RN Patient Navigator - FT

Mercyhealth Wisconsin and Illinois•Rockford, IL

1d•Onsite

About The Position

The RN Patient Navigator provides case management, advocacy, and care coordination services to hospital patients across various settings to ensure smooth transitions in care, minimizing delays and readmission risks. This involves early patient assessment, creating individualized care plans, making referrals to post-hospital providers, and collaborating with the healthcare team for timely discharge and patient education. The role also includes educating patients and families on chronic disease conditions, ensuring core measures are met, conducting clinical reviews, and identifying situations posing financial risk. Mercyhealth is an integrated health system with seven hospitals and 85 primary and specialty clinics, employing over 7,500 professionals in northern Illinois and southern Wisconsin. The company has been recognized nationally for its commitment to its people and culture, including being a top employer for workers over 50, one of Working Mother magazine's 100 Best Companies for Working Mothers, and a Top 50 Company and Top 10 Nonprofit for Executive Women. For over 135 years, Mercyhealth has delivered high-quality, comprehensive health care, from routine services to highly specialized care like neonatal intensive care, heart surgery, and cancer treatment.

Requirements

Graduate of an accredited nursing program.
BSN or upon hire BSN completion agreement for enrollment in an accredited BSN Completion Program (ADN only required if hired prior to 1-1-14 in Winnebago County and prior to 9-1-14 in Rock, Walworth and McHenry Counties).
May require specific years of applicable experience to qualify (per department guidelines).
Current Registered Nurse License in the state of practice.
BLS/CPR required within 90 days.
Must be skilled with use of voice mail and phone features.
Must be able to use available technology for language interpretation.
Must have expert knowledge of Allscripts Care Management program and Epic EMR.
Must be able to use Microsoft Outlook, and have basic knowledge of Excel and Word.
Must be able to easily toggle between computer applications.
Must be available to work and or be on-call on weekends and holidays, as assigned.
On-call requires accessibility by pager or cell phone during assigned hours and ability to respond promptly to pages by phone.
Must be able to work independently with minimal guidance.

Nice To Haves

Case Management Certification (ACM) preferred.
Certification preferred within three years to a specialty approved by CNO or designee; i.e.; Case Management, Med/Surg or Diabetic Education.

Responsibilities

Provides case management, advocacy, and care coordination services to hospital patients in a variety of settings to assure seamless transitions in care while minimizing any associated delays or risk of readmission.
Conducts early patient assessment, by case-finding and referral, to identify coordination and discharge planning needs.
Creates individualized, patient -focused plan for meeting continuing care needs.
Makes referrals to post-hospital care providers utilizing knowledge of community resources.
Collaborates with the healthcare team to ensure discharge is timely, patient education and instructions are complete, and appropriate follow-up is established.
Utilizes current clinical nursing knowledge to effectively educate patients and families about chronic disease conditions.
Collaborates with staff nurses and physicians to ensure all elements for core measures have been met prior to discharge.
Conducts clinical review process according to Utilization Management Plan.
Identifies and intervenes in situations that pose financial risk to the patient and the organization.