Nurse Navigator- Neurosurgery HCM - USA Health Physicians Group

USA Health Systems; Mobile (AL); On-site; USD 55,000 - 75,000; Part time

Job summary

USA Health in Mobile, Alabama is seeking a dedicated nurse to provide clinical oversight for a vulnerable patient population and coordinate care across service lines. This role acts as the intermediary to keep the patient care plan intact and patient-centered throughout the disease process and transitions.

You will assist in outpatient management, perform assessments and procedures, manage calls and messages, educate patients and families, and collaborate with care teams to remove barriers to

Qualifications

• Nursing licensure in Alabama required or compact licensure with Alabama.
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Responsibilities

• Provide clinical oversight to a specific vulnerable patient population within a department.
• Serve as intermediary between service lines to ensure the patient care plan remains intact and patient-centered.
• Assist the provider in medical management of outpatients in the clinic.
• Participate in direct patient care activities including assessments, vital signs, procedures, injections, wound care, and phlebotomy.
• Manage calls and messages from patients, families, providers and pharmacies to address needs promptly.
• Educate patients and caregivers about ongoing care plans, medications, and follow-up schedules.
• Coordinate care across disciplines and help overcome barriers to care including transportation and referrals.
• Monitor care plans and ensure smooth transitions in-care and post-discharge.
• Adhere to infection control and safety standards; attend required trainings.

Education

RN/LPN licensure required

Job description

Overview

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

Responsibilities

• To provide dedicated clinical oversight to a specific vulnerable patient population within a department.
• This role serves as the intermediary between multiple service lines and pathways to ensure the patient care plan remains intact and patient centered throughout the disease process and their care transitions.
• Assists the provider in the medical management of outpatients in the clinic
• Participates in direct patient care activities including but not limited to assessments, vital signs, specialty specific procedures/testing, injections, wound care, and phlebotomy
• Manages calls and messages from patients, families, other health care providers and pharmacies to ensure patient’s needs, questions and treatments are addressed in a timely fashion
• Communicates with overseeing provider to receive orders for prescriptions, medical equipment, home health/hospice etc. and obtain insurance authorizations as required
• Serves as the primary contact point, advocate, and informational resource for patients, care team, family/caregiver(s), payers, and community resources
• Provides education and information to the patient and caregiver(s) related to their ongoing plan of care including current medications (including side effects), diagnostic schedules, follow-up schedules, and symptom management
• Documents patient teaching including family and others, based on assessment of needs and respond to patient request
• Assist in coordination of care for the patient and caregiver(s) and provides emotional support
• Cultivates and supports primary care and specialty provider co-management with timely communication, inquiry, follow-up, and integration of information into the care plan regarding transitions-in-care and referrals
• Works across health care disciplines to assist in coordinating patient tests, procedures, appointments, and treatments, and assist patients in overcoming barriers to care including, but not limited to, transportation, financial counseling, and referrals
• Refers patients for supportive care services including nutritionists, social workers, counselors, and financial counselors
• Establishes referral processes for each clinical area mentioned above
• Monitors the patient through their care in the system including in working with the patient and caregiver(s) while inpatient to ensure the plan of care is clear and continues after discharge
• Rounds on patient as needed for plan of care update and education purposes
• Continuously educates patient and caregivers during any transitions of care including but not limited to inpatient/outpatient stay, procedure/surgical care, rehab admission or discharge, or other specialty clinic care
• Works with providers to monitor patient population to analyze care plans, resources provided, and find opportunities to develop new tools or care pathways to serve the patients
• Completes all mandatory department, educational and hospital requirements
• Adheres to current Infection Control and Safety Standards
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as assigned

Additional Information

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.

Qualifications

• Graduation from an accredited school of nursing or practical nursing meeting the minimum standards set by the state of Alabama and 3 years of related experience Required
• Masters will substitute for one year of the required experience and 1 year of related experience Preferred
• LPN - Licensed Practical Nurse - State Licensure Required or
• RN - Registered Nurse - State Licensure and/or Compact State Licensure in accordance with the Nurse Licensure Compact (NLC) for Alabama Required
• Comparable combination of education and experience may substitute for the above requirements.