RN, Registered Nurse Patient Navigator Senior - Tyler Primary Family Med

TieTalent; Winona (MN); On-site; USD 70,000 - 90,000; Full time

Job summary

A health service provider based in Winona seeks a Registered Nurse Patient Navigator Lead. This role involves case management, health coaching, and overseeing integrated data for patient care programs. The ideal candidate will have significant nursing experience and skill in managing patient interactions and outcomes.

Qualifications

• Require RN License in state of employment.
• 3 to 5 years of nursing experience needed.
• Health Coaching and Case Management experience preferred.

Responsibilities

• Oversee integrated medical benefit program and case management.
• Establish coordination systems for patient care.
• Monitor case management effects and program utilization.

Skills

Case management

Health coaching

Data analysis

Communication

Education

Associate's Degree in Nursing

RN License in state of employment or compact

Job description

RN, Registered Nurse Patient Navigator Senior - Tyler Primary Family Med

RN, Registered Nurse Patient Navigator Senior - Tyler Primary Family Med

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Summary

The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support.

About

Description

Summary

The Registered Nurse Patient Navigator Lead is a Registered Nurse or licensed Nurse Practitioner who provides health and wellness coaching, case management services, analysis and expertise regarding CHRISTUS services. These services will be provided by monitoring cases and claims, analyzing biometric and health risk assessment data, organizing disease management programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support.

Responsibilities

• Oversee the development, implementation and management of an integrated medical benefit program including case management and health/disease management.
• Establish a system for coordinating the caseload patient's care throughout the continuum of care.
• Use standard tools, databases and methodologies to support the health benefit program and provide leadership in managing cases, events and diseases that are determined to be targeted priorities by Senior Management of contracted employers.
• Interact with providers and plan members in case management medical activities to provide the most efficient and effective service.
• Identify targeted chronic diseases/high risk individuals (with vendor support) and develop programs to reduce the financial and health risks, using internal hospital programs/services whenever possible.
• Monitor and evaluate the effects of case management on the patient population.
• Create outcomes-management focus by interdisciplinary analysis of specific clinical, financial and satisfaction elements for the patient population.
• Assist in the analysis of demographics, utilization and reimbursement.
• Prepare cost analysis and other reports to determine the reasonableness of claim/cost data and utilization rates.
• Make recommendations based on data analysis for benefit structure, pharmacy formulary, deductibles, co-pays, out of pocket, etc. to contracted employer groups.
• Maintain consistent attendance, punctuality and personal appearance in accordance with CHRISTUS attendance and dress code policies.
• Uphold organizational values by treating others with respect, keeping commitments and working ethically and with integrity.
• Attend meetings as required and participate in team activities. Exhibit confidence, motivate and inspire others.
• Establish and maintain effective working relationships with team members, patients and the public by demonstrating the ability to communicate verbally and in writing while responding clearly and effectively.
• Demonstrate the ability to read and respond to e-mail and appointment requests in a timely manner and on a regular basis.
• Use time efficiently, plan for additional resources, set goals and objectives and work in an organized manner.
• Demonstrate safety practices and maintain a safe environment for patients, visitors and fellow team members by following established safety and infection control standards.
  
  

Requirements

• Associate's Degree in Nursing
• 3 to 5 years of experience
• RN License in state of employment or compact
• BLS
  
  

Work Type

Full Time

• Winona, Minnesota
  
  

Languages

• English

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Technology, Information and Internet

Referrals increase your chances of interviewing at TieTalent by 2x

Sign in to set job alerts for “Registered Nurse” roles.

Home Health Registered Nurse RN Part Time

RN, Registered Nurse - Transfer Center *4 Houston*

Home Health Registered Nurse RN Full Time 10K Sign On Bonus

RN, Registered Nurse - Heart Hospital Med/Surg

Home Health Registered Nurse RN Full Time 10K Sign On Bonus

Caregiver, HHA, or CNA -Sugar Loaf Senior Living

Home Health Weekend Registered Nurse Full Time 30 Hours 10K Bonus

Nurse Supervisor - Ambulatory - Dialysis

Registered Nurse (RN) - Full-Time 1st Shift

Registered Nurse (RN) - Part-Time 1st Shift

Health Unit Coordinator - Lake Winona Manor

Registered Nurse (RN) - Full-Time/Part-Time All Shifts

Certified Surgical Assistant/Registered Nurse First Assistant

Supervisor Registered Nurse (RN) - Dialysis - $89K-133K per year

Nurse Supervisor - Ambulatory - Dialysis

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.