Registered Nurse RN Patient Navigator NE Per Diem

Position Details

The Patient Navigator position facilitates access to medical services, coordinates appointments, provides education about treatment options, and connects patients with community resources. This role requires strong interpersonal skills, cultural competency, and the ability to navigate healthcare systems effectively while advocating for patient needs.

Core Functions

• 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.
• 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.
• Affords individual assistance to patients, families, and caregivers to help identify and overcome barriers which may hinder quality medical and psychosocial patient 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 physician 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 goal; initiates discharge planning.
• Recommends additions to or modifications of referring orders.
• Supports the patient and family during difficult decision-making periods.
• Affords assistance 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.

Minimum Qualifications

• Completion of a Bachelor's degree in nursing or related field.
• Current RN licensure, PT licensure, or OT licensure in the state of practice.
• BLS certification required.
• Proficiency level typically achieved with 5 years clinical experience.
• 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 specialty area.
• Effective communication and writing skills, good time management skills, and knowledge of word processing and database software applications.
• Ability to teach both clinical and non-clinical personnel regarding care and diagnostics services.
• A good understanding of process improvement.

Preferred Qualifications

• Current certification in specialty area preferred.
• Prior Case Management experience preferred.
• Experience with mild traumatic brain injury treatment(s), outreach in the community, and research related to mTBI is preferred.