RN Nurse Navigator

Highmark Health•Erie, PA

About The Position

The RN Nurse Navigator serves as a consistent point of contact for referring physicians, patients, caregivers, families, and the community. The role facilitates patient flow by coordinating appointments and helping patients access clinical and supportive care services within the Network. The RN Nurse Navigator coordinates all aspects of care in collaboration with the multidisciplinary team for adult patients within a specialized disease state, helping ensure they receive quality, comprehensive services. The position also identifies community needs and provides education, screening, support, referrals, care coordination, and other necessary assistance. The job description notes that duties and qualifications listed are intended to describe the general nature of the position and may not include every responsibility or qualification. Employees must follow ethical and legal standards, company policies, the Code of Business Conduct, HIPAA privacy requirements, and information security policies. Allegheny Health Network and its affiliates prohibit discrimination against qualified individuals based on protected status under applicable law.

Requirements

Current Pennsylvania RN license or current multistate licensure through the enhanced Nurse Licensure Compact (eNLC).
1–3 years of nursing experience in the specialty.
Current American Heart Association CPR certification.
Act 34 Criminal Background Clearance Certificate.
Act 33 Child Abuse Clearance Certificate.
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate.

Nice To Haves

Bachelor’s degree in Nursing.
Certification in the area of expertise.
Valid Pennsylvania driver’s license may be required.
Older Adults Protective Services Act (OAPSA) clearance may be required depending on location.

Responsibilities

Oversee community outreach, high-risk populations, and disease-specific sites to establish and sustain working relationships across the Network, including with health plans, physicians, office staff, social services staff, financial counselors, and dietitians.
Educate patients and coordinate care related to diagnosis, treatment options, treatment plans, clinical trial information, and available resources.
Work with the health care team to ensure safe handoffs and coordination of care between facilities and between inpatient and outpatient settings.
Work with High-Risk Care Teams to reduce readmissions.
May assist Registry staff with data collection, patient outcomes, and updates to care delivery models.
Coordinate multidisciplinary appointments, including physician visits, consultations, and supportive care services, and accompany patients to appointments as needed.
Ensure medication adherence issues are addressed.
Work with AHN physician offices and facilities to identify at-risk patients and facilitate appropriate screening processes.
Track data and outcomes established for the navigation program.
Identify gaps and opportunities to improve patient care across the continuum.
Develop or attend clinical care conferences to report on active patients to the multidisciplinary team.
May identify bereavement needs of families and develop a plan of care.
Perform other duties as assigned or required.
Comply with applicable laws and regulations, company policies and training requirements, HIPAA, privacy policies, information security policies, and the Code of Business Conduct.