Registered Nurse RN Patient Navigator Geriatric Program

Banner Health•Phoenix, AZ

19h•Onsite

About The Position

At Banner University Medical Center, we’re creating a world class medical organization that brings together a leadership team committed to a physician-focused structure, while navigating the challenges of moving from a volume-based to value-based health care system. The RN Pt Navigator will assess, address, removes and prevents barriers to care through complex care coordination education, support, and advocacy. This role collaborates with numerous multidisciplinary teams inpatient and ambulatory. Multidisciplinary Team approach to geriatric care within the emergency department to inpatient and post discharge. Responsible for navigation, complex care coordination, case management, extensive patient education, process improvement/development, clinic/ambulatory or specialty clinic knowledge is helpful. Experience in quality improvement or project management and/or research will assist with role. This is a highly collaborative and autonomous role, where great interpersonal and communications skills are of the utmost importance. Prefer experience in geriatrics, family medicine, med/surg. and experience working with elderly and adult population. This is a full time (40 hours/week), salaried, day shift position. The average day starts at 0800 and ends at 1600 and is Monday through Friday. With this role, hours are dependent on patient needs and can start earlier or later on occasion. We believe in a work-life balance and will adjust accordingly if the need arises. You will be working with a innovative and dedicated Geriatric Hospitalist team and other specialties to drive positive outcomes for this fragile population. BUMCP ED is designated as a Level 3 Geriatric Emergency Department by the American College of Emergency Physicians' Geriatric Emergency Department Accreditation Program. Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 1,200 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and excellent patient care. POSITION SUMMARY This position provides comprehensive care coordination, supporting a holistic and coordinated approach across the continuum of care. This position assists with informed decision-making; collaborating with a multi-disciplinary team to allow for timely screening, diagnosis, treatment and increased supportive care throughout the patient experience. This position provides individual assistance to patients, families and caregivers to help identify and overcome barriers which may hinder quality medical and psychosocial patient care.

Requirements

Must possess knowledge as normally obtained through the completion of a Bachelor's degree in nursing or related field.
Requires a current RN license in the state of practice.
BLS certification required.
Requires a proficiency level typically achieved with 5 years clinical experience.
Requires excellent organizational skills and clinical knowledge regarding specialty care services, as well as care coordination of services, legal and financial aspects of diagnostic services and health services in specialty area.
Requires effective communication and writing skills, good time management skills and knowledge of word processing and database software applications.
Requires the ability to teach both clinical and non-clinical personnel regarding care and diagnostics services.
Also requires a good understanding of process improvement.

Nice To Haves

Current certification in specialty area preferred.
Prior Case Management experience preferred.
Additional related education and/or experience preferred.

Responsibilities

Assesses the patient’s plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient’s health care needs.
Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Serves as a liaison for referring physicians and assists with scheduling initial tests and consultations.
Assists the patient/family through diagnostic services, treatment and care. Coordinates disease care using an interdisciplinary holistic approach, making appropriate referrals and consultations in coordination with physicians and providers.
Ensures that the patient and family understand the diagnostic processes, care strategy and recommended actions, and are provided with appropriate information in coordination with physician and health care providers. Responds to patient requests for information regarding the disease process, expected side effects and community resources.
Evaluates patient’s functional abilities and limitations. Determines if intervention is needed. Establishes treatment goals that are functional, measurable, patient related and reflect key limiting factors. Establishes and implements a plan of care to achieve treatment goals. Collaborates with patient and family when setting goal; initiates discharge planning. Recommends additions to or modifications of referring orders.
Supports the patient and family during difficult decision-making periods. Assist in coordination of end of life care for patient and family and provides emotional support.
Supports process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Participates in staff development to maintain current standards of practice and ensure the highest quality of care.
Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
This position works independently, with freedom to determine how to best accomplish functions within established procedures. This position confers with supervisor on any unusual situations. This position is facility-based with no budgetary responsibility. Internal customers include all levels of staff, including physicians. External customers include patients, families, employees of other healthcare institutions, physician offices, referring physicians, community providers and agencies, payers, provider networks, and regulatory agencies. This position requires making decisions related to patient care coordination throughout various facilities and with various specialty practices. Decision making required for treatment and standardization of care of patients. This position requires complex problem solving related to plan of care for evaluation, treatment, and discharge planning for patients.