RN Discharge Navigator – Medical Group
About The Position
As a RN Discharge Navigator at MercyOne, you will serve as a consistent care coordinator for MercyOne clinic patients being discharged from the hospital and emergency room. The coordinator will collaborate with the care coordination and clinical teams to assure the patient needs are met and all follow-up is transitioned to the ambulatory care team. The Navigator will be the liaison with the patient, providers, care team, family and other involved parties to identify and eliminate barriers to care to achieve an optimal clinical outcome. The coordinator will also serve as a resource for patients needing to establish care with MercyOne Clinics across the region.
Requirements
- Knows, understands, incorporates, and demonstrates the MercyOne ( Trinity Health) Mission, Vision, Core V al ues, Actions and Promise in behaviors, practices, and decisions.
- Identifies problem areas in need of focused attention and implements actions to drive improved outcomes.
- Iowa licensure as a Registered Nurse.
- Requires a minimum of three (3) years in clinical setting.
- Member of a professional healthcare organization.
- Demonstrated expertise in the use of performance improvement methodology/tools.
- Must be able to use computers for documentation and other relevant activities.
- Demonstrates specific knowledge related to software programs such as event reporting systems, government reporting systems, and other appropriate software programs.
- Experience with computer applications such as Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), HealthStream, Intranet, and use of reporting tools.
- Helpful to have experience with PowerChart/EPIC or similar tool.
Nice To Haves
- Bachelor’s degree in nursing, health administration or related field required.
Responsibilities
- Coordinates patient care in collaboration with the acute and ambulatory care team across the continuum of care.
- Manages the timely transition and follow-up post hospital discharges or emergency room visits ensuring appointments and follow up visits are scheduled.
- Ensure care documents and discharge notes are accessible to the ambulatory care team to ensure seamless transition and communication.
- Coordinates post hospitalization advanced imaging as needed, supporting communication with ambulatory care teams and ordering or tasking of discharge orders.
- Coordinates with clinic manager for access challenges and concerns to ensure timely follow-up.
- Escalates access concerns to Medical Group leadership.
- Identifies and refers patients appropriate for resource referrals including care management, high risk health coaching and community health workers.
- Document all patient coordination activities, education, and other interactions in designated inpatient and outpatient electronic health record systems to assure a timely, complete patient record and effective communication with other members of the care delivery team.
- Assist with tracking, documentation and outcome reporting for navigation services.
- Identify opportunities to develop improved processes and prevent hospitalizations, readmission and unnecessary emergency room visits.
- Supports patients in establishing care with MercyOne clinics and maintaining awareness of providers with access and limitations.
- Perform other duties consistent with the purpose of the job as directed.
Benefits
- competitive compensation
- full benefits package
- opportunity for growth throughout the system
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
