RN Patient Care Navigator – Medical Group Cardiology-Cardiac Surgery

Nevada System of Higher Education

21d•$40 - $63•Onsite

About The Position

The RN Patient Care Navigator will connect with patients at the time of diagnosis (either ED or pre-admission) and follow the patient across the hospital stay and 90 days post discharge. This role will guide the patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. The navigator will eliminate barriers to patient's access to health care services and facilitate continuity of care/care coordination. They will partner with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate. This role will oversee and facilitate effective and impactful interdisciplinary rounds that are structured and standardized. The navigator will facilitate payor authorization processes and ensure that the patient type assigned is accurate. They will work with the CDI team to ensure that documentation accurately reflects severity of illness and intensity of service. This role performs 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. The RN Patient Care Navigator acts as an advisor/educator by partnering with social work in providing emotional support including goals of care and counseling. They are available to their assigned patient population 24/7 and participate 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).
2+ years of clinical nursing experience preferred.
Minimum of 2 years of utilization review, discharge planning, case management or disease management preferred.
Experience with Microsoft Office Suite.

Nice To Haves

BSN strongly preferred
Clinical certification, such as case management certification, is beneficial
Nursing experience in home services, ambulatory services working with high-risk patients beneficial.
Experience with Electronic Medical Record (EMR) platform preferred

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
As this job evolves, this role will complete other duties assigned