Senior Case Manager-Patient Navigation Specialist

4 days ago

Los Angeles, California, United States UCLA Health Full time
Job Summary

The Senior Case Manager-Patient Navigation Specialist is a professional, clinical registered nurse who assumes responsibility and accountability for the international patient population throughout the continuum of care. This role requires advanced nursing skills to assess and plan the clinical care of international patients, review patients' medical conditions with their home country physicians to coordinate care, clarify needs and expectations, and coordinate transfer of care between international hospitals and UCLA Health.

Key Responsibilities
  • Facilitate coordination and continuity of care while providing support and education to patients and families.
  • Collaborate with multi-disciplinary care teams during hospitalization to monitor the overall care experience and to ensure coordination of care across the continuum.
  • Coordinate with multi-disciplinary teams in the outpatient, inpatient, and post-discharge settings.
  • Provide education to patients, families, international referring physicians, and other staff regarding clinical and patient care issues.
  • Monitor patient compliance with plan of care and ensure care gaps are identified and resolved.
Requirements
  • Must have BSN degree and RN license.
  • Ability to complete a Nursing physical assessment.
  • Skill in developing a plan of care including setting goals, monitoring, and documenting progress.
  • Ability to implement interventions that are pertinent to goals established in the plan of care.
  • Ability to evaluate the effectiveness of interventions toward the attainment of established goals and to recognize the need to reassess or reset goal parameters.
  • Knowledge base to provide education to patients, families, international referring physicians, and other staff regarding clinical and patient care issues.
  • Exceptional verbal and written communication clinical skills and expertise in triaging incoming inquiries and referrals with quick turnaround times.
  • Ability to collect and relay information with accuracy and diplomacy, and effectively communicate verbally and in writing.
  • Working knowledge of medical and scientific terminology to guide patients through the multiple specialties available at UCLA Health, and triage patients to the different teams and specialty services through review of medical records, discussions, and conversations with the international patients and their treating/referring physicians in their home country, and to respond quickly to patient needs and physician directions.
  • Must possess cultural intelligence to work with diverse cultures and situations, and capability to cross boundaries with sensitivity and awareness.
  • Ability to recognize a patient's needs for referral to support services such as social work or psychology.
  • Knowledge of UCLA resources for all patients, e.g. acute or outpatient rehab; SNF and rehab; home health services; hospice care; transportation services, DME, etc. strongly preferred.
About UCLA Health

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin, or disabilities, and we proudly look to each person's unique achievements and experiences to further set us apart.

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