nurse navigator

Nuclear Care Partners

<div><p><b>Overview</b></p>
<p><b>
The Nurse Navigator is responsible for the day-to-day management, coordination, and supervision of the related clinical activities within their assigned service area, utilizing professional standards of care and agency policy and procedures. This is a non-exempt position. The Nurse Navigator supports and creates positive environments through a personal commitment to the Company's vision and values.</b></p>
<p>
</p><p><b>Compensation</b></p>
<p>
Compensation is based on experience, shift type, and market factors.</p>
<p>
</p><p><b>Shifts: 40 hours per week with some weekend work required (Administrative work will be done in a local Branch Office setting). Full-time Nurse Navigator; must work a minimum of 20 hours per week, completing direct patient care; some weekends and evenings may be required based on patient needs.</b></p>
<p>
</p><p><b>Benefits</b></p>
<ul>
<li>401(k) Retirement Option</li>
<li>Medical, Dental, Vision</li>
<li>Employee Assistance Program (EAP)</li>
<li>Training, mentorship, and career growth opportunities in home care.</li>
</ul>
<p><b>Why Join Nuclear Care Partners?</b></p>
Mission-Driven <ul><li>- Serve a unique population of former atomic energy workers</li>
Nurse-Founded and Led <li>- We understand and prioritize the nursing experience</li>
Supportive, nurse-led culture with autonomy and flexibility <li>- Be part of a team that values trust, integrity, and compassion</li>
Flexibility <li>- Consistent scheduling</li>
</ul>
<p></p><p><b>Key Responsibilities</b></p>
<ul>
<li>Expected to routinely complete face to face patient visits and staff visits in home setting for all patients on case load.</li>
<li>Build face to face rapport with patient and patient families in implementing and managing care being rendered.</li>
<li>Maintains communication with Regional Clinical Director, supervisor, case managers, RN Authorization Specialists, lead and team nurses, non-licensed staff, support staff and ancillary services.</li>
<li>Coordinate with Clinical Director and implement staff development as required to maintain documentation compliance.</li>
<li>Manages care implementation with attention to quality patient care and patient family satisfaction.</li>
<li>Coordinates care authorization with Authorization Specialist regarding initial nursing assessments and new admissions.</li>
<li>Implementation, evaluation and oversight of individual patient POC that corresponds with the physician's orders through assessment of patient's needs, condition, environment and consultation with other health team members.</li>
<li>Performs patient assessment according to physician orders and completes nurse progress notes.
</li><li>Providing weekly updates to the patients in the Onboarding Process, giving them status of their applications, educating them on the EEOICPA program, development initial care expectations.</li>
<li>Ability to create a Plan of Care in conjunction with the patient and their families.</li>
<li>Ensures patient and patient-family are satisfied with level of care, plan of care and care team.</li>
<li>Performs as scheduled and as needed Initial Nursing Assessments, Comprehensive Nursing Assessments, supervisory visits and new patient admissions.</li>
<li>Provides home health aide initial certification training and ongoing education. Assists and supports HHA's through initial paperwork process.</li>
<li>Provide clinical guidance and coaching for staff and patient families.</li>
<li>Able to speak to the authorization process and the benefits of skilled nursing visits.
</li><li>Participates in home visits in service area per policies and procedures and as needed.</li>
<li>Focuses on outreach and networking in territory per direction from management team and per company growth plan.</li>
<li>When not in the field conducting company business should be available and in the office during office hours to enable accessibility of service for potential and current patients and families as well as staff and colleagues.</li>
<li>Schedules visits with patients or fills shifts to ensure patient's needs are being met. Makes changes to routinely scheduled visits as needed.
</li><li>Provides assistance and support with patient advocacy.</li>
<li>Assists with coordination of appointments, treatments and therapies.</li>
<li>Performs appropriate preventative and rehabilitative nursing procedures.</li>
<li>
</li></ul><p><b>Qualifications</b></p>
<ul>
<li>Bachelor of Science in Nursing preferred.</li>
<li>Current RN licensure in the state of NV</li>
<li>A qualified candidate must possess a strong sense of professionalism, effective interpersonal skills and be a true team player.</li>
<li>Previous case management or leadership role(s) which would include Interviewing, hiring, on-boarding procedures, mentoring and leading are preferred.</li>
<li>Must have a valid driver license and be in good standing</li>
</ul>
<p></p><p><b>Ready to Make a Meaningful Impact?</b></p>
<p>
Apply today and join a team that honors commitment, compassion, and clinical excellence.</p></div>

