Registered Nurse, Patient Navigator - Full Time

Mercyhealth Wisconsin and Illinois•Rockford, IL

3d•$39 - $60

About The Position

The RN Patient Navigator coordinates and facilitates patient care activities to ensure appropriate services and efficient resource utilization, improve 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 and supports Mercyhealth’s nursing mission, practice values, and strategic plan. The navigator provides case management, advocacy, and care coordination for hospital patients in a variety of settings, helping ensure seamless transitions while minimizing delays and readmission risk. The role includes early assessment of patient needs, individualized planning for continuing care, referrals to post-hospital providers, collaboration with the healthcare team on timely discharge and follow-up, patient and family education, clinical review, and intervention in situations that create financial risk.

Requirements

Graduate of an accredited nursing program.
BSN, or an agreement upon hire to enroll in an accredited BSN Completion Program.
Current Registered Nurse license in the state of practice.
BLS/CPR 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 program and Epic EMR.
Able to use Microsoft Outlook and have basic knowledge of Excel and Word.
Able to toggle easily between computer applications.
Able to work independently with minimal guidance.
Must be available to work and/or be on call on weekends and holidays, as assigned; on-call duties require accessibility by pager or cell phone and prompt response to pages by phone.

Nice To Haves

Case Management Certification (ACM).
Certification within three years in a specialty approved by the CNO or designee, such as Case Management, Med/Surg, or Diabetic Education.

Responsibilities

Provide case management, advocacy, and care coordination services to hospital patients in a variety of settings to support seamless transitions and minimize delays or readmission risk.
Conduct early patient assessment through case-finding and referral to identify care coordination and discharge planning needs.
Create individualized, patient-focused plans to meet continuing care needs.
Refer patients to post-hospital care providers using knowledge of community resources.
Collaborate with the healthcare team to ensure timely discharge, complete patient education and instructions, and 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 requirements are met before discharge.
Conduct the clinical review process according to the Utilization Management Plan.
Identify and intervene in situations that pose financial risk to the patient and the organization.