Nurse Navigator (Part-Time) - Oncology

Summary

Provides proactive case coordination/patient navigation for patients, including triage management, algorithm management, utilization management and resource management. Coordinates services across the continuum from pre-registration through discharge from the Center to achieve optimal patient outcomes, reduce costs, and enhance customer satisfaction.

Responsibilities

• Reviews medical records within 12-24 hours of admission
• Applies utilization review criteria to assess and document appropriateness of admission, continued stay, and level of care
• Interviews patients and/or family members to evaluate social, emotional, and financial factors impacting health status
• Assesses needs for progress along department algorithm of care and continuing care or resource support following discharge
• Responds to referrals from patients, families, physicians, hospital staff, and community agencies
• Collaborates with patient/family and members of health care team to develop appropriate post-hospital plans for continuing care or resource support following discharge
• Utilizes all appropriate medical, social, and financial resources available to support the patient/family and ensure smooth transition to appropriate levels of care
• Communicates with third party payors, follows Health System policies and procedures, and assists in continually improving the quality and effectiveness of case management/patient navigation
• Intercedes with appropriate department or attending physician to identify cause of problems identified
• Communicates with Physician Advisor, places patient on clinical pathway, and monitors variances from pathway as appropriate
• For Spine: Provides counseling, social support, and assistance in crisis situations
• Proactively establishes and coordinates patient care conferences if there are care plan batteries, etc.
• Maintains current information on community resources, third party payors, and managed care environment
• Knowledgeable of changing rules/regulations, and policies/procedures
• Maintains established departmental policies and procedures, objectives, quality management plan, environmental and infection control standards
• Maintains appropriate and timely documentation through medical record entries, daily logs, computer entries, and monthly statistics
• Completes worksheets, communicates in a timely manner with physicians and coders, provides necessary statistics for data collection, and identifies case mix issues
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• This may include appropriate management of resources, discharge planning, and complex medical/legal issues
• Affords consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and education to medical and hospital staff of inpatient and outpatient programs regarding role of case management
• May provide consultation and