Care Coordination Navigator for Complex Healthcare

Dignity Health; Phoenix (AZ); On-site; USD 54,000 - 80,000; Full time

Job summary

Saint Joseph's Hospital and Medical Center in Phoenix, AZ, seeks a Care Management Professional to guide patients through complex healthcare journeys, coordinating resources and advocating for optimal outcomes.

You will assess needs, create individualized care plans, educate patients, and collaborate with multidisciplinary teams to ensure continuity of care and prevent readmissions. Strong assessment, coordination, and communication skills are essential.

Qualifications

• Bachelor's degree in Nursing or Master's in Social Work from an accredited university.
• RN or Licensed Clinical Social Worker license in AZ, or Social Worker AZ required.
• Four years experience as a Case Manager or Social Worker in an inpatient rehabilitation setting is preferred.

Responsibilities

• Completes psycho-social assessments to gather information for the team on patient adjustment, family support, financial resources, housing, understanding of disability and barriers to discharge.
• Incorporates psychosocial status and diagnosis in evaluating treatment plan with the physiatrist and interdisciplinary team.
• Ensures patient-centered goals are collaboratively established within the interdisciplinary team.
• Provides team with financial information to facilitate decision making through Intake; Evaluation; Planning; Provision of Services; Discharge/Transition Planning; and Long Term Follow-up to ensure appropriate use of resources.
• Monitors patient and family goal attainment relative to the treatment plan and addresses changes in level of care during Team Rounds.
• Facilitates Team Rounds and interdisciplinary documentation.

Education

Bachelor's Of Nursing

Masters in Social Work

RN AZ license

LCSW AZ license

Job description

Saint Joseph's Hospital and Medical Center in Phoenix, AZ, seeks a Care Management Professional to guide patients through complex healthcare journeys, coordinating resources and advocating for optimal outcomes.

You will assess needs, create individualized care plans, educate patients, and collaborate with multidisciplinary teams to ensure continuity of care and prevent readmissions. Strong assessment, coordination, and communication skills are essential.