Nurse-Navigator RN

Overview

Job Summary

This role supports care coordination activities within ambulatory services; specifically for the medical group. Performs all duties as assigned.

Responsibilities

• Collaborate in overseeing the practice's care coordination initiatives.
• Assist with and facilitate the transition of care from inpatient settings such as hospital, rehabilitation facilities and skilled nursing facilities to home.
• Develops a comprehensive, collaborative care plan, based on provider treatment plan and patient / family goals for recently discharged patients and promote adherence to physician / provider recommendations and instructions.
• Provide individual patient / family education and self-management support that is appropriate based on language, cognitive abilities, literacy level, learning style, cultural norms, patient preference, readiness for change and resources available.
• Identifies and implement cost effective problem solving, process improvement, risk assessment and the reduction of waste.
• Completed assigned goals.

Specifications

Experience

Minimum Required

Preferred / Desired

Education

Minimum Required

Preferred / Desired

Training

Minimum Required

Preferred / Desired

Special Skills

Minimum Required

Preferred / Desired

Licensure

Minimum Required

Preferred / Desired