Registered Nurse RN Patient Navigator Primary Care Behavioral Health

Banner Health; Phoenix (AZ); On-site; USD 85,000 - 105,000; Full time

Job summary

Banner Health in Phoenix is seeking an RN Navigator to support the Collaborative Care Model within primary care clinics. This full-time, day-shift role links nurses, behavioral health clinicians, psychiatrists, patients, and community resources to ensure integrated care for patients with depression, anxiety, and related conditions.

The RN Navigator will perform care coordination, outreach, symptom monitoring, and treatment follow-up, with a focus on improving outcomes and proactive patient

Qualifications

• Bachelor's degree in nursing or related field required.
• Current RN license in the state of practice required; BLS certification required.
• Proficiency with clinical documentation and health records; strong organizational skills.
• Minimum 5 years of clinical experience; knowledge of care coordination and management.

Responsibilities

• Assess patient plan of care and coordinate resources to meet health care needs.
• Evaluate medical necessity and care appropriateness; liaise with physicians and schedule tests/consults.
• Coordinate disease care with an interdisciplinary team; refer to specialists as needed.
• Explain diagnostic processes and care plans to patients and families; provide information and resources.
• Set functional, measurable treatment goals; initiate discharge planning with patient/family.

Skills

Behavioral health

Care coordination

Population health

Integrated care

Case management

Nursing knowledge

Communication skills

Education

Bachelor's degree in nursing or related field

Job description

Primary City/State:Phoenix, ArizonaDepartment Name:Family Practice-ClncWork Shift:DayJob Category:Clinical CareAt Banner - University Medical Center, we’re creating a world class medical organization that brings together a leadership team committed to a physician-focused structure, while navigating the challenges of moving from a volume-based to value-based health care system.The RN Navigator position is essential to support the delivery and operational success of the Collaborative Care Model within our primary care practices. This role serves as a critical link between primary care providers, behavioral health clinicians, consulting psychiatrists, patients, and community resources to ensure coordinated, evidence-based care for patients experiencing behavioral health conditions. As the Collaborative Care Model (CoCM) continues to expand within primary care, the RN Navigator will provide comprehensive care coordination, patient outreach, symptom monitoring, treatment plan follow-up, and population health management to improve clinical outcomes for patients with depression, anxiety, substance use disorders, and other behavioral health conditions. The position supports proactive management of patient registries, facilitates timely intervention for patients with worsening symptoms, and promotes adherence to treatment recommendations.The ideal candidate will possess a strong clinical nursing foundation with preferred experience in behavioral health, psychiatric nursing, integrated care, care management, case management, population health, or chronic disease management. Experience working within primary care settings and familiarity with Collaborative Care principles is highly desirable.This is a full time (40 hours/week), salaried, day shift position. The average day is 8am-5pm Monday-Friday. With this role, hours are dependent on patient needs and can start earlier or later on occasion.University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city.POSITION SUMMARYThis position provides comprehensive care coordination, supporting a holistic and coordinated approach across the continuum of care. This position assists with informed decision-making; collaborating with a multi-disciplinary team to allow for timely screening, diagnosis, treatment and increased supportive care throughout the patient experience. This position provides individual assistance to patients, families and caregivers to help identify and overcome barriers which may hinder quality medical and psychosocial patient care.CORE FUNCTIONS1. Assesses the patient’s plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient’s health care needs.2. Evaluates the medical necessity and appropriateness of care, optimizing patient outcomes. Serves as a liaison for referring physicians and assists with scheduling initial tests and consultations.3. Assists the patient/family through diagnostic services, treatment and care. Coordinates disease care using an interdisciplinary holistic approach, making appropriate referrals and consultations in coordination with physicians and providers.4. Ensures that the patient and family understand the diagnostic processes, care strategy and recommended actions, and are provided with appropriate information in coordination with physician and health care providers. Responds to patient requests for information regarding the disease process, expected side effects and community resources.5. Evaluates patient’s functional abilities and limitations. Determines if intervention is needed. Establishes treatment goals that are functional, measurable, patient related and reflect key limiting factors. Establishes and implements a plan of care to achieve treatment goals. Collaborates with patient and family when setting goal; initiates discharge planning. Recommends additions to or modifications of referring orders.6. Supports the patient and family during difficult decision-making periods. Assist in coordination of end of life care for patient and family and provides emotional support.7. Supports process improvement activities for populations of patients to achieve the optimal clinical, financial, operational, and satisfaction outcomes. Participates in staff development to maintain current standards of practice and ensure the highest quality of care.8. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.9. This position works independently, with freedom to determine how to best accomplish functions within established procedures. This position confers with supervisor on any unusual situations. This position is facility-based with no budgetary responsibility. Internal customers include all levels of staff, including physicians. External customers include patients, families, employees of other healthcare institutions, physician offices, referring physicians, community providers and agencies, payers, provider networks, and regulatory agencies. This position requires making decisions related to patient care coordination throughout various facilities and with various specialty practices. Decision making required for treatment and standardization of care of patients. This position requires complex problem solving related to plan of care for evaluation, treatment, and discharge planning for patients.MINIMUM QUALIFICATIONSMust possess knowledge as normally obtained through the completion of a Bachelor's degree in nursing or related field.Requires a current RN license in the state of practice. BLS certification required.Requires a proficiency level typically achieved with 5 years clinical experience. Requires excellent organizational skills and clinical knowledge regarding specialty care services, as well as care coordination of services, legal and financial aspects of diagnostic services and health services in specialty area. Requires effective communication and writing skills, good time management skills and knowledge of word processing and database software applications. Requires the ability to teach both clinical and non-clinical personnel regarding care and diagnostics services. Also requires a good understanding of process improvement.PREFERRED QUALIFICATIONSCurrent certification in specialty area preferred. Prior Case Management experience preferred.Additional related education and/or experience preferred.EEO Statement:EEO/Disabled/VeteransOur organization supports a drug-free work environment.Privacy Policy:Privacy Policy