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Oncology Patient Care Navigator
2 months ago
About Vanderbilt University Medical Center: Situated in Nashville, Tennessee, VUMC stands at the forefront of education, research, and patient care. Our institution thrives on a rich tapestry of diverse individuals dedicated to making a significant impact in the world. Here, your skills will be recognized, your knowledge will grow, and your capabilities will be tested. We believe that diversity is crucial for fostering excellence and innovation, and we are devoted to creating an inclusive atmosphere where everyone can succeed. At Vanderbilt, employees take pride in their contributions and are committed to continuous improvement in patient care.
Department:
VISTA
Position Overview:
This role is pivotal in enhancing key performance outcomes and achieving system improvement objectives, including financial metrics, patient satisfaction, and clinical effectiveness as part of the care coordination framework. The position focuses on improving patient outcomes by minimizing hospital readmissions and managing care episodes for patients within specific populations or disease categories. Responsibilities include identifying suitable patients, fostering patient and family involvement in self-management, ensuring smooth transitions of care through effective communication, conducting educational sessions using the 'teach-back' method, and assisting patients in navigating the healthcare landscape.
Key Responsibilities:
- Facilitates the assessment process for designated patient groups, documenting relevant information in collaboration with team members.
- Acts as a liaison to enhance patient access between referring providers and Vanderbilt's healthcare professionals.
- Engages with the clinical team to create a cohesive care plan that spans from initial hospitalization to the entire care episode.
- Implements and oversees processes for pre-admission and post-discharge transitions, establishing partnerships with providers and agencies to optimize care.
- Contributes to the creation and distribution of patient education materials, including tailored medication schedules with input from the pharmacy team.
- Collaborates with multidisciplinary teams to facilitate discharge planning, sharing essential information about the patient's hospital journey and ongoing care needs.
- Continuously evaluates care coordination practices and supports the development of evidence-based protocols.
- Additional responsibilities may be assigned as needed.
Technical Skills Required:
- Evidence-Based Practice (Advanced): Ability to implement and assess practice changes grounded in research.
- Patient Education (Advanced): Expertise in delivering complex patient education across the care continuum.
- Nursing Assessment & Evaluation (Advanced): Proficient in conducting comprehensive patient assessments and evaluations.
- Trend Analysis (Intermediate): Skilled in analyzing trends to forecast future demands and identify potential issues.
Nursing Philosophy:
We believe that specialized nursing care is vital to VUMC's mission of delivering quality patient care, education, and research. Our approach to nursing integrates both art and science, focusing on empowering individuals, families, and communities to achieve optimal health.
Core Accountabilities:
Organizational Impact: Contributes to projects that directly influence departmental goals. Problem Solving: Engages in complex data analysis to resolve intricate issues. Knowledge Base: Maintains in-depth knowledge in nursing and a working understanding of related fields. Team Collaboration: May lead projects and mentor team members.
Core Capabilities:
- Supporting Colleagues: Invests in personal and team development to enhance performance.
- Building Relationships: Engages with colleagues and stakeholders to strengthen professional connections.
- Effective Communication: Adapts communication styles to suit various audiences.
- Delivering Excellent Service: Understands stakeholder needs and customizes services accordingly.
- Ensuring Quality: Addresses quality issues promptly and fosters continuous improvement.
- Resource Management: Demonstrates accountability and effectively manages departmental resources.
- Fostering Innovation: Identifies new opportunities for process improvement and embraces technological advancements.
Position Qualifications:
Certifications:
LIC-Registered Nurse - Licensure-Others
Work Experience:
Relevant Work Experience
Experience Level:
5 years
Education:
Bachelor's Degree
Vanderbilt Health is committed to fostering a diverse and inclusive environment. We adhere to the principles of equal opportunity and affirmative action.