Nurse Navigator

Navi Nurses

<div><p><b>About us</b></p>
<p>
We&rsquo;re a rapidly growing, nurse-founded company redefining at-home care. Our team is on a mission to make in-home nursing services more accessible, personal, and effective by partnering with hospitals, medical practices, and professionals in adjacent industries like estate planning and wealth management. As we scale our impact, we&rsquo;re building a team that&rsquo;s as innovative and compassionate as the care we deliver.</p><p></p><p><b><br>
The role</b></p>
<p>
As a Nurse Navigator, you will contribute directly to our core operations by enhancing the intake process and care planning. You will coordinate and manage client care plans for subacute needs, ensuring the highest quality of service.</p>
<p>
The Nurse Navigator I is pivotal in enhancing Navi Nurses&rsquo; operational effectiveness by bringing a blend of warmth and professional credibility to the initial client engagement process. This role demonstrates profound clinical expertise in aiding both new and established clients to devise personalized care plans. With the collaborative support of our administrative team and fellow nurse contractors, the Nurse Navigator I ensures unparalleled service quality in every client interaction and care plan creation.</p><p></p><p><br>
Focused particularly on our subacute client segment, the Nurse Navigator I is instrumental in managing various aspects of client care. This includes overseeing client management, conducting clinical assessments, advocating for client needs, supporting nursing staff, guiding the development of care plans, reporting on data, and handling general clinical operations. For clients with subacute care needs, this role involves crafting initial care plans via telehealth or phone consultations, managing ongoing care requirements, and addressing clinical questions from nurses. Critical needs are escalated to the Nurse Navigator II and Nursing Manager as necessary.</p><p></p><p><b><br>
What you&rsquo;ll do</b></p>
<ul>
<li>Conduct clinical assessments via telehealth.</li>
<li>Manage ongoing care and respond to clinical inquiries.</li>
<li>Develop and coordinate co-created care plans.</li>
<li>Support nurse contractors and administrative teams.</li></ul><br>
<p></p>
<p><b>
Who you are</b></p>
<ul>
<li>Registered Nurse (RN) with an Arizona license.</li>
<li>Current AHA BLS and/or ACLS.</li>
<li>ASN or higher &amp; graduated from an accredited nursing program.</li>
<li>4+ years of direct client care experience, with at least 1 year in an acute setting.</li>
<li>Excellent interpersonal and communication skills.</li>
<li>Proficient with Google Suite, healthcare platforms, and adaptable to new technologies.</li>
<li>Complete the 20+ hour in-person training with DoN.</li>
<li>Enjoy and thrive in a fast-paced, startup environment with high levels of autonomy.</li></ul><br>
<p></p>
<p><b>
Bonus points</b></p>
<ul>
<li>Navi RN Contractors with at least 6 months of working in Navi are HIGHLY encouraged to apply.</li>
<li>Excitement to adapt to the changing responsibilities of this role as Navi continues to scale across the US.</li></ul><br>
<p></p>
<p><b>
Location</b></p>
<ul>
<li>Remote; must have access to a computer/laptop, phone, and reliable internet.</li>
<li>Initial training and occasional meetings at Navi Nurses Headquarters, Phoenix, Arizona 85004.</li>
<li>Flexibility in weekly hours and work location based on client and business needs.</li></ul><br>
<p></p>
<p><b>
Hours</b></p>
<ul>
<li>40 hours per week, weekends are included.</li>
<li>Flexibility in weekly hours and work location based on client and business needs.</li></ul><br>
<p></p>
<p><b>
What we offer</b></p>
<ul>
<li>Competitive pay</li>
<li>Flexible scheduling</li>
<li>IHRA stipend for healthcare</li>
<li>Healthy PTO</li>
<li>Paid holidays</li>
<li>Professional growth in a supportive community.</li>
<li>Competitive pay with performance bonuses.</li>
<li>Access to the latest healthcare technologies and training.</li></ul><br>
<p></p>
<p>
Navi Nurses is shaped by a strong respect for each other. This applies to every aspect of employment &ndash; from equitable wages, work-life balance, the freedom to be your whole self, to equal opportunities for growth and development at Navi Nurses. We believe wholeheartedly that the more inclusive we are, the better our work will be. We believe strongly that we benefit from diversity and encourage applicants from underrepresented backgrounds to apply.</p></div>

