Care Navigator Acute
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Job Summary
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8a -430p Occassional Holiday and weekends Remote
Pay Range
$41.10 - $61.65Major Responsibilities
- Participates in rounds on the patient care unit with the attending physician and other members of the health care team; coordinates communication to assure collaboration and consistency in moving the patients care to estimated date of discharge.
- Assesses patients to determine their discharge planning and/or post-acute transition needs. Develops the discharge plan and works with the physician to implement the plan utilizing internal and external resources to ensure a safe discharge or transition to alternate level of care. Plan will address the following: assessment of patients physical functional social and psychological status; assessment of cultural and language needs; assessment of caregiver resources and available benefits.
- Assigns the appropriate care pathway based on the clinical feedback from the physician and the diagnosis-DRG. Ensures coordination of services among the patients physicians specialists community agencies and vendors. Works collaboratively with patients physicians and members of the multidisciplinary team to assure communication and exchange of input related to patients specific care needs. Utilizes clinical judgment independent analysis evidence-based clinical guidelines patient preference and input from interdisciplinary team in making decisions.
- Assesses progress toward goals and identifies barriers to meeting goals. Prepares and maintains appropriate documentation of patient care and progress within the designated systems. Closes cases in accordance with defined case closure procedure in a timely manner and in accordance with established guidelines. Refers cases for post discharge follow up to the Care Navigator-Outpatient.
- Advocate in the patients best interest for necessary funding treatment alternatives timelines and coordination of care with frequent evaluations of progress and goals. Continues to identify community and caregiver resources to ensure continuity of care during and after completion of the care management plan.
- Integrates patient-centered care into the nursing processes to include the patient(s) and family in care decisions incorporating evidence based practices to achieve safe and effective patient and process outcomes. Communicates plan of care to patient and family and solicits concerns questions and issues for resolution.
- Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners the interdisciplinary health care team community agencies patients and families with diverse opinions values and religious and cultural ideals.
- Performs Utilization Management duties as indicated by the UM Plan and the payer requirements. Acts as a liaison between the Precert Team and the physician.
- Performs all duties related to utilization review as mandated by Navicent Health UM plan and by regulatory agencies such as DNV CMS Payers DCH etc.
- Works with Physician to establish the appropriate admission status for billing. Ensures all aspects of the process are addressed from a CMS compliance standpoint. Issues the IMM notice to discharging patient
- Monitors CarePathways entering clinical information into the system and using an established UR criterion. Makes referrals to the UM Physician Advisors as per policy. Works with Attending Physician to ensure changes to status are supported by order and documentation.
- Track utilization of professional services service delays discharge delays etc and reports as necessary. Provides collaboration with the Attending Physician to work through the delays
Minimum Job Requirements
Education: Completion of an accredited nursing educational program BSN preferred.
Certification / Registration / License: Current registered nursing license. Eligibility to manage patients in a facility outside of the state of applicable state requires a compact License.
Work Experience: Minimum of three years of recent experience in acute care home health case management discharge planning or care management. Experience as a Care Manager with IT solutions such as electronic health record learning management or disease/care management systems a plus.
Our CommitmenttoYou:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs competitive compensation generous retirement offerings programs that invest in your career development and so much more so you can live fully at and away from work including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications skills relevant experience and/or training
- Premium pay such as shift on call and more based on a teammates job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical dental vision life andShort- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit integrated health system in the United States created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas Georgia and Alabama; and Aurora Health Care in Wisconsin Advocate Health is a national leader in clinical innovation health outcomes consumer experience and value-based care. Headquartered in Charlotte North Carolina Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology neurosciences oncology pediatrics and rehabilitation as well as organ transplants burn treatments and specialized musculoskeletal programs. Advocate Health employs 155000 teammates across 69 hospitals and over 1000 care locations and offers one of the nations largest graduate medical education programs with over 2000 residents and fellows across more than 200 programs. Committed to providing equitable care for all Advocate Health provides more than $6 billion in annual community benefits.
Key Skills
- Senior Care
- Nursing Home Experience
- Hospital Experience
- Acute Care
- Basic Math
- Computer Skills
- Caregiving
- Vital Signs Experience
- Medical Terminology
- Rota Management
- Mentoring
- Leadership Skill
About Company
Proudly serving Wisconsin with 18 hospitals, over 150 clinics and 70 pharmacies across 30 communities. Choose Aurora Health Care for you and your family.
