RN Navigator - Internal Medicine | Full Time

Sanford Health•Marshfield, WI

9d•$34 - $51•Onsite

About The Position

The Transition Care Management (TCM) RN Navigator, Ambulatory position will assist with quality reviews for set diagnoses that have a positive impact on CMS Star Ratings. This role integrates healthcare for patients/clients across the continuum of care. The RN Navigator collaborates with the healthcare team and other professionals to coordinate and ensure timely sequencing of care. This integration enhances patient flow and interdisciplinary communication, promoting early intervention. The role supports patients/clients and their family members by removing barriers to care and seeks to evaluate outcomes based on an integration among established clinical, financial, and utilization data. The position functions in structured and unstructured healthcare settings, described as a geographic and/or situational environment that may not have established policies and procedures. The RN Navigator utilizes independent nursing judgment when integrating health care and applies knowledge of appropriate age-related patient care protocols relating to the physical and psychological needs of pediatric, adolescent, adult, and geriatric patients according to the department's scope of service. This role may serve as a key link between providers, clinics, insurance concerns, communication, inpatient floors, and outside facilities. The position requires establishing and maintaining good interpersonal relationships, the ability to work with growth and development needs of client populations, and strong communication skills. The RN Navigator coordinates, facilitates, and negotiates with others, monitors, evaluates, and trends patient responses utilizing structured care methodologies, and works closely with ancillary and support services. The ability to solve problems, identify and implement process improvements, and function as a self-motivated individual working with little direction is essential. The role also involves facilitating groups, multidisciplinary teams, and implementing best practices when necessary. The RN Navigator functions within the scopes and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in the state of practice and licensure, adhering to the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association.

Requirements

Bachelor's degree in Nursing strongly preferred in Bemidji, Marshfield, and Rapid City. Required in Fargo and Sioux Falls (Sanford USD Medical Center and Clinics). Required in Bismarck or enrolled and starting a Bachelor’s degree program within one year of hire with a completion date within three years upon date of hire into position.
For Fargo Network and Sioux Falls Network or employees hired after January, 2025, who do not possess a Bachelor’s degree in the required field, leadership may consider an educational plan with proven continuous action toward achieving a Bachelor’s degree in Nursing within five years of hire into position. Approval from the Nursing Executive for the market is required in order to waive the bachelor degree requirement (at time of hire).
For Rural Health Network facilities, for current employees, leadership may have considered acceptable qualifications and work experience equivalency based on facility size, rural market, and business need, prior to new Sanford education requirements.
Graduate from an accredited nursing program, including, but not limited to, those accredited by the Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), or National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA).
Currently holds an unencundered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
Obtains and subsequently maintains required department specific competencies and certifications.

Nice To Haves

Minimum of two years’ clinical experience preferred.

Responsibilities

Assists with quality reviews for set diagnoses that have a positive impact on CMS Star Ratings.
Integrates healthcare for patients/clients across the continuum of care.
Collaborates with healthcare team and other professionals to coordinate and ensure timely sequencing of care.
Removes barriers of care for patients/clients and their family members.
Evaluates outcomes based on an integration among established clinical, financial and utilization data.
Functions in structured and unstructured health care settings.
Utilizes independent nursing judgment when integrating health care.
Applies appropriate age-related patient care protocols relating to the physical and psychological needs of pediatric, adolescent, adult and geriatric patients.
Serves as a key link between providers, clinics, insurance concerns, communication, inpatient floors and outside facilities.
Establishes and maintains good interpersonal relationships.
Works with growth and development needs of client populations in clinical area.
Coordinates, facilitates and negotiates with others.
Monitors, evaluates and trends patient responses utilizing structured care methodologies.
Works closely with ancillary and support services.
Solves problems, identifies and implements process improvements when needed.
Facilitates groups, multidisciplinary teams, and implements best practices when necessary.