharge care coordination.
Providing continuity of care by ensuring smooth transitions between care settings.
Developing a relationship with the patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
Performing post-discharge follow-up on identified patient population at defined intervals.
Supporting the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care, and identifying barriers to care.
Navigating patients and family members throughout the diagnosis, treatment, and follow-up of a patient throughout the continuum of care.
Attending disease-specific support group and assisting program coordinator with facilitation of community-based initiatives.
Participating in multidisciplinary rounds and supporting nursing staff in development of individualized, evidence-based outcome oriented, safe and timely practices.