Registered Nurse RN Patient Navigator Oncology

Position Summary

This position provides comprehensive care coordination, supporting a holistic and coordinated approach across the continuum of care. This position 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. This position provides individual assistance to patients, families and caregivers to help identify and overcome barriers which may hinder quality medical and psychosocial patient care.

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, 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.
• Affords assistance to patients, families and caregivers through diagnostic services, treatment and care.
• 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

• 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 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 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 diagnostics services.
• Also requires a good understanding of process improvement.

Preferred Qualifications

• Current certification in specialty area preferred.
• Prior Case Management experience preferred.