RN Serious Illness Care Navigator

Corewell Health • Niles, MI

12d

About The Position

The Serious Illness Care Navigator (SICN) assesses patients’ individual needs and develops plans of care to address them. The role provides education and support to patients, families, staff, and caregivers, managing a complex caseload and applying current care-management knowledge to improve patient, family, health-system, and community outcomes. The navigator helps patients and families plan for medical crises and end-of-life care, while supporting decisions aligned with what matters most to them.

SICNs meet with patients and families in hospitals, skilled nursing facilities, and patients’ homes to address care goals and needs. They use clinical questioning to gather information and determine appropriate actions, connect patients and families with relevant services and community resources, and help them understand health status and care options. The role accesses multiple clinical information systems to gather and verify patient information, collaborates with care providers to support quality and cost-effective care, and serves as a liaison among patients, families, hospitals, physician offices, community programs, and post-acute facilities. The position serves patients across inpatient, outpatient, and post-acute settings.

The position is based at Lakeland Hospital Niles in Niles, Michigan. It is full-time, day shift, with a Monday–Friday schedule, 40 weekly hours, and stated hours of 8:00 a.m.–4:30 p.m.

Requirements

• Bachelor’s degree in Nursing.
• Three years of relevant experience supporting individuals with complex medical conditions and social determinants of health.
• Registered Nurse (RN) license in the State of Michigan, required upon hire.
• Basic Life Support (BLS) certification from the American Heart Association within 90 days, or Basic Life Support (BLS) certification from the American Red Cross within 90 days.

Responsibilities

• Assess patients’ individual needs and develop plans of care to meet those needs.
• Provide education and support to patients, families, staff, and caregivers.
• Manage a caseload of patients with high-complexity medical and care-management needs.
• Support planning for medical crises and end-of-life care.
• Meet with patients and families in hospitals, skilled nursing facilities, and patients’ homes to address their goals and health-care needs.
• Ask appropriate clinical questions and elicit patient information to determine appropriate actions.
• Connect patients and families with services and community resources that align with what matters most to them.
• Help patients and families understand health status and identify what matters most to them in the context of their health.
• Use clinical information systems to gather and verify demographic and clinical information.
• Collaborate with care providers to support quality, cost-effective patient care.
• Provide individualized support, education, and information to make care seamless, continuous, and comprehensive.
• Serve as a liaison among patients and families, hospitals, physician offices, community programs, and post-acute facilities.
• Support patients in inpatient, outpatient, and post-acute settings.

Benefits

• Comprehensive benefits package intended to support financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv.
• Discounts directory with offers on items and services such as restaurants, phone plans, and spas.
• Optional identity theft protection, home insurance, and auto insurance.
• Traditional and Roth retirement options with service contribution and matching savings.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level