RN Nurse Navigator - AHN Neurology / Memory Disorder - West Penn

Highmark Inc. Pittsburgh , PA 15201

Posted 2 months ago

Company :

Allegheny Health Network

Job Description :

GENERAL OVERVIEW:

Serves as the consistent point of contact for referring physicians, patients, caregivers, families, and the community. Facilitates patient flow, including coordination of appointments and assists the patient with accessing clinical and supportive care services within the Network. The RN Nurse Navigator coordinates all aspects of care in collaboration with the multidisciplinary team for all adult patients within specialized disease state to ensure they receive quality and comprehensive services. Identifies community needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary.

ESSENTIAL RESPONSIBILITIES:

  • Oversees community outreach, high risk populations and disease specific sites to establish and sustain working relationships within the network (health plan, physicians, office staff, social services staff, financial counselor, dietician, etc.).

  • Educates and coordinates care regarding patient's diagnosis, treatment options, course of treatment, clinical trial information and resources available.

  • Works with health care team to ensure safe handoff, coordination of care between facilities as well as inpatient to outpatient or outpatient to inpatient coordination of care. Works with High-Risk Care Teams to reduce re-admissions. May work with and/or assist Registry staff with data collection, patient outcomes and updates care delivery models.

  • Coordinates appointments including all aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments. Ensures that medication adherence issues are addressed.

  • Works with AHN physician offices/facilities to identify at-risk patients and assists in facilitating appropriate screening processes.

  • Trends data and outcomes as established for the navigation program. Identifies gaps to improve patient care across the continuum.

  • Develops or attends an existing clinical care conference to report out on active patients to the multidisciplinary team.

  • May identify bereavement needs of families and develop plan of care.

  • Performs other duties as assigned or required.

QUALIFICATIONS:

Minimum

  • Registered Nurse required.
  • 1-3 year(s) nursing experience in the specialty required.

Preferred

  • Bachelor's Degree in Nursing

  • Certification in area of expertise.

  • Valid PA driver's license may be required.

  • Older Adults Protective Services Act (OAPSA) clearance may be required depending on location.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Assistant Nurse Manager Acute Rehab Unit West Penn Hospital

Highmark Inc.

Posted 5 days ago

VIEW JOBS 7/1/2022 12:00:00 AM 2022-09-29T00:00 Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job manages, supervises, and coordinates the daily operations of a specific patient care department under the direction of the Nurse Manager, providing clinical and administrative leadership and expertise. Contributes to the strategic planning process and attainment of goals of the department/unit, the organization and network. ESSENTIAL RESPONSIBILITIES: LEADERSHIP: * Role model mission, vision, and values within their defined areas of responsibility. * Demonstrates and role models professional behavior with all staff interactions. * Serves as change agent and role model for change to assist staff in accepting and embracing the necessary change. * Conducts monthly unit conferences with minutes which include discussions of both unit and organizational activities and goals when delegated * Completes annual performance appraisals on associates which includes peer feedback process, plan for professional development and employee self-appraisal on delegated associates * Attends meetings at the direction of the nurse manager * Promotes unit based shared governance to include ongoing support through consultation and assistance in eliminating barriers in partnership with the nurse manager * Promotes professional development plan and conducts quarterly check-ins with staff * Promotes and encourages nursing specialty certification in partnership with the nurse manager * Promotes employee engagement through leadership rounding. QUALITY AND PATIENT SAFETY: * Identifies, plans, and implements activities in partnership with the nurse manager in specified clinical departments which ensures patient care is delivered in accordance with professional standards for nursing practice and is evidenced based, meets patient safety goals and standards and regulatory guidelines. * Monitors departmental performance in appropriate evidence-based practices quality and patient safety goals, meeting assigned goals. * Develops action plan for any goal not met which includes timeline. * Participates in regulatory readiness * Assists nurse manager in developing a yearly unit based quality plan with unit based clinical practice and performance improvement council based on identified unit needs. * Participates in operational excellence projects using performance improvement methodologies related to through put and other quality improvement initiatives. CUSTOMER SATISFACTION: * Works collaboratively with patients, families, peers, and other departments in the organization/network to meet established organizational goals for patient experience.. * Investigates and provides feedback for identified patient or departmental concerns. * Rounds daily to assess and address patient and family needs. * Collaborates with nurse manager to Develop departmental plan to address any improvement needs. * Assists nurse manager in meeting or show consistent progress toward meeting established patient experience goal(s) and metrics. FINANCE: * Ensures effective implementation of financial plan in partnership with nurse manager * Demonstrates fiscal stewardship through effective and efficient use of staff, facilities, equipment, and other resources while maintaining patient care standards. * Maintains both FTE and Goods/Services within established budget, completes variance reports according to established guidelines. * Utilizes established tools to monitor monthly budget performance, conducting drill down to explain variances as needed. * Completes daily productivity tracker * Collaborates with nurse manager to address overtime use with individuals as needed with documentation of discussion. PROFESSIONAL GROWTH AND DEVELOPMENT: * Fosters the development of staff through coaching, mentoring, and creating an environment which encourages learning and use of research. * Assures appropriate orientation and onboarding, education, credentialing, and professional development for personnel in collaboration with education development specialists * Encourages and facilitates staff membership on councils and committees * Encourage and facilitate attendance at nursing grand rounds and other educational programs according to educational needs assessment of unit/department or network. * Foster peer review participation with staff an d participate in peer review with other assistant nurse managers.. * Conducts quarterly check-ins with assigned staff to review developmental goals * Identifies one area for self-improvement annually and develops a plan to improve QUALIFICATIONS: Minimum * BSN Degree required; Consideration will be given for internal candidates ONLY who are currently enrolled in a BSN program and are within 2 semesters of graduating * Current PA RN licensure * CPR Certification * Willing to obtain professional nurse national certification Preferred * Professional Nursing National certification Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Inc. Pittsburgh PA

RN Nurse Navigator - AHN Neurology / Memory Disorder - West Penn

Highmark Inc.