Care Navigation Partner - Physician Practices

1004 Lehigh Valley Hospital; Cedar Crest (NM); On-site; USD 65,000 - 85,000; Full time

Job summary

Lehigh Valley Health Network in the Lehigh Valley region seeks a Care Navigation Partner to educate, outreach, and assist patients in person. The role triages calls from patients, caregivers, and providers, conducts one-to-one meetings, follows up via email or phone, and promotes timely access to care to reduce ER visits and readmissions.

Collaborate with care teams to develop care plans, support quality initiatives, and close care gaps.

Qualifications

• Bachelor's degree in nursing required.
• RN license in Pennsylvania required.
• BLS certification required.
• Master’s degree in nursing preferred.

Responsibilities

• Focus on chronic illness management per care pathways to reduce ER visits and readmissions.
• Builds strong relationships to help patients achieve goals and seamless care.
• Develops and reassesses patient goals with patient and care team.
• Maintain contact with patient and support circle to promote health outcomes.
• Plan and facilitate patient education; ensure understanding of care and interventions.
• Support practice quality efforts and close care-gap initiatives.
• Complete pre-visit planning and assist with community resources.

Skills

Clinical experience

Education

Bachelor's Degree in nursing

RN - Licensed Registered Nurse_PA

American Heart Association Basic Life Support

Master’s Degree in nursing

Job description

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work. LVHN has been ranked among the \"Best Hospitals\" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day. Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

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.

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.

https://youtu.be/GD67a9hIXUY

Work Shift: Day Shift

Address: 1250 S Cedar Crest Blvd

Primary Location: LVHN-1250 Cedar Crest

Position Type: Onsite

Union: Not Applicable

Work Schedule: M-F, dayshift variable hours

Department: 1004-09134 Cardiology Clinic - CC

Lehigh Valley Health Network (LVHN) is the region’s largest employer and health care provider of choice. Our nearly 20,000 health care professionals take pride in what they do and are driven by our mission to heal, comfort and care for the people of our community. LVHN is honored to be certified as a Great Place to Work®. LVHN’s culture of trust – and the positive things colleagues said about working at LVHN when surveyed by Great Place to Work and Fortune – align perfectly with what makes a great workplace. This designation tells you that LVHN is a great place to work from hire to retire. If you are someone who aligns with LVHN’s core values – Compassion, Integrity, Collaboration and Excellence – you will have a rewarding and successful career here.