Registered Nurse (RN) Navigator | Dialysis

Avera•Sioux Falls, SD

3d•Onsite

About The Position

Assists with coordinating the care and services of the patient diagnosed with kidney disease across the continuum of care in collaboration with multiple departments, specialties and provider disciplines. Promotes effective resource utilization, including removal of barriers to care. Assists with access to appropriate care through the multidisciplinary team in order to achieve an optimal clinical outcome.

Requirements

The individual must be able to work the hours specified.
Visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) - Board of Nursing
An active license in the state of practice Upon Hire
Minimum of 2 years of Dialysis experience

Responsibilities

Facilitates the coordination of patient care services to assure excellence in patient care and patient flow.
Completes initial and ongoing needs assessment of all patients.
Follows patient through the entire care continuum/experience, eliminating operational barriers to services and addressing or making referral to address all other barriers to services or care compliance with particular focus on disparate populations.
Works closely with other healthcare disciplines to ensure timely appointments, results reporting financial need referrals, communication, patient care, and follow-up.
Documents all patient assessments, education, coordination, referrals, and other activity within the electronic medical record.
Facilitates the development, implementation, and adherence to clinical guidelines to ensure optimal clinical outcomes.
Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to established plans of care.
Collaborates with inpatient Case Management, Nephrology Clinic and Transplant and assists with follow up to ensure treatment plans are coordinated.
Demonstrates expertise in educational and resources services. Serves as a point of contact for patients and frequently educates and guides them.
Develops, organizes, and participates in educational activities related for patients and the community.
Collaborates with other health care providers in developing, implementing, and evaluating educational materials for patients and their families.
Interfaces with other healthcare team members for appropriate referrals/services (ethics, social work, pastoral care, patient advocate, financial counseling, care management, community services, nutritional services, palliative care, etc.).
Develops relationships with physicians and professionals within and outside of the immediate departments of Dialysis and Nephrology.
Collaborates with outside disciplines and teams across physical locations to coordinate care into appropriate locations and within appropriate timelines and specialties.
Assists Administration in planning, development, implementation and evaluation of goals and objectives including data collection, analysis, and reporting related to evaluation and measurement of impact due to the navigation process.
Utilizes care coordination to appropriately direct patients to the correct modality, services, and location of care.