Patient Navigator - Supplemental

About the role

The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2024-2025 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. We specialize in the areas of brain injury, stroke, spinal cord injury and complex medical conditions. We offer inpatient and outpatient rehabilitation services to patients 15 years of age and older. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S.

The Patient Navigator (Supplemental) identifies needs and assists the multidisciplinary team in eliminating barriers to Rehabilitation care and discharge to the community. The Patient Navigators guide the patient/family from admission through discharge, and act as the central point of contact for the patient and the entire Rehabilitation team. The Patient Navigator requires excellent communication and organization skills. The Patient Navigator coordinates the patient's care plan to assist with efficiency and quality of care delivered during the stay. The Patient Navigator is the patient/families advocate providing supportive and personal assistance while serving as a liaison to ensure that patients/families receive resources and services as needed.

Responsibilities

• Contact patients/families within 48 hours after admission
• Provide and coordinate proficient, evidence-based care, which includes evaluation, assessments, planning, and implementing a comprehensive multidisciplinary plan of care
• Assess every patient and family on admission for emotional and social needs
• Assess every patient and family for barriers to care and discharge such as health insurance, physical environment, transportation, and caregiver support; document findings and communicate with the multidisciplinary team to support a coordinated, appropriate length of stay and discharge to community
• Assist patient and family to access needed services at discharge through coordinating services and developing relationships with various providers
• Appropriately determine needs for patients at discharge and help to coordinate service, DMF, medication, remote monitoring including organizing services for home health care, outpatient therapies within the network
• Other duties as assigned

Qualifications

• Requires thorough knowledge of rehabilitation principles and those of interdisciplinary team coordination
• Excellent verbal and written communications skills needed
• Working knowledge of community resources to facilitate care transitions
• Requires management of multiple time-sensitive tasks occurring simultaneously
• Must be comfortable engaging with patients, families, and other disciplines to discuss complex discharge plans
• Teamwork, initiative, and organization are key performance indicators

Education and experience

• Bachelor's degree in healthcare field required
• RN/OT experience and licensure
• 2 years of experience working with interdisciplinary team in acute rehab or hospital setting
• Must demonstrate excellent time management skills, while adhering to standards of work
• Attention to detail, clear and concise documentation is critical

Schedule

PRN/as-needed, with opportunities for weekday daytime hours (generally between 8:00 a.m. and 5:00 p.m.) and occasional weekend coverage. Scheduling will vary based on departmental needs.