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Inpatient Navigator

2 months ago

Birmingham, Alabama, United States Complete Health Full time
Job Title: Inpatient Navigator - RN

At Complete Health, we are seeking a highly skilled Inpatient Navigator - RN to play a vital role in ensuring a positive experience for patients and their caregivers. As a liaison between patients, caregivers, healthcare providers, and external vendors, you will be responsible for facilitating a smooth transition from hospitalization to post-acute care.

Key Responsibilities:
  • Act as a liaison between patients, caregivers, healthcare providers, and external vendors to ensure a positive experience and effective transition from hospitalization to post-acute care.
  • Establish communication with patients and caregivers on behalf of the Care Management Team and Primary Care Provider (PCP).
  • Provide follow-up appointment information and review discharge plans with Case Management and/or attending physician to ensure an effective, efficient, and safe discharge.
  • Collect pertinent information through interactions and collaborate with the Care Management team to ensure continuity of care and address Social Determinants of Health.
Essential Duties and Responsibilities:
  • Travel to inpatient facilities to complete rounds on Value Based Care patients.
  • Assist in providing concurrent and retrospective review of patients during the transitional care period to best meet their needs and promote high-quality, cost-effective care.
  • Ensure all pertinent hospital records are transferred from the hospital electronic medical record (EMR) to Athena for new admissions/discharges.
  • Serve as a liaison between patients, hospital staff, attending, PCP, and TCM RN.
  • Work closely with the Part A Medical Director to determine initial and subsequent patient acuity designations and assignments.
  • Assess patient/caregiver needs and work with Case Management/TCM to ensure a safe, effective, and efficient discharge.
  • Assist with obtaining DME and coordinating start of care with Home Health Agencies as needed.
  • Collaborate with the Patient Advocate, Referral Coordination, and TCM to assist patients with appointment scheduling with the PCP, specialists, and testing facilities.
  • Educate patients on the TCM and Home Visit programs and facilitate reminders for appointments, labs, and outstanding quality improvement measures prior to discharge.
Requirements:
  • Current Licensed Registered Nurse (RN) with a bachelor's degree and 2 years of related care management, disease management experience and/or training.
  • Utilization Review/Management experience preferred.
  • Experience in care management services and patient engagement is required.
  • Knowledge of hospitals, specialists, and ancillary health services throughout the assigned geographical area is preferred.
  • Strong computer skills and proficiency in Microsoft Office products and internet software is required.
  • Able to effectively utilize an electronic health record to perform and document all patient encounters.
Knowledge/Skills/Abilities:
  • Personal effectiveness and credibility, critical thinking, collaborative skills, communication proficiency, and flexibility.
  • Well-versed in knowledge of chronic health conditions, acute care, behavioral health, and substance abuse problems.
  • Able to work independently and in a multidisciplinary team.
  • Skilled in interaction with respect and in a professional manner with patients, staff, and external customers.
  • Responds to requests for service and assistance in a professional and timely manner; meets commitments and is dependable.
  • Shows respect and sensitivity for cultural differences.
  • Treats people with respect; keeps commitments; inspires the trust of others; works with integrity and ethically.