WEO Nurse Clinician (Nurse Navigator/Case Manager) - 60%

UIOWA•Iowa City, IA

4d•Onsite

About The Position

University of Iowa Health Care, Care Coordination Division is seeking a Nurse Clinician/Nurse Navigator to facilitate the progression of care across the continuum through collaboration with the interdisciplinary team which includes but is not limited to patient care staff, providers, patient support, family and community resources. The Nurse Clinician/Navigator ensures appropriate transitions of care to enable quality outcomes is responsible for ensuring the appropriate utilization of clinical resources with the goal of timely and safe discharges while maintaining healthcare industry compliance. The Nurse Clinician/Navigator must be adept at driving throughput metrics, clinical effectiveness, and fiscal responsibility.

Requirements

A Baccalaureate degree in Nursing
Minimum of 3 years of recent clinical nursing experience
Current license to practice nursing in Iowa, or the ability to obtain licensure by the date of hire
Experience working with an interdisciplinary team
Excellent organizational skills, critical thinking, and problem-solving skills
Excellent written and verbal communication skills
Proficiency in computer applications including Microsfot Excel, Word, and PowerPoint

Nice To Haves

Two years recent medical/surgical inpatient experience, including care coordination/case management
Demonstrated expertise with patient/family discharge planning process
Professional Master of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA)
Certification in case management
Previous experience with EPIC

Responsibilities

Perform transition planning activities at the onset and throughout the patient’s hospitalization utilizing clinical skills to create and update personalized transitional care plans at the onset and throughout the patient’s hospitalization.
Complete the initial assessment or ensures completion of all inpatient/observation patients to identify the barriers that impact the length of stay and discharge planning. The assessment should also identify the needs of the patients, acknowledge the resources available and anticipate future resource needs for successful transitions.
Collaborate with the patient’s provider and other healthcare team members in managing the patient’s length of stay and determining the appropriate level of care for transition planning.
Assist in discharge planning (referrals) for individuals with continuum of care needs (Post-acute facilities, Home Care, Hospice, etc.).
Articulate the plan of care and communicate this plan to other care team members and patient/caregiver thereby enhancing patient and staff satisfaction.
Intervene to maintain care progression when a deviation in the plan occurs.
Participate in multidisciplinary huddles incorporating evidence/best practice outcomes in the plan and communicate that plan to the health care team, including estimated length of stay, barriers to discharge, and anticipated disposition. Identify what is needed from the team to facilitate the plan.
Provide assessment, brief counseling, information, referrals, and other resource assistance to patients/families as needed.
Identify high-risk social situations to intervene in and coordinate resources to promote follow-up care.
Arrange for community services before discharge to meet patients’ post-discharge needs with recognition and documentation of patient choice of service providers.
Participate in Care Coordination initiatives or other projects according to departmental and organizational monitors.
Perform other duties as assigned, to ensure that departmental objectives are fulfilled.