Registered Nurse RN Patient Navigator Addiction Medicine and Recovery

About the Role

This position provides comprehensive care coordination, supporting a holistic and coordinated approach across the continuum of care. It assists with informed decision-making, collaborating with a multi-disciplinary team to allow for timely screening, diagnosis, treatment, and increased supportive care throughout the patient experience. The role provides individual assistance to patients, families, and caregivers to help identify and overcome barriers that may hinder quality medical and psychosocial patient care.

Responsibilities

• Assesses the patient’s plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient’s health care needs.
• Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes.
• Serves as a liaison for referring physicians and assists with scheduling initial tests and consultations.
• Assists the patient/family through diagnostic services, treatment, and care.
• Coordinates disease care using an interdisciplinary holistic approach, making appropriate referrals and consultations in coordination with physicians and providers.
• Ensures that the patient and family understand the diagnostic processes, care strategy, and recommended actions, and are provided with appropriate information in coordination with physicians and health care providers.
• Responds to patient requests for information regarding the disease process, expected side effects, and community resources.
• Evaluates patient’s functional abilities and limitations. Determines if intervention is needed.
• Establishes treatment goals that are functional, measurable, patient-related, and reflect key limiting factors.
• Establishes and implements a plan of care to achieve treatment goals. Collaborates with patient and family when setting goals; initiates discharge planning.
• Recommends additions to or modifications of referring orders.
• Supports the patient and family during difficult decision-making periods.
• Assists in coordination of end-of-life care for patient and family and provides emotional support.
• Supports process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes.
• Participates in staff development to maintain current standards of practice and ensure the highest quality of care.
• Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team.
• Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
• Works independently, with freedom to determine how to best accomplish functions within established procedures.
• Confers with supervisor on any unusual situations.
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
• Provides all customers of Banner Health with an excellent service experience by consistently demonstrating core and leader behaviors each and every day.

Requirements

• Must possess knowledge as normally obtained through the completion of a Bachelor's degree in nursing or related field.
• Requires a current RN license in the state of practice.
• BLS certification required.
• Requires a proficiency level typically achieved with 5 years of clinical experience.
• Requires excellent organizational skills and clinical knowledge regarding specialty care services, as well as care coordination of services, legal and financial aspects of diagnostic services, and health services in the specialty area.
• Requires effective communication and writing skills, good time management skills, and knowledge of word processing and database software applications.
• Requires the ability to teach both clinical and non-clinical personnel regarding care and diagnostic services.
• Requires a good understanding of process improvement.

Preferred Qualifications

• Current certification in specialty area preferred.
• Prior Case Management experience preferred.
• Additional related education and/or experience preferred.

Physical Demands & Work Environment

• Able to stand, walk, bend, squat, reach, and stretch frequently.
• May be required to lift up to 75 pounds.
• Must use standard precautions due to threat of exposure to blood and body fluids.
• Needs ability to communicate effectively through reading, writing, and speaking in person or on the telephone.
• May require periodic to frequent use of a personal computer.
• Off-site travel may be required.