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
- 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
Didn't find what you're looking for? Search again!
Loading more jobs...