RN Patient Navigator Utilization Review

JOB REQUIREMENTS: OVERVIEW The RN Patient Navigator coordinates and facilitates patient care activities to assure appropriateness of services and efficient utilization of resources, improve coordination of care across the health care continuum, and to contribute to improved patient satisfaction and outcomes Schedule: 40 hours/week - Potential hybrid schedule after initial training Shift: Days ESSENTIAL DUTIES AND RESPONSIBILITIES Provides case management, advocacy, and care coordination services to hospital patients in a variety of settings to assure seamless transitions in care while minimizing any associated delays or risk of readmission. Conducts early patient assessment, by case-finding and referral, to identify coordination and discharge planning needs. Creates individualized, patient -focused plan for meeting continuing care needs. Makes referrals to post-hospital care providers utilizing knowledge of community resources. Collaborates with the healthcare team to ensure discharge is timely, patient education and instructions are complete, and appropriate follow-up is established. Utilizes current clinical nursing knowledge to effectively educate patients and families about chronic disease conditions. Collaborates with staff nurses and physicians to ensure all elements for core measures have been met prior to discharge. Conducts clinical review process according to Utilization Management Plan. Identifies and intervenes in situations that pose financial risk to the patient and the organization. EDUCATION AND/OR EXPERIENCE Graduate of an accredited nursing program. - BSN or upon hire BSN completion agreement for enrollment in an accredited BSN Completion Program May require specific years of applicable experience to qualify (per department guidelines). CERTIFICATION/LICENSURE Current Registered Nurse License in the state of practice. - Dual Licensure (Wisconsin and Illinois) Preferred Case Management Certification (ACM) preferred. Certification preferred within three years to a specialty approved by CNO or designee; i.e.; Case Management, Med/Surg or Diabetic Education. BLS/CPR required within 90 days OTHER SKILLS AND ABILITIES May include color blind test (per department guidelines) Must be skilled with use of voice mail and phone features. Must be able to use available technology for language interpretation. Must have expert knowledge of Allscripts Care Management program and Epic EMR. Must be able to use Microsoft Outlook, and have basic knowledge of Excel and Word. Must be able to easily toggle between computer applications. Must be available to work and or be on-call on weekends and holidays, as assigned. On-call requires accessibility by pager or cell phone during assigned hours and ability to respond promptly to pages by phone. LEVEL OF... For full info follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity employer functioning under Affirmative Action Plans. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/D2065E1E76D04171