To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The RN Navigator will focus on the heart failure patient population. The primary role of the nurse navigator is to offer individualized assistance to patients, families, medical professionals and caregivers to help overcome healthcare system barriers.
Responsibilities: 1. Evaluate patients referred from referral sites for enrollment in the program 1.1 Utilizing clinical expertise, and set criteria, accept or decline referrals 1.2 Review referred patients'' medical records and seek additional information from referring physician as necessary 1.3 Maintain appropriate documentation of acceptance or declination of referral 2. Coordinate medical appointments and ancillary services for enrolled patients 2.1 Ensure that appointments are made in a timely fashion 2.2 Follow-up with providers for any additional tests or services required for patients 2.3 Work collaboratively with Patient Navigators to ensure that patient attends appointments 3. Review patient progress and transition plan and identify obstacles to the discharge process and consult necessary services. 3.1 Oversees daily morning huddle with Patient Navigator staff to review workload for the day and discuss clinical and psychosocial needs of patients 3.2 Meets regularly with Patient Navigator staff to review workload, select patient cases and provides navigation insight and assistance as appropriate 3.3 Provide consultation to patient navigators as medical issues arise 3.4 Builds a resource database for navigators, which includes health and health-related information and services 3.5 Conducts annual performance reviews of staff and provides periodic performance feedback 3.6 Conducts interview of new Patient Navigators with ED 4. Works collaboratively with disease managers and key providers involved in the patients discharge process 4.1 Establishes relationships with other community service organizations, as well as pathways for referrals and collaboration 4.2 Prepares internal in-service/physician of the month scheduling 4.3 Alerts physician of the month of their month and selects staff in-service topics 4.4 Prepares external/community in-service list annually 4.5 Works to schedule appropriate number of community program in-service meetings annually 4.6 Coordinates other community presentations as necessary 4.7 Reports all in-service outcomes to ED and Board committees as appropriate 5. Convene and chair physician champion weekly program meeting. 5.1 Schedules committee meetings 5.2 Develop agenda for committee meeting 5.3 Presents comprehensive review of referrals since last meeting, anticipating what, if any issues will be of concern to committee members and be prepared to speak to and or recommend actions to be taken should future similar issues arise. 6. Attendance at conferences and meetings 6.1 Represents PA and YNHH at various committee meetings as necessary 6.2 Attends local and domestic conferences as needed including those that will require travel 6.3 Prepares presentations for conferences and gives presentations as needed or appropriate
B.S.N required, MSN preferred with at least five years of experience in heart failure/cardiology.
Minimum 5 years clinical experience in a specialty care setting required with a working knowledge and expertise in understanding diagnosis, medications, therapies and discharge planning, as they relate to patient care. Cardiology and case management experience beneficial
Licensed Registered Nurse,
Fluency in Spanish preferred (not required). Enjoys working collaboratively with professional and non - professional colleagues alike.
Is able to work independently but is comfortable seeking direction if necessary
Demonstrates ability to intervene without being intrusive, is creative in negotiating potentially delicate/ political situations