Description
Description
Job Summary
The Nurse Navigator functions on the multidisciplinary team as an advocate, interpreter, and educator for patients and significant others. Responsible for ensuring all patients who are navigated receive quality and comprehensive services. Coordinates patient care throughout the continuum in collaboration with the multidisciplinary team. Serves as a liaison throughout the facility and in the community regarding services provided for this unique patient population. Serves as a single point of contact for referring physicians, patients, and caregivers to provide resources and assistance with accessing clinical and supportive care services offered within Excela Health and the community.
Participates in data analytics as it relates to utilization, quality, satisfaction and outcomes.
Essential Job Functions
Demonstrates the knowledge, skill and coordination to provide nursing care and guidance to patients from point of contact through recovery
Systematically and continually performs the functions of assessing, planning, implementing, and evaluating the care of patients
Maintains professional and technical knowledge by attending education workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations.
Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.
Documents patient care services by charting in patient and department records.
Maintains continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques.
Maintains patient confidence and protects operations by keeping information confidential.
Implements standard work, clinical protocols and patient care pathways.
Ensures safe and effective transitions of care that help to promote positive health care outcomes for Excela Health patients.
Functions as preceptor for new hires.
Assesses, plans, implements coordinates, and monitors and evaluates options for patients, their families, caregivers and the health care team, including providers, to promote effective care coordination outcomes.
Manages transitions of care effectively as one of the critical components to reducing readmissions and poor health outcomes. Provides crisis management for clients; makes linkages for interventions as appropriate.
Initiates care coordination strategies that are evidence-based and outcome focused.
Implements standard work, clinical protocols and patient care pathways.
Identifies patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements.
Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.
Promotes patient's independence by establishing patient care goals; teaching patient/family to understand condition, medications, and self-care skills; answering questions.
Maintains safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel.
Demonstrates competencies of clinical reasoning and critical-thinking skills for managing complex and high-risk patients while simultaneously assuming the patient advocate role to ensure conflict-free, unbiased and culturally competent care.
Assures care coordination that takes into account patients' values, needs, preferences and their choice to self-direct care.
Puts the patient at the center of all care decisions and is an essential driver to ensuring that patients get the right care, in the right setting, at the right time.
Effectively manages transitions involving comprehensive planning, targeted outreach and the timely transfer of information between parties critical to the transition. Manages transitions of care effectively as one of the critical components to reducing re-admissions and poor health outcomes.
Facilitates the flow of care to expedite appropriate discharge and prevent readmissions.
Assumes the leadership role in achieving outcomes and making the health system work for the patient.
Brings access, understanding and knowledge of the community and the resources to support management of chronic illness.
Resolves patient problems and needs by utilizing multidisciplinary team strategies.
Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team continuous quality improvement and problem-solving methods.
Contributes to team effort by accomplishing related results as needed.
Implements effective care coordination strategies that are evidence-based and outcome focused.
Seeks role as chair, co-chair, and lead for CQI projects or shared governance, council, committees or work groups.
Specialty Job Functions
Responsible for educating patients at the Joint Works 1st Step Classes.
Develops patient education materials and utilizes technology, when available, to educate patients.
Central point of contact for all navigated patients; including interaction with medical, nursing, and ancillary services.
Serves as point of contact to all patients for identified patient population from point of contact through the continuum of care.
Oversees the planning scheduling, and implementations of day-to-day clinical activities and procedures for navigated patients.
For assigned patient population:
Coordinates and communicates with providers
Facilitates appointments for appropriate consultations and support services within established protocol
Responds to patient requests for information
Partners with patients, families, the interdisciplinary team, and community resources to provide well-coordinated, timely, compassionate, exemplary, interdisciplinary care.
Monitors compliance with patient treatment plan thru the entire episode of care.
Evaluates patient satisfaction with services offered including investigation of concerns / complaints.
Functions in an organized and time conscious manner. Communicates with all me
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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