Nurse Navigator - University Urology - HCA

USA Health•Mobile, AL

13d•Onsite

About The Position

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

Requirements

Graduation from an accredited school of nursing or practical nursing meeting the minimum standards set by the state of Alabama and 3 years of related experience Required
LPN - Licensed Practical Nurse - State Licensure Required or
RN - Registered Nurse - State Licensure and/or Compact State Licensure in accordance with the Nurse Licensure Compact (NLC) for Alabama Required

Nice To Haves

Masters will substitute for one year of the required experience Preferred

Responsibilities

Provide dedicated clinical oversight to a specific vulnerable patient population within a department.
Serve as the intermediary between multiple service lines and pathways to ensure the patient care plan remains intact and patient-centered throughout the disease process and their care transitions.
Assist the provider in the medical management of outpatients in the clinic.
Participate in direct patient care activities including but not limited to assessments, vital signs, specialty specific procedures/testing, injections, wound care, and phlebotomy.
Manage calls and messages from patients, families, other health care providers and pharmacies to ensure patient’s needs, questions and treatments are addressed in a timely fashion.
Communicate with overseeing provider to receive orders for prescriptions, medical equipment, home health/hospice etc. and obtain insurance authorizations as required.
Serve as the primary contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources.
Provide education and information to the patient and caregiver(s) related to their ongoing plan of care including current medications (including side effects), diagnostic schedules, follow-up schedules, and symptom management.
Document patient teaching including family and others, based on assessment of needs and respond to patient request.
Assist in coordination of care for the patient and caregiver(s) and provide emotional support.
Cultivate and support primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals.
Work across health care disciplines to assist in coordinating patient tests, procedures, appointments, and treatments, and assist patients in overcoming barriers to care including, but not limited to, transportation, financial counseling, and referrals.
Refer patients for supportive care services including nutritionists, social workers, counselors, and financial counselors.
Establish referral processes for each clinical area mentioned above.
Monitor the patient through their care in the system including in working with the patient and caregiver(s) while inpatient to ensure the plan of care is clear and continues after discharge.
Round on patient as needed for plan of care update and education purposes.
Continuously educate patient and caregivers during any transitions of care including but not limited to inpatient/outpatient stay, procedure/surgical care, rehab admission or discharge, or other specialty clinic care.
Work with providers to monitor patient population to analyze care plans, resources provided, and find opportunities to develop new tools or care pathways to serve the patients.