RN Patient Care Navigator - Medical Group Urology

Nevada System of Higher Education

3d•Onsite

About The Position

The RN Patient Care Navigator connects with patients at the time of diagnosis (either ED or pre-admission) and follows them throughout their hospital stay and for 90 days post-discharge. This role guides patients and their families through the health system from diagnosis, testing, treatment, and follow-up care, assisting them in navigating the continuum of care. The navigator eliminates barriers to patient access to health care services and facilitates continuity of care and care coordination. They partner with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate. The role oversees and facilitates effective and impactful interdisciplinary rounds that are structured and standardized. Additionally, the RN Patient Care Navigator facilitates payor authorization processes, ensures accurate patient type assignment, and works with the CDI team to ensure documentation accurately reflects the severity of illness and intensity of service. They perform daily coordination between multiple departments, the multi-disciplinary team, medical clinics, and community outreach to gain knowledge of the patient, assure patient safety, facilitate smooth transitions of care, and manage utilization and total cost of care. The navigator acts as an advisor/educator by partnering with social work in providing emotional support, including goals of care and counseling. This position is available to his/her assigned patient population 24/7 and participates as part of a call coverage structure. As this job evolves, this role will complete other duties assigned.

Requirements

Current professional Nursing Licensure in the state of IL required
Bachelor's degree in Nursing from an NLN accredited school of nursing required
Basic Life Support for Healthcare Providers (AHA) or (American Red Cross).
Minimum of 2 years of utilization review, discharge planning, case management or disease management preferred.
Experience with Microsoft Office Suite.
Experience with Electronic Medical Record (EMR) platform preferred

Nice To Haves

BSN strongly preferred
Clinical certification, such as case management certification, is beneficial
2+ years of clinical nursing experience preferred.
Nursing experience in home services, ambulatory services working with high-risk patients beneficial.

Responsibilities

Connect with patient at the time of diagnosis (either ED or pre-admission) and follow the patient across the hospital stay and 90 days post discharge
Guide the patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patient with navigating the continuum of care.
Eliminate barriers to patient's access to health care services and facilitates continuity of care/care coordination
Partner with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate.
Oversee and facilitates effective and impactful interdisciplinary rounds that are structured and standardized
Facilitate payor authorization processes and ensure that the patient type assigned is accurate
Work with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service
Perform daily coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, smooth transitions of care, and manage utilization and total cost of care
Act as advisor/educator by partnering with social work in providing emotional support including goals of care and counseling
Available to his/her assigned patient population 24/7 and participates as part of a call coverage structure
Complete other duties assigned as this job evolves