Registered Nurse Patient Navigator, Case Management - Full Time

Mercyhealth•Janesville, WI

About The Position

The RN Patient Navigator coordinates and facilitates patient care activities to ensure appropriate services and efficient resource utilization, improve care coordination across the health care continuum, and contribute to better patient satisfaction and outcomes. The role provides compassionate, culturally sensitive, holistic nursing care in a clinical setting in support of Mercyhealth’s nursing mission, practice values, and strategic plan. The position provides case management, advocacy, and care coordination for hospital patients across a variety of settings, helping ensure seamless care transitions while minimizing delays and readmission risks. The navigator assesses patients early, develops individualized plans for continuing care, connects patients with post-hospital providers, and collaborates with the healthcare team on timely discharge, patient education, follow-up, and core measure completion. The role also conducts clinical reviews under the Utilization Management Plan and identifies and intervenes in situations that create financial risk for patients or the organization. This is a full-time, 40-hour-per-week position with a Monday–Friday day schedule. Weekend and holiday availability or on-call work may be assigned. The position has no supervisory responsibilities and requires independent work with minimal guidance.

Requirements

Graduate of an accredited nursing program.
BSN, or an agreement upon hire to enroll in an accredited BSN Completion Program.
May require applicable years of experience to qualify, according to department guidelines.
Current Registered Nurse license in the state of practice.
BLS/CPR certification required within 90 days.
Skilled in using voicemail and phone features.
Able to use available technology for language interpretation.
Expert knowledge of Allscripts Care Management and Epic EMR.
Able to use Microsoft Outlook and basic Excel and Word.
Able to toggle easily between computer applications.
Able to work independently with minimal guidance.

Nice To Haves

Case Management Certification (ACM) preferred.
Certification within three years in a specialty approved by the CNO or designee, such as Case Management, Med/Surg, or Diabetic Education.
Color-blind test may be required according to department guidelines.

Responsibilities

Provide case management, advocacy, and care coordination to hospital patients in a variety of settings.
Support seamless transitions in care while minimizing delays and risk of readmission.
Conduct early patient assessments through case-finding and referral to identify coordination and discharge-planning needs.
Create individualized, patient-focused plans for continuing care needs.
Refer patients to post-hospital care providers using knowledge of community resources.
Collaborate with the healthcare team to support timely discharge, complete patient education and instructions, and establish appropriate follow-up.
Educate patients and families about chronic disease conditions using current clinical nursing knowledge.
Collaborate with staff nurses and physicians to ensure core measure elements are met before discharge.
Conduct clinical reviews according to the Utilization Management Plan.
Identify and intervene in situations that pose financial risk to the patient or organization.
Work independently with minimal guidance.
Be available for assigned weekend and holiday work or on-call coverage, and respond promptly to pages during assigned on-call hours.