Network Navigator, Case Management, FT Days - VUH

Vanderbilt University Medical Center•Nashville, TN

43d•Onsite

About The Position

Provides leadership by being actively involved with case management staff to help complex cases and remediating barriers. Collaborates with community resources and consulting with clinical teams to meet the needs of the patient/family in managing challenges related healthcare, including, but not limited to appropriate follow-up care, psychosocial issues, funding/financial benefits to meet short term and long term goals.

Requirements

LIC-Registered Nurse - Licensure-Others
Relevant Work Experience
Bachelor's: Nursing (Required)
Master's: Social Work

Nice To Haves

Access Patient Education (Advanced)
Patient Assessment & Evaluation (Advanced)
Evidence-Based Practice (Advanced)
Case Management (Advanced)
Treatment Planning (Advanced)

Responsibilities

Leads patient progress through care continuum with outcomes based practice; daily management of communication between providers, facilities, families, and transport.
Manages post-acute care hotline, triaging phone calls from post-acute facilities/agencies, patients/families that initiates decision tree for deploying clinical resources, or executing a transfer to acute setting based on immediate patient needs.
Transitions patients to appropriate level of care using alternative interventions to attain patient/family specific goals based on plan of care.
Establishes outpatient follow-up appointments for patients defined as members of an at risk population, including ongoing communications with ambulatory providers.
Initiates and receives clear handover from post-acute to acute level of care with conversation, documentation, and follow-up.
Serves as primary customer service representation for post-acute services for network providers; performs outreach and satisfaction calls when appropriate.
Works closely with legal conservators in decision making related to execution of the patient plan of care.
Acts as lead to Case Managers in coordinating patient progress through care continuum with outcomes based practice; daily management of communication between providers, facilities, families, and transport.