RN Nurse Navigator - Neurology - AGH - FT

Highmark Health; Pittsburgh (Allegheny County); On-site; USD 76,000 - 98,000; Full time

Job summary

Allegheny Health Network is seeking a RN Nurse Navigator to serve as the primary contact for referring physicians, patients, families, and community members. You will coordinate patient flow, including scheduling, and help patients access clinical and supportive care services within the network.

The navigator collaborates with a multidisciplinary team to ensure quality and comprehensive services for adult patients.

Qualifications

• Current PA RN licensure or multi-state licensure through eNLC.
• 1-3 years nursing experience in the specialty required.
• Bachelor's Degree in Nursing preferred.
• Certification in area of expertise.

Responsibilities

• Oversees community outreach and coordinates care across the network.
• Educates patients and families about diagnosis, treatment options, and care plans.
• Coordinates appointments and handoffs between facilities and disciplines.
• Monitors patient outcomes and supports care transitions (inpatient to outpatient).
• Identifies gaps in care and supports program improvements.

Skills

Nursing experience

Care coordination

Education

Bachelor's Degree in Nursing

Job description

Company : Allegheny Health Network Job Description :

General Overview

`Serves as the consistent point of contact for referring physicians, patients, caregivers, families, and the community. Facilitates patient flow, including coordination of appointments and assists the patient with accessing clinical and supportive care services within the Network. The RN Nurse Navigator coordinates all aspects of care in collaboration with the multidisciplinary team for all adult patients within specialized disease state to ensure they receive quality and comprehensive services. Identifies community needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary.`

Essential Responsibilities

Oversees community outreach, high risk populations and disease specific sites to establish and sustain working relationships within the network (health plan, physicians, office staff, social services staff, financial counselor, dietician, etc.). Educates and coordinates care regarding patient's diagnosis, treatment options, course of treatment, clinical trial information and resources available. Works with health care team to ensure safe handoff, coordination of care between facilities as well as inpatient to outpatient or outpatient to inpatient coordination of care. Works with High-Risk Care Teams to reduce re-admissions. May work with and/or assist Registry staff with data collection, patient outcomes and updates care delivery models. Coordinates appointments including all aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments. Ensures that medication adherence issues are addressed. Works with AHN physician offices/facilities to identify at-risk patients and assists in facilitating appropriate screening processes. Trends data and outcomes as established for the navigation program. Identifies gaps to improve patient care across the continuum. Develops or attends an existing clinical care conference to report out on active patients to the multidisciplinary team. May identify bereavement needs of families and develop plan of care. Performs other duties as assigned or required.

Qualifications

Minimum Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) 1-3 year(s) nursing experience in the specialty required. Preferred Bachelor's Degree in Nursing Certification in area of expertise.

Additional Employment Requirements

CPR – American Heart Association Act 34 Criminal Background Clearance Certificate Act 33 Child Abuse Clearance Certificate Act 73 FBI Fingerprinting Criminal Background Clearance Certificate Valid PA driver's license may be required. Older Adults Protective Services Act (OAPSA) clearance may be required depending on location.

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.