Healthcare Navigator

1 month ago


Fort Wayne, Indiana, United States CommonSpirit Health Full time
Job Title: Health at Home Navigator

At CommonSpirit Health, we are committed to delivering exceptional care to our patients. As a Health at Home Navigator, you will play a vital role in ensuring that patients receive the right care, at the right time, in the right setting.

Responsibilities:
  • Collaborate with healthcare providers to ensure seamless and timely discharges home, elevating clinical outcomes and patient satisfaction.
  • Guide patients through post-acute care in the home, identifying those who benefit from home-based services and overcoming healthcare system barriers.
  • Advocate for patients during multidisciplinary rounds, fostering holistic care and reducing financial and clinical risks.
  • Communicate care destination information and home service candidates to ensure a seamless transition.
  • Work with hospital partners to identify and prioritize patient populations who will benefit from CHCN services.
  • Initiate care destination discussions and discharge processes upon entrance to the system, identifying and engaging with patients for why not home informational visits.
  • Guide patients through and around barriers within the healthcare system, identifying opportunities to reduce both financial and clinical risks to patients and families who have been discharged from the hospital.
  • Act as an active participant in multidisciplinary rounds as a patient advocate to ensure efficient continuity of care throughout the continuum.
  • Communicate pertinent care destination information and the home services candidates who were identified to the case manager and/or social worker.
  • Maintain communication with patients, families, and healthcare providers to monitor patient satisfaction.
Qualifications:
  • Completion of an accredited registered nursing program.
  • Current unrestricted license as a registered nurse in state(s) of practice.
  • Three years of clinical experience.
  • Home Health experience required. Combination of Acute and Post-Acute care delivery experience preferred.
  • Excellent computer skills and ability to learn new systems.
  • Strong organizational (time management) skills, strong interpersonal skills, the ability to handle multiple priorities with strong attention to detail.
  • Knowledge of and practical use of good business English, spelling, arithmetic, practices, and the ability to communicate effectively using written and verbal skills.
  • Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word.
  • Knowledge of information technology to evaluate care effectiveness (care process, outcomes, and cost).

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