Presbyterian/St. Luke's Medical Center (P/SL) provides state-of-the-art, complex medical care in the heart of Denver. Patients come from six states in the Rocky Mountain region, including Colorado, Wyoming, Nebraska, Kansas, New Mexico, and South Dakota. Centers of Excellence Include: Advanced Center for Spinal Microsurgery. Bariatric Surgery. Cardiac Rehabilitation. Certified by the American Association of Cardiac and Pulmonary Rehabilitation. Colorado Blood Cancer Institute. Comprehensive Cancer Programs. The Denver Clinic for Extremities at Risk. Denver Wound Healing Center. Diabetes Management Center. High-risk Obstetrics, Level IIIC NICU & Pediatrics. Hyperbaric Oxygen Medicine. Kidney Transplant Center. Level IV Trauma Center. Neonatal Intensive Care Unit. Sleep Study Lab. Spine and Joint Care Specialty Services. Vascular Center Thoracic Outlet Program.
GENERAL SUMMARY OF DUTIES:
Care Assure Nurse Navigator is responsible for the programs and resources that support the navigation of patients through complex healthcare environments for the optimization of care and outcomes. S/he facilitates patient follow-up through coaching, information transfer, and communication in order to improve continuity of care, enhance the medical management of complex disease, and streamline the intervention process. The incumbent guides patients through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes. Serves as a point of contact for referring physicians, patients and caregivers to provide resources and assistance with accessing clinical and supportive care services.
SUPERVISOR: Care Assure Program Director
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
The duties and responsibilities listed herein are not intended to be all inclusive but rather to indicate the primary emphasis of the job and establish the parameters for the necessary skill, effort, responsibility and working conditions that make up the job.
Reviews patient case lists generated by technology-enabled data triggers to identify patients that could benefit from intervention.
Communicates with physicians (in the hospital and in the community) about patients' potential for referral / follow-up treatment.
Provides feedback to leadership in regards to target population in order to enhance care coordination and patient satisfaction.
Schedules follow-up appointments and provide information and reminders to patients & physician offices.
Tracks outcomes of referrals and treatments.
Maintains detailed records to measure effectiveness of program and suggest ways to improve throughout the process.
Works with physicians and program leadership on a daily basis
Engages providers and patients in a program that will improve outcomes and the efficiency of medical care.
Performs position specific job functions at an acceptable level.
Reviews clinical progress of patients and coordinates communications to referring, consulting, and primary care physicians.
Plan, organize and provide direct care to the patient, as appropriate, if called upon to do so.
Facilitates the development of a patient specific teaching plan.
Reviews medications /educates patient as needed, Initiates communication regarding dashboard triggers with care team.
Facilitates ongoing performance improvement activities related to the target population and involving all levels of staff.
Educates patient and families regarding planned procedures, medications and treatments.
Evaluate clinical educational need of staff related to target population and facilitates collaboration with clinical care givers.
Makes appropriate referrals as noted by the physician.
Coordinates information among referring, primary care and consulting physicians and ancillary departments.
Communication – communicates clearly and concisely.
Judgment – Makes decisions based upon job knowledge and experience. Seeks advice where applicable. Judgment sensible and reliable.
Knowledgeable of clinical workflow, clinical documentation, clinical thought process.
Customer Orientation – establishes and maintains long-term customer relationships, building trust and respect by consistently meeting or exceeding expectations. Holds a positive working relationships with hospital staff.
Interpersonal Skills – able to work effectively with other employees, patients and external parties.
PC Skills – demonstrates proficiency in Microsoft Office, Meditech, and purchasing vendor applications and others as required.
Policies and Procedures – articulates knowledge and understanding of organizational policies, procedures and systems.
Basic Skills – able to perform mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.
Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement"
Demonstrates competency and performs consistently under non-routine conditions and complex situations.
Collaborates with Care Assure team members and suggests ideas for development.
Significantly improves specific processes; recommends and facilitates initiatives to improve stakeholder value.
Drives key business improvements and results.
Participates as a subject matter expert.
Demonstrates competency and performs consistently under routine conditions/situations.
Applies appropriate tools and methods.
Shares knowledge and information.
Comply with and actively supports HCA and hospital compliance and ethics programs and activities
Comply with and actively supports patient safety initiatives
Perform duties and responsibilities of all lesser included jobs
Perform other duties as assigned
Presbyterian/St. Luke's Medical Center expects our Code of Conduct Value Statements to be reflected in the way every employee interacts with co-workers, patients and family members, and with others in the community.
We recognize and affirm the unique and intrinsic worth of each individual
We treat all those we serve with compassion and kindness
We act with absolute honesty, integrity and fairness in the way we conduct our business and the way we live our lives.
We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect and dignity
Position Requirements: Licensure/Certification/Registration: Current licensure in the State of Colorado as a Registered Nurse; BLS – Healthcare provider required.
Bachelor's Degree in Nursing with graduation from an accredited school of nursing required. Will consider candidate with BSN within 6-9 months of hire or currently in school pursing BSN. Masters preferred.
Minimum 3 - 5 years relevant specialty area experience (i.e. Cardiovascular, Orthopaedic, Neuro., Spine, Oncology) specialty area experience strongly preferred. Knowledge and application of pertinent computer programs and imaging software (I.E. MUSE, PACS, etc.)
Hospital based computing systems (i.e. Meditech),
Critical thinking, service excellence and good interpersonal communications skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC Skills/Proficient in Microsoft Office, Excel, Word, ect.
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