Nurse Navigator

Job DetailsDescriptionCandidate will coordinate the activities for multiple programs to include but not exclusive: total joint, spine, bariatric, cardiac programs. The role will manage the surgical patient through the surgical episode of care and will serve as a single point of contact for the providers of care, patient, and family. Individual will assist in the screening and assessments of patients referred to the various programs; provide initial assessment, identify opportunities for optimization, and develop plan of care. Individual will coordinate care with physicians, ensure communication pertaining to services, and treatment, and prepare the patient for surgical episode. As needed will provide patient specific education on diagnostic testing, diagnosis and treatment plan. In addition to coordinating physician referral, will assist in setting up referrals to ancillary services; tracking the patient’s progress providing feedback through identified program timeframe.Maintains excellent communication and follow up with the patient. Establishing and maintaining relationships with community resources. Assessing barriers to care and assisting patient with referrals to community resources when necessary. Assisting patient in completing pre-authorization information. Oversee and provide assistance with discharge planning, coordinates patient’s discharge needs with additional services as necessary. Participates in community outreach activities by presenting materials for such programs: total joint, spine, bariatric, cardiac programs at health fairs and other community-based service groups.QualificationsCurrent State Licensure as a RN requiredMinimum of 3 years clinical experience in a Surgical Hospital, ASC, or acute hospital settingRelevant specialty (surgical) experience requiredExcellent customer service skillsDemonstrates ability to promptly respond to request for care, follow up and other requests made by various consumers of the servicesAble to prioritize patient care needsAnalyzes situations and offers action plansAbility to work with multiple individuals to coordinate care for patientAble to function well with changing prioritiesEffective communication and presentation skillsExcellent attention to detail and follow throughSelf-motivated, able to problem solve and work with minimum supervisionKeeps current in industry changes regarding safety and quality of care initiativesMonitor effectiveness of own work in accomplishing business unit and company initiativesKnowledgeable in-patient safety, quality of care, patient and family centered care initiativesMust demonstrate knowledge and competency in the following area: computer literacy, strong written and verbal communication, assertiveness, flexibility, detail oriented, timely follow up, organization, diplomacy and marketing of the programPreferred QualificationsBSN preferredPrevious Patient Navigation experience preferredCase Management experience preferredEssential FunctionsServes as a single point of contact for providers of care, patient, and familyDevelops and maintain clinical protocols in collaboration with sponsoring physicianManages any deviation from designed care pathway, coordinating with surgeon and primary care physicianCoordinates with preadmission testing/PAT and ANRP/Anesthesia/Primary Care Physician and/or surgeon to optimize patient’s medical conditions prior to surgeryCollaborates with members of the medical team to ensure a continuum of care for the program patientWorks collaboratively and acts as a liaison between the patient, patient’s family, physicians, nursing and ancillary contracted servicesGathers pertinent information about the patient’s medical, psychosocial, and functional statusWorks within criteria set by the pre-admission/registration processes identified by the anesthesia provider and surgeon, sends appropriate referrals to anesthesia/surgeon for final determination when information warrantsImplements necessary changes in coordination with the medical team to improve patient quality of care and optimization pre-operativelyProvides necessary information and education to the patient and support person for the following: pre-operative, intra-operative, discharge and post discharge processesServes as the patient point of contact pre-operatively and post-operatively, if patient symptoms worsen. This requires on-call responsibilitiesIdentifies barriers to the plan of care and intervenes as appropriateManages the patients’ transition from the facility to other settings. This includes working in conjunction with home support person, outpatient physical therapy, home health agencies, etc. to ensure the patient is following the coordinated care planKeep patient and patient family engaged in the plan of care and moving toward the identified program timeframe for patient outcome goals. Be an advocate for the patient and the programWorks with physicians to develop and maintain clinical protocolsParticipants in the quality assessment and performance improvement initiative for the programTracks and analyze outcome data for the program and provide reports to program committee and Quality Assessment and Performance Improvement Committee, quarterlyTracks outcomes and referrals and treatmentsMeasures effectiveness of program and drives improvement throughout processConducts discharge phone calls for program patientsReviews clinical progress of patients and coordinates communications to referring, consulting and primary care physiciansPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms.Specific vision abilities required by this job include close vision and the ability to adjust focus.The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.The employee must be able to stand and/or walk at least five hours per day.Able to sit and work in front of a computer for long periods of time.Able to make patient contact rounds in all areas of the facility.