Rn-Navigator

Catholic Health Initiative Williston , ND 58802

Posted 4 weeks ago

Job Summary / Purpose

The person serving in the position of RN Navigator works collaboratively with physicians, staff and other health care professionals to provide a medical home and care coordination across the health care continuum for all patients within the physician office setting and is an integral member of the health care team who works to ensure safety, best practice and high quality standards of care are maintained. The RN-Navigator is responsible for coordinating a wide range of self-management support and disease registry activities for the clinic's entire patient population.

Essential Key Job Responsibilities

Provide oversight of the disease registry database including:

a) Assuring database is kept up to date.

b) Identifying patients overdue for visits, labs, or referrals and arranging for follow-up services as appropriate.

c) Identifying patients not meeting clinical goals, such as BP control or glucose control, and arranging for follow-up services by protocol or as appropriate.

d) Creating patient, physician, and clinic level quality performance reports.

Provide oversight or conducts pre-visit chart review of patients including:

a) Identification of all needed preventive health maintenance, immunizations, and chronic disease interventions.

b) When standing orders allow it the interventions may be ordered or completed before the patient sees a provider.

c) Fills out pre-visit forms or initiates office visits forms to communicate the review to the provider.

Works with patients and families on Self-Management Support including:

a) Setting short and long-term goals for self-management of chronic disease.

b) Addressing medication adherence in patients not meeting outcome goals.

c) Works with patient to create a plan for Health Behavior Change utilizing the 5A's approach. Assessing and working on the patients readiness to change, the importance of change, and confidence in ability to change. Helping the patient to identify and overcome barriers

d) Makes a plan for follow-up between visits

e) Provides needed patient education regarding specific health care skills and general disease concepts.

f) Assist with shared medical appointments.

g) Communicating face-to-face in the office setting, by telephone, or by e-mail.

Provides Coordination of Care across the care continuum including:

a) Assists as liaison with patients and their families to physicians, clinical staff, and other departments.

b) Acting as a liaison with hospitalized patients and the clinic by following up with patients by phone shortly after hospital discharge.

c) Acting as a liaison with specialty clinics.

d) Proactively acts as patient advocate, responding to and working to resolve patient concerns

e) Providing a link to community resources

Involvement in QI activities:

a) Assesses clinic needs and then collaborates with Clinic Manager on strategies to achieve individual clinic level goals such as quality and efficiency.

b) Actively participates/coordinates committees as needed/requested, i.e. Performance Improvement Teams.

c) Communicates and coordinates with the healthcare team in the development of tools for optimal patient outcomes and report findings.

d) Meets on a regular basis with other population health managers, as coordinated by Clinic Administration, for information sharing and continuing education activities.

Minimum Qualifications

Required Education for Staff Job Levels

Associate's or Bachelor's Degree in Nursing

Required Licensure and Certifications

Registered Nurse (RN) License; Basic Life Support (BLS)

Required Minimum Knowledge, Skills and Abilities

Ability to manage multiple priorities

Ability to define problems, collect data, establish facts, and draw valid conclusions

Ability to read, analyze and interpret common scientific and technical journals, financial reports, and legal documents

Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community

Ability to use the Internet for research and communications

PREFERRED Qualifications

Minimum of three years of recent nursing work experience, preferably including experience in conducting nursing education. Clinic/Physician office experience preferred.

Additional Information

  • Requisition ID: 2020-R0275921

  • Schedule: Full-time

  • Shift: Day Job

  • Market: CHI St. Alexius Health Williston Medical Center

About Us

We are excited to share that CHI was named as one of America's Best Employers 2019, by Forbes. Click here to learn more.

Chances are, you're here because you're looking for a career offering greater opportunity, challenge and fulfillment. We're confident you'll find all three at CHI.

As one of the nation's largest nonprofit health systems, we offer a wealth of careers across more than 101 hospitals in 18 states. Our faith-based health system welcomes you to share in our mission of building healthier communities, whether as a surgeon in the operating room or an administrator in a conference room. When you work in a supportive environment with like-minded professionals, wonderful things happen. Learn More

Equal Opportunity Employment

Consistent with our Core Values, Catholic Health Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers. Qualified applications will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identification, protected veteran status, disability or any other legally protected characteristic

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Rn-Navigator

Catholic Health Initiative