Nurse Navigator Primary Care for Women Clinic

Responsibilities

• Provides assistance to patients and family members in assigned area.
• Works in collaboration with staff and physicians on the coordination of appropriate referrals and resources to meet the needs of the patient being actively treated and upon discharge.
• Functions as a liaison between acute and subacute providers in incorporating assistance with care needs post-discharge.
• Assists with the coordination of evidence-based best practices to promote positive patient outcomes following discharge.
• Provides education and emotional support to the patient and family.
• Captures and analyzes data into specific dashboards utilized to enhance and coordinate the needs of the appropriate patient population.
• Develops, collects, and analyzes data in evaluating the quality of care provided.
• Facilitates patient throughput in the admission/discharge/transfer process.
• Serves as a clinical resource to all members of the interdisciplinary team.
• Communicates and coordinates critical information related to risk issues to staff and physicians to ensure patient safety in the acute and sub-acute setting.
• Performs physiologic/psychosocial assessments to assist with the development of an individualized plan of care based on specific needs of the patient.
• Formulates individualized plans of care considering patient’s education and discharge planning needs.
• Prioritizes the delivery of care to the individual needs including cultural, ethical, and spiritual needs.
• Participates in the planning of routine transitional health care needs (e.g., treatment options, patient placement options, end-of-life care discussions).
• Adapts planned education and information to individual patients and families by modifying teaching strategies or content.
• Integrates education during the delivery of care.
• Collaborates with patients/families to identify realistic desired outcomes based on developmental needs and restrictions.
• Actively advocates for patient rights and identifies potential conflicts.
• Identifies variances from expected outcomes based on assessment and evaluation.
• Evaluates patient outcomes and makes revisions in the plan of care.
• Delegates and requests assistance from members of the interdisciplinary team in coordinating to the needs of the patient while being actively treated and upon discharge.
• Documents interventions and referrals in patients’ chart and follows up with further calls as needed.
• Consistently communicates and collaborates with the healthcare team members, patients, and family members to maximize resources and outcomes.
• Communicates and collaborates with community resources to enhance the continuum of care to meet the specific needs of all patients and the specific needs of the geriatric patient.
• Maintains knowledge regarding program initiatives based on the geriatric population/needs and incorporates the outcome of the team/committees work into practice.
• Provides education to staff team members based on the developmental needs/limitations of the geriatric population.

Qualifications

• 3 years in acute clinical setting working with population related to your expertise.
• Bachelor's degree in nursing.
• Proficient in English, verbal and written communication and computer skills.
• Current and unrestricted Louisiana RN license; BLS.