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Hospice RN Administrator - Full Time

Company: CHRISTUS Health
Location: Irving
Posted on: June 9, 2024

Job Description:

Description Summary: The RN Navigator is a member of the patient's care team and acts as a patient advocate providing proactive outreach to patients with chronic illness for the duration of their chronic care condition. The RN Navigator facilitates communication and coordinates care with physicians, the providers' clinic, hospital facilities, family, caregivers and other community healthcare providers and implements creative to meet members/ healthcare needs without compromising quality of outcomes. The RN Navigator will identify and enroll patients with chronic health conditions and/or refer to other programs as appropriate. The RN Navigator will support transitions of care as assigned and/or chronic condition support or health/wellness programs for the assigned population. The position responsibilities also include supporting health risk reduction through goal setting, behavioral change, patient education, and identification of social determinants with appropriate community referrals. In addition, the RN Navigator focuses on reducing preventable admissions, readmissions, and preventable ED visits by supporting discharge planning to the next level of care and educating patients regarding the appropriate setting for care. The RN Navigator connects the patient to health care providers and community resources to ensure ongoing quality of care. The nurse also promotes optimal person-centered care that supports and empowers individuals, respects individual choices and meets health care needs of patients. Responsibilities: Develops relationships with and facilitates referrals to community resources including Skilled Nursing Facility (SNF), Rehab, Long Term Acute Care (LTAC), Home Health, Hospice, Palliative Care, Transportation, Medication Asst., DME, and other community resources. Receives and evaluates HH 485 form (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements. Based on CMS or other payer guidelines, patient assessment, and case conferences, makes recommendation to PCP re: HH recertification or discharge from service. Creates positive relationships with HH agencies as well as Primary Care Clinicians and Office Staff. Ensures smooth transition of care along the continuum. Stays abreast of current CMS and other payer guidelines for HH services. Demonstrates expertise in navigating electronic medical record and other care management applications. Utilizes MCG Guidelines for Home Care to optimize the type, frequency, and duration of care. 3-5 years acute care/clinical experience; 2-3 years managed care and/or care management experience; Work Schedule: 5 Days - 8 Hours Work Type: Full Time EEO is the law - click below for more information: If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (844) 257-6925.

Keywords: CHRISTUS Health, Irving , Hospice RN Administrator - Full Time, Healthcare , Irving, Texas

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