Patient Care Navigator - Nursing Administration - Sepsis and Heart Failure Program

Company: Inova Health System
Location: Alexandria
Posted on: September 19, 2023

Job Description:

Inova's mission is to provide world-class healthcare - every time, every touch - to each person in every community we have the privilege to serve. As a not-for-profit health system, our commitment is to meet the healthcare needs and improve the health of the communities we serve. We work in innovative ways to meet the healthcare challenges of today, while striving to meet the needs of the future. As such, team members are expected to perform job duties and responsibilities in keeping with Inova's values and in a manner that reflects the highest ethical and professional standards of conduct and performance. At Inova, we know it takes each and every team member in our system to deliver the clinical excellence we provide. Come join us to be a valued member of the Inova Team!
Acts as a liaison, advocate and point of contact to patients by helping them access the best healthcare outcomes from doctors, hospitals and others who provide their required services. May assist patients and families with resolving financial, psychosocial, functional, and administrative issues by advising of options and referring to appropriate resources. Acts as advisor/educator by providing emotional support, counseling, clinical education, resources and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making. Builds working relationships with patient, healthcare providers, and community resources to maximize patient outcome and identify/resolve barriers to the plan of care. Consistently seeks to improve healthcare experience and positive patient outcome. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination. Guides patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Job Responsibilities

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• Acts as a liaison, advocate and point of contact to patients by helping them access the best healthcare outcomes from doctors, hospitals and others who provide their required services.
  
• Anticipates patient's needs and advocates for patient rights and appropriate utilization of services.
  
• Offers individualized assistance to patients, families, and caregivers to help overcome health system barriers. Intervenes as appropriate to advocate for patient and family.
  
• Acts as advisor/educator by providing emotional support, counseling, clinical education, resources and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making.
  
• Educates patient, family or caregiver(s), and members of the health care delivery team regarding treatment options, community resources, insurance benefits, self-care management, etc. to facilitate timely and informed decision-making throughout all phases of the continuum process. Encourages and coachs patients to be engaged in their care planning and to embrace their essential role in the decision making process.
  
• Conducts ongoing promotion of healthcare programs to community based resources to include developing written materials and public presentations describing activities related to patient care and research. Builds working relationships with patient, healthcare providers, and community resources to maximize patient outcome and identify/resolve barriers to the plan of care.
  
• Conducts comprehensive assessment of the patient's health and psychosocial needs, and develops a case management plan in collaboration with the patient and their support system.
  
• Collaborates with multidisciplinary team to address patient questions and responses about the care process and treatment options.
  
• Communicates with payers to facilitate covered day reimbursement certification for assigned patients. Discusses payer criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed.
  
• Seeks to improve healthcare experience and positive patient outcome. Ensures patient's satisfaction with the integrated health care delivery model and access to appropriate care or facility.
  
• Participates in obtaining quality outcomes such as decreasing emergency room visits, decreasing patient readmission rates and/or transition times.
  
• Provides personal, single point of contact for patients and their family, provides referrals to support and ancillary services as needed, and ensures patient has appropriate access to health care services and providers. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination. Assists patients and families with resolving financial, psychosocial, functional, and administrative issues by advising of options and referring to appropriate resources.
  
• Develops/maintains reliable systems to document, track and monitor patient data.
  
• Demonstrates proficiency with caseload assignment and ability to manage complex cases effectively.
  
• Guides patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Coordinates a patient's plan of care which may include appointment scheduling, confirming patient's attendance, transportation, assisting with referral process, and answering patient questions. Provides educational information and advocacy to patient throughout care process in accordance with service line policies and procedures.
  
• Functions as a contact and single point of contact to internal and external community/family services for patients in need of services such as screening, diagnostic treatment, clinical research participation, support services, and follow-up/aftercare plan. Refers cases to the appropriate resources for assistance.
  
• Creates a seamless flow through the health system to facilitate the patient's care.
  
  
  Additional Requirements Minimum of 3+ year clinical experience
  Education: BSN
  BLS with American Heart Association required.
  RN licensed, or eligible to practice in the Commonwealth of Virginia as a RN
  Strong knowledge of clinical nursing care procedures and protocols. Basic knowledge of managed care.
  Working knowledge of community resources; understanding of health care facilities and processes
  Strong verbal and written communication skills
  Strong interpersonal skills
  Proficient computer skills

Keywords: Inova Health System, Alexandria , Patient Care Navigator - Nursing Administration - Sepsis and Heart Failure Program, Other , Alexandria, Virginia