Nurse Care Navigator

Fresenius Medical Care•Kennesaw, GA

5d•Remote

About The Position

Responsible for coordination and management of evaluation of kidney transplant patients in the pretransplant phase. The Nurse Care Navigator (TECN) will work in collaboration with their TECN Scheduler to schedule, confirm and execute testing. TECN will review results of testing and compile all testing once complete to submit to the transplant center. TECN will review all testing and elevate abnormal testing to the designated Transplant Center physician. TECN will also collaborate with the Transplant Center team to accomplish pre-transplant evaluation where appropriate. TECN will attend meetings with the Transplant Center when needed and present patients at selection conference for decisioning on candidacy.

Requirements

Graduate of an accredited School of Nursing; RN BSN required
Current appropriate state licensure
One multistate license with the ability to practice in all compact states
Minimum 5 years of experience in pre-transplant intake, patient education, ICU, or similar clinical setting
Solid understanding of the relationship between healthcare providers and regulatory agencies
Ability to analyze complex issues and propose alternative solutions
Experience in quality management, risk management, case management, and infection control
Excellent verbal and written communication and interpersonal skills
Exemplary customer service orientation
Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint)
Medical database software required

Nice To Haves

advanced degree preferred
Proficiency with EPIC preferred

Responsibilities

Review incoming referrals to ensure they meet Transplant Center Evaluation Guidelines
Request and place orders for referral testing per protocol for acceptable candidates
Consent patients and secure consent for transplant evaluation per Transplant Center Protocol
Provide CMS transplant education per Transplant Center Policy
Assist patients in completing health maintenance screening tests not on the standard UNOS-required list
Schedule health screening tests with hospital services and external partners
Identify local partners (e.g., radiology centers, cardiology clinics) to perform necessary testing
Assist patients in obtaining dental care as needed per Transplant Center policy
Develop clear algorithms for special-case scenarios (e.g., commercially insured patients requiring testing at the parent hospital)
Review results and discuss abnormal findings with the designated Transplant Center physician or designee
Maintain a real-time tracking system for test completion, results collection, and anomaly review
Maintain a clear communication pathway with the Transplant Center MD for escalating abnormal results
Coordinate communication of abnormal results to patients per pre-agreed procedures
Track and follow up on missing or incomplete tests
Guide management of patients who repeatedly miss scheduled appointments
Confirm patient intent and attendance with the dialysis clinic social worker (MSW)
Communicate with the FKC MSW regarding patients who are difficult or impossible to schedule
Escalate scheduling barriers to the attending nephrologist to assess candidacy or psychosocial obstacles
Coordinate billing and reimbursement for testing with the Transplant Center Financial Coordinator
Ensure testing is billed through the Transplant Center and not directly to the patient
Distinguish initial screening testing (billable to transplant center) from follow-up testing (billable to patient insurance)
Participate in periodic audit trails of billing documentation
Arrange lobby/practice days with Transplant Center personnel as appropriate
Coordinate joint population-level reviews between practices, clinics, and transplant centers
Solicit feedback from patients, referring physicians, and transplant center staff on TCN operations
Provide continuous updates to Operations Management regarding the clinical posture of assigned centers
Perform other related duties as assigned