RN Care Navigator
3 days ago
The Nurse Navigator will provide management and oversight of a targeted patient population to ensure high quality care through smooth transitions, education, training and support to help reduce the long-term effects of chronic illnesses and to prevent avoidable readmissions. INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The Nurse Navigator responsibilities include, but are not limited to, the following:
* Follows patients during their hospital stay and continue following post discharge facilitating self-management to avoid a preventable return to the hospital.
* Works closely with multidisciplinary team to develop and implement the patient?s plan of care.
* Ensures patients discharged from the hospital have a follow-up appointment with his/her provider and review any unmet needs prior to appointment.
* Conducts a full assessment including but not limited to the support system and home environment.
* Oversees hand-off of patients to post-acute facility, agency and principle acute provider and maintains contact (either by phone or in person) and provides interventions as needed.
* Plans and conducts post discharge follow-up phone calls with patients and or caregivers to monitor patient progress, provide education and assist in making informed decisions regarding self-care.
* Provides education, tools and training that align with the patient needs and willingness to learn to help patients and caregivers make informed decisions regarding self-care.
* Utilizes motivational interviewing techniques and other member engagement techniques to facilitate patient?s adoption and adherence of care plans.
* Ensures open communication with providers, patients, and caregivers to coordinate services within the organization, at outside facilities, at home and physician offices in the community to promote care and maximize care coordination and patient satisfaction.
Reports to assigned Director This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Normal office environment. When working in clinical areas, potential for exposure to infections and communicable diseases, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions.
* Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state
* Bachelors degree in nursing Preferred
* Minimum of 4 years recent clinical experience in a variety of clinical settings
* Case management experience preferred
* Excellent interpersonal communication and collaboration skills.
* Computer experience required. Windows and Excel preferred.
* This job requires the incumbents to operate a INTEGRIS-owned vehicle OR personal vehicle (non INTEGRIS-owned) and therefore must have a current Oklahoma State Drivers License as well as a driving record which is acceptable to our insurance carrier
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