Nurse Navigator - Stroke Care Path - Jefferson (Care Model)

Job ID: J118684
Company: Allegheny Clinic
Location: Jefferson Hills, PA, United States
Facility: Jefferson Hospital
Full/Part Time: Full time
Job Type: Regular
Posted at:

Share:

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

  • BSN
  • 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.

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.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.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 call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Share:

Interested in working at the Highmark Health enterprise?
Take the first step by joining our Talent Network today!

Join Our Talent Network

Similar Jobs

LTSS Case Manager

Home, DE, United States
Clinical Services

Case Manager LTSS Highmark Health Options-1

Home, DE, United States
Clinical Services

Customer Service Representative

Pittsburgh, PA, United States
Customer Service

Supervisor of Customer Service

Wilmington, DE, United States
Customer Service

Practice Supervisor - Digestive Health - Wexford

Wexford, PA, United States
Administrative Services

Outpatient Registered Nurse- Oncology- Butler

Butler, PA, United States
Nursing

Scheduler - Surgery Center - Monroeville - Full Time

Monroeville, PA, United States
Patient Support

Manager- Budget Administration

Camp Hill, PA, United States
Finance

Radiology Technologist

Pittsburgh, PA, United States
Tech

Radiology Technologist- Part-time

Pittsburgh, PA, United States
Tech

PATIENT HOST OR HOSTESS

Pittsburgh, PA, United States
Food/Nutrition

Clinical Documentation Specialist

Monroeville, PA, United States
Nursing

Nurse Practitioner - Urgent Care - Erie - Per Diem/Casual

Erie, PA, United States
Direct Patient Care Providers

Nurse Practitioner - Family Medicine - Erie Health + Wellness Pavilion

Erie, PA, United States
Direct Patient Care Providers

Nurse Practitioner - Family Medicine - McMurrary

McMurray, PA, United States
Direct Patient Care Providers

Senior Products Telesales Representative (Licensed Medicare Advisor)

Pittsburgh, PA, United States
Sales/Account Management

Certified Registered Nurse Practitioner - Allegheny County Jail

Pittsburgh, PA, United States
Direct Patient Care Providers

Health Innovator

Pittsburgh, PA, United States
Strategic Planning/Corp Development

Senior Strategy Partner

Pittsburgh, PA, United States
Strategic Planning/Corp Development

Patient Access Coordinator I - Integrative Health - Bellevue

Bellevue, PA, United States
Administrative Services

Associate Enrollment Coordinator

Pittsburgh, PA, United States
Customer Service

Nurse Practitioner - Congestive Heart Failure - Erie

Erie, PA, United States
Direct Patient Care Providers

Senior Health Innovator

Pittsburgh, PA, United States
Strategic Planning/Corp Development

Stationary Engineer

Monroeville, PA, United States
Facilities Management & Real Estate

Dietitian - Diabetes & Endocrine Health - West Penn

Pittsburgh, PA, United States
Food/Nutrition