Complex Care Navigator

Yale New Haven HealthMilford, CT
Onsite

About The Position

In collaboration with an interdisciplinary team, the Complex Care Navigator is responsible for managing the patient population with complex discharge barriers. This role coordinates appropriate resources to facilitate and ensure the patient's progress through the continuum of care from hospital admission to post-hospital care. The position requires attention to detail to expedite the discharge process, thereby impacting patient flow, patient, family, physician, and staff satisfaction, decreasing length of stay, and increasing operational efficiency. Employees are expected to understand and share in the YNHHS Vision, support the Mission, and live the Values: integrity, patient-centered, respect, accountability, and compassion.

Requirements

  • Baccalaureate degree in a clinically related field.
  • RN or MSW Required
  • Minimum of 4 years of relevant clinical experience.
  • Current RN, LMSW or LCSW required
  • Strong interpersonal and leadership skills

Responsibilities

  • In collaboration with the assigned Care Manager, develops the overall plan of care/guidelines and communicates plan to members of the patient care team for select patients with complex discharge needs.
  • Reviews clinical records to obtain demographic and financial information and assesses physiological needs appropriate to plan of care as evidenced by documentation in patient care record.
  • In collaboration with the assigned Care Manager, provides direct/indirect care to select patients and families.
  • Acts as liaison between patients, families, hospital staff and community agencies to promote communication and facilitate discharge planning.
  • Attends educational seminars to maintain and meet expectations.
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