Care Navigation Partner - Physician Practices

Lehigh Valley Health Network; Bethlehem (Clearfield County); On-site; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider in Bethlehem, PA is seeking a Care Navigation Partner to assist patients through education and outreach efforts. The role involves managing chronic illness care, collaborating with healthcare teams, and facilitating patient resource applications. Candidates must have a Bachelor’s Degree in nursing and 3 years of clinical experience. The position requires a Registered Nurse license in Pennsylvania. This role aims to enhance patient care and reduce hospital readmissions through effective navigation.

Qualifications

• 3 years clinical experience in an inpatient or ambulatory setting.
• American Heart Association Basic Life Support certification.
• Licensed Registered Nurse in Pennsylvania upon hire.

Responsibilities

• Deliver education and in-person assistance to patients.
• Collaborate with stakeholders to triage telephone calls.
• Promote timely access to appropriate care.
• Assist patients in applying for community resources.

Skills

Clinical experience

Patient care management

Data analytics

Communication skills

Community resource assistance

Education

Bachelor's Degree in nursing

RN - Licensed Registered Nurse_PA

Master’s Degree in nursing

Job description

Summary

The Care Navigation Partner will deliver education, outreach, and in-person assistance to patients served. The care navigation partner will collaborate with stakeholders to triage and process telephone calls from patients, caregivers, and providers ranging from general information to more complex situations related to care management. Can conduct one-to-one extended patient meetings, perform follow-up with patients, family/caregivers, providers and community resources via e-mail, phone or other communications. Promotes timely access to appropriate care, works to reduce emergency room utilization and hospital readmissions. Creates and promotes adherence to care plan developed in coordination with the patient, primary care provider, and family/caregivers. The care navigation partner will also support practice quality work and gap closure efforts.

Job Duties

• Focuses on chronic illness management as directed by care pathways and adjusts plan of care as necessary to reduce emergency room utilization and hospital readmissions accomplished by leveraging data analytics and population risk reports to prioritize and tactically respond.
• Builds strong relationships to achieve patient goals and provide seamless care. In partnership with patient and care team develops and re-assesses patient goals.
• Maintains contact with patient and relevant circle of support from initial connection as required/needed to promote best health outcomes.
• Plans and facilitates patient education and ensures patients and family comprehension of care and interventions.
• Supports practice quality efforts focusing on completion of health maintenance opportunities for managed population and assist practice with management of not met reports and portal outreach campaigns.
• Completes pre-visit planning.
• Assist patients with applying for community resources, including emergency financial assistance, housing assistance, access to foodbanks, and other community-based resources.

Minimum Qualifications

• Bachelor’s Degree in nursing
• 3 years clinical experience in an inpatient or ambulatory setting
• American Heart Association Basic Life Support - State of Pennsylvania
• RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire

Preferred Qualifications

• Master’s Degree in nursing

Physical Demands

Lift and carry 25 lbs. Frequent sitting/standing, frequent keyboard use. Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer

This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Equity & EEO Statement

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Req ID

Req ID: wd-JR133908