Nurse Navigator Brittany Clinic

FMOL Health; Baton Rouge (LA); On-site; USD 65,000 - 90,000; Full time

Job summary

A healthcare organization in Baton Rouge is seeking a Patient Navigator to assist patients and families by coordinating care during treatment and post-discharge. The ideal candidate will have a Bachelor's in nursing and experience in acute care settings. Responsibilities include developing care plans, facilitating communication among healthcare teams, and advocating for patient rights. Applicants must hold a current Louisiana RN license and demonstrate proficiency in patient assessment and education.

Qualifications

• 3 years in an acute clinical setting working with a population related to expertise.
• Current and unrestricted Louisiana RN license; BLS certification required.
• Proficient in English, with strong verbal and written communication skills.
• Current and unrestricted Louisiana RN license; BLS.

Responsibilities

• Provide individualized, appropriate care in collaboration with staff.
• Assist with the development of a patient-specific plan of care.
• Communicate critical risk information to staff and physicians.
• Facilitate patient throughput in the admission/discharge/transfer process.
• Evaluate and revise patient outcomes and plans of care.
• Serve as a clinical resource to the interdisciplinary team.
• Communicate risk information to staff and physicians to ensure patient safety.
• Perform physiologic/psychosocial assessments for an individualized care plan.
• Develop plans of care considering education and discharge planning needs.
• Plan routine transitional health care needs; discuss options.
• Adapt education for patients and families and collaborate on outcomes.
• Advocate for patient rights and identify conflicts.
• Identify variances from expected outcomes and revise plans.
• Document interventions and referrals.
• Collaborate with community resources to meet patient needs, especially geriatric patients.
• Educate staff on geriatric population needs.

Skills

Patient advocacy

Clinical assessment

Effective communication

Care coordination

Interdisciplinary collaboration

Education

Bachelor's degree in nursing

Tools

EHR / Computer skills

Job description

Job Description

The Patient Navigator provides assistance to patients and family members in the assigned area. Based on physical, mental, and social assessment skills, the Navigator works in collaboration with staff and physicians on the coordination of appropriate referrals and resources to meet the needs of the patient being actively treated and upon discharge. Functions as a liaison between acute and subacute providers in incorporating assistance with care needs post discharge. Assists with the coordination of evidence‑based best practices to promote positive patient outcomes following discharge. Provides education and emotional support to the patient and family. Coordinates efforts in the prevention of readmissions based on quality delivery of care at all levels. Responsibilities include, but are not limited to, the development, collection, and analysis of data into specific dashboards utilized to enhance and coordinate the needs of the appropriate patient population.

Responsibilities

• Clinical Practice and Care Management
• Provides individualized, appropriate care in collaboration with staff members. Assists with the development of a patient‑specific plan of care based on the goals of treatment and patient's needs.
• Works with patient and significant others to determine treatment and rehabilitation goals for desired outcomes based on the developmental needs of the patient.
• Assist with collection of specified data in evaluating the quality of care provided.
• Facilitates patient throughput in the admission/discharge/transfer process.
• Serves as a clinical resource to all members of the interdisciplinary team.
• Communicates and coordinates critical information related to risk issues to staff and physicians to ensure patient safety in the acute and sub‑acute setting.
• Performs physiologic/psychosocial assessments to assist with the development of an individualized plan of care based on the specific needs of the patient.
• The formulation of individualized plans of care considers patient's education and discharge planning needs. Prioritizes the delivery of care to the individual needs including cultural/ethical and spiritual needs.
• Participates in the planning of routine transitional health care needs (i.e., treatment options, patient placement options, end‑of‑life care (LaPost) discussion and options).
• Adapts planned education and information to individual patients and families by modifying teaching strategies or content. Integrates education during the delivery of care. Collaborates with patients/families to identify realistic desired outcomes based on developmental needs and restrictions.
• Actively advocates for patient rights and identifies potential conflict.
• Identifies variances from expected outcomes based on assessment and evaluation.
• Evaluates patient outcomes and makes revisions in the plan of care.
• Delegates and requests assistance from members of the interdisciplinary team to coordinate to the needs of the patient while being actively treated and upon discharge.
• Documents interventions and referrals in patients' chart and further follow‑up calls as indicated.
• Collaboration and Partnership
• Consistently communicates and collaborates with the health‑care team members, patients, and family members to maximize resources and outcomes.
• Communicates and collaborates with community resources to enhance the continuum of care to meet the specific needs of all patients and particularly the geriatric patient.
• Maintains knowledge regarding program initiatives based on the geriatric population/needs and incorporates the outcome of the team/committee's work into practice.
• Provides education to staff team members based on the developmental needs and limitations of the geriatric population.

Qualifications

• 3 years in an acute clinical setting working with a population related to your expertise.
• Bachelor's degree in nursing.
• Proficient in English, verbal and written communication, and computer skills.
• Current and unrestricted Louisiana RN license; BLS.