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A leading healthcare organization seeks a Nurse Navigator for remote work at Ross Heart Hospital. This role focuses on improving outcomes for cardiac patients by coordinating care and facilitating transitions across various healthcare settings. Candidates must be Registered Nurses with extensive clinical experience and knowledge of care protocols.
The Nurse Navigator improves outcomes by reducing all cause readmissions and coordinating episodes of care among patients in a defined population or disease process. The primary focus es are (1) on the coordination and delivery of efficient, effective, compassionate, patient centered care and safe transitions across the care continuum and (2) providing care navigation services to the cardiac population . The Nurse Navigator monitors the patient care process and physiological needs; educates, documents, communicates, and collects data to evaluate and assure patient/family readiness for discharge. The Nurse Navigator facilitates the lateral integration of the care team, collaborating with physicians, nurses and other staff across the continuum to provide comprehensive disease management, assessment, treatment, education, and follow-up evaluation for patients; and, to communicate the plan of care in coordination with pre- and post-acute care settings. Serves as a liaison with post-acute partners as determined by the H eart Leadership team . The Nurse Navigator will manage patients and facilitate care navigation through the format of telephone calls in a post-acute setting.
Minimum Qualifications :
For Hire Registered Nurse required . Five years of recent clinical experience applicable to the population preferred; knowledge of evidenced-based practice and disease specific processes; knowledge of technology and payer protocols desired. Case management and post-acute care experience (home care, SNF, LTACH) experience desirable.
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