Transitional Care Nurse Navigator, Per Diem, Inpatient, Fox Chase Cancer Center
About The Position
In collaboration with the patient and family, physicians, and the interdisciplinary team, the Transitional Care Nurse Navigator facilitates the patient’s progress through an acute episode of care in an efficient and cost-effective manner. The role creates a transition plan with the patient, family, and providers for moving from the inpatient setting to a post-acute setting. The nurse navigator initiates evidence-based protocols and order sets according to the patient’s admission diagnosis, influences the progression of care, and facilitates navigation through the acute care episode. The role proposes an appropriate transition plan within 48 hours of admission, advocates for the patient and family throughout the care continuum, and facilitates communication with the multidisciplinary team, referring physician, and ambulatory care team. The nurse navigator also fosters patient and family self-management and adherence to the individualized plan of care through a post-acute phone call.
Requirements
- Bachelor’s degree (the supplied description ends after “Education Bachel,” so the full education requirement is not provided).
Responsibilities
- Facilitate the patient’s progress through the acute episode of care efficiently and cost-effectively.
- Develop a transition plan with the patient, family, and providers for the move from inpatient to post-acute care.
- Initiate evidence-based protocols and order sets based on the patient’s admission diagnosis.
- Influence the progression of care and help patients navigate the acute care episode.
- Propose an appropriate transition plan within 48 hours of admission.
- Advocate for the patient and family throughout the care continuum.
- Facilitate communication with the multidisciplinary team, referring physician, and ambulatory care team.
- Foster patient and family self-management and compliance with the individualized plan of care through a post-acute phone call.
