RN, Registered Nurse Navigator Population Health - Irving
Company: Christus Health
Location: Irving
Posted on: February 4, 2025
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 conditions. The RN Navigator facilitates communication and
coordinates care with physicians, the providers' clinic, hospital
facilities, family, caregivers, and other community healthcare
providers. The RN Navigator is committed to being a good steward of
resources and collaborates with the patient and implements creative
care plans to meet healthcare needs without compromising quality
outcomes. The RN Navigator will identify and enroll patients with
chronic health conditions in care management programs and/or refer
to other programs as appropriate. The Associate will support
transitions of care as assigned and/or high-risk outreach for
assigned population.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies:
Leader of Self, Leader of Others, or Leader of Leaders.
- Fosters health risk reduction through goal setting, behavioral
change, patient education, and identification of social
determinants with appropriate community referrals.
- Focuses on reducing preventable admissions, readmissions, and
preventable ED visits by supporting discharge planning to the next
level of care and education patients regarding the appropriated
setting for care.
- Promotes optimal person-centered care that supports and
empowers individuals, respects individual choices, and meets
patients' health care needs.
- Completes initial assessment and plan of care including the
patient, their support system, physician, and other health team
members to address condition, social determinants, and promote
patient knowledge and behavior change.
- Develops relationships with and facilitates referrals to
community resources including Skilled Nursing, Rehab, Long Term
Acute Care, Home Health, Hospice, Palliative Care, Transportation,
Medication Asst., DME, and other community resources.
- Completes activities pertaining to and achieving quality
measures related to payer contracts.
- Exhibits behaviors and actions which create a high level of
patient satisfaction, contributes to positive patient relations,
and reflects respect for a patient's rights, needs, and
confidentiality.
- Performs ongoing essential Care Management activities of
assessment, barrier and strengths identification, planning
implementation, coordination, monitoring, and evaluation of
patients. Implements action to overcome barriers to care.
- Collaborates with team members in the discharge process,
performing outreach/documentation according to CMS guidelines and
the Population Health workflow.
- Outreach to TOC patients should focus on medication
reconciliation/adherence, self-management, use of personal health
records, follow-up with PCPs/Specialists, and review of indicators
that a patient's condition is worsening and how to
respond.
- Promotes a positive work environment by displaying a caring,
sensitive approach to others, as evidenced by listening,
understanding, and responding to the needs of patients, colleagues,
and supervisors.
- Ability to serve as a Patient Advocate, communicating
high-levelly with patients and all levels of Associates across the
organization.
- Performs other duties as assigned.
Job Requirements:
Education/Skills
- Bachelor's Degree in Nursing preferred.
Experience
- 3-5 years of clinical experience required.
- 2-3 years of managed care and/or care management experience
preferred.
Licenses, Registrations, or Certifications
- RN license in the state of employment or compact is
required.
Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time
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please contact us at (844) 257-6925.
Keywords: Christus Health, Irving , RN, Registered Nurse Navigator Population Health - Irving, Healthcare , Irving, Texas
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