Integris Health Oklahoma City , OK 73113
RN Care Navigator
Job Code: 2018
RN Care Navigator
Monday-Friday Day Shift
Breast Diagnostic Unit
The Nurse Navigator will provide management and oversight of a specific set of assigned patients to ensure high quality care, smooth transitions of care over a 90 day episode of care, and reduce the risk of re-admissions for these patients who are included in Medicare's alternative payment model.
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's responsibilities include, but are not limited to, the following:
Works closely with multidisciplinary team to develop and implement the patient's plan of care.
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.
Follow up with patients throughout the hospital stay. Continue to manage patient post-discharge for a period of 90 days facilitating patient self-management to avoid a preventable return to hospital.
Manage patients discharged from hospital to ensure the patient has an appointment with his/her provider and review any unmet needs prior to the upcoming appointment.
Oversees hand-off of patients to post-acute facility, agency and principal acute provider and maintains contact (either phone or in-person) for 90 day episode and providing interventions when needed.
Plan and conduct telephone consultations with members to assess and monitor needs, care plan, review effectiveness of services and support self-management.
Utilize motivational interviewing techniques and other member engagement techniques to facilitate patient's adoption and adherence of care plans.
Provide education, tools and training that align with the patient needs and willingness to learn.
Provide outreach, education and other clinically based activities to patients and caregivers through the use of home and/or telephonic visits to help them make informed decision regarding self-care.
Collects data on patient outcomes and provides monthly and quarterly reports.
The navigator will serve as the liaison to patients, physicians and post-acute partners to establish and maintain positive working relationships.
Reports to assigned Director
Required Physical Demands (Subject to Reasonable Accommodation):
Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the time
Standing/Walking: Occasionally; activity exists up to 1/3 of the time
Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
Talking (Must be able to effectively communicate verbally): Yes
Color Acuity (Must be able to distinguish and identify colors): No
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