Nurse Navigator I

OU Health

<div><h2 class="jobSectionHeader"><b>Position Title:
</b></h2>RN - Registered Nurse - Nurse Navigator
<p></p><h2 class="jobSectionHeader"><b>Department:
</b></h2>SCC Nurse Navigation
<p></p><h2 class="jobSectionHeader"><b>Job Description:
</b></h2><p><b>General Description:
</b></p><p><i>Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.
</i></p><p>Under limited direction, functions on the multidisciplinary team as an advocate, interpreter, educator and counselor for patients. They model the OU Health Way, as evident in their work output and interactions with employees and patients, through living OU Health&rsquo;s core values of putting Patients First, pursuing Relentless Excellence, showing Integrity, seeking Inclusion for all staff and patients, always Learning, and valuing <i>Teamwork </i>.
</p><p></p><p><b>Essential Responsibilities:
</b></p><ul><li>Responsible for ensuring all patients in assigned area receive quality and comprehensive care.
</li><li>Coordinates patient care throughout the continuum of care in collaboration with the multidisciplinary team.
</li><li>Ensures proper documentation (Orders and Authorizations) are available and correct for each individual patient.
</li><li>Serves as a clinical resource for care management.
</li><li>Provides expert nursing care which includes direct clinical practice, consultation, education and research.
</li><li>Uses clinical expertise and management skills to direct patient/family education and services to ensure the delivery of high quality care in the most family-centered, efficient and economical manner.
</li><li>Communicates with all members of the team on behalf of the patient.
</li><li>Works in collaboration with internal and external interdisciplinary team members to achieve excellence patient service throughout the plan of care.
</li><li>In collaboration with the management team, is responsible for planning, implementing, evaluating and documenting staff development related to patient/family education and quality patient care.
</li></ul><p></p><p><b>General Responsibilities:
</b></p><ul><li>Performs other duties as assigned.
</li></ul><p></p><p><b>Minimum Qualifications </b>:
</p><p><b>Education: </b>Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred.
</p><p><b>Experience: </b>3 or more years of experience in Patient Care as a Registered Nurse in the acute care setting required.
</p><p><b>License(s)/Certification(s)/Registration(s) Required: </b>Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC)).
</p><p></p><p><b>Knowledge, Skills and Abilities:
</b></p><ul><li>Knowledge of nursing theory, practices, techniques, procedures and standards.
</li><li>Knowledge of the principles of supervising staff.
</li><li>Skill in planning and organizing nursing care, applying advanced nursing clinical skills, maintaining records and charts, and preparing written reports.
</li><li>Skilled in maintaining effective working relationships with others.
</li><li>Excellent verbal and written communication skills.
</li><li>Ability to work effectively as part of a team.
</li></ul><p></p><h2 class="jobSectionHeader"><b>Current OU Health Employees - Please click </b><b>HERE </b><b>to login.
</b></h2><h2 class="jobSectionHeader"><b>OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.</b></h2></div>

RN - Registered Nurse - Nurse Navigator

DHR Health

<div><p>DHR Health - US:TX:Edinburg - Days
</p><p>Summary:<br>
<br>
</p><p><b>POSITION SUMMARY:
</b></p><p>Responsible for follow up communication and coordination for continuum of care. Responsible for addressing any barriers and will communicate with department directors and physicians as required.<br>
</p><p></p><p><b>POSITION EDUCATION/ QUALIFICATIONS </b><b>:
</b></p><ul><li>Graduate of accredited vocational nursing school.
</li></ul><ul><li>Current Texas licensure as License Vocational Nurse
</li></ul><ul><li>Minimum of two year of clinical or related hospital experience
</li></ul><ul><li>Ability to communicate clearly and concisely with all levels of nursing, administration, and physicians
</li></ul><ul><li>Demonstrated leadership experience
</li></ul><ul><li>Ability to read, write and speak English required
</li></ul><ul><li>Ability to speak Spanish preferred
</li></ul><p></p><p><b>JOB KNOWLEDGE/EXPERIENCE </b><b>:
</b></p><ul><li>Representative challenges of this position include having a high degree of competency/experience in general.
</li></ul><ul><li>Requires good communication and organizational skills.
</li></ul><ul><li>Must Requires reasoning ability and good independent judgment.
</li></ul><ul><li>Must project a professional image. Working knowledge of personal computer and software applications used in job.
</li></ul><p>Responsibilities:<br>
<br>
</p><ul><li>Responsible for phone-based interaction with patients after discharge
</li></ul><ul><li>Inform patients of abnormal laboratory results
</li></ul><ul><li>Educate patient and/or caregiver on disease specific education
</li></ul><ul><li>Coordinate follow up care with Primary Care Physician or Specialist as necessary
</li></ul><ul><li>Identify barriers to compliance with plan of care
</li></ul><ul><li>Refer to Care Link Clinic when needed
</li></ul><ul><li>Coordinate access to clinical and community based resources as appropriate
</li></ul><ul><li>Respond to triggers that may indicate intervention is required
</li></ul><ul><li>Assists with monitoring and continually assess the success of problem resolution activities.
</li></ul><ul><li>Completes and maintains records for problem status for follow-up.
</li></ul><ul><li>Maintains and distributes corrective action reminder report to responsible persons.
</li></ul><ul><li>Assist with meetings and disseminates information to appropriate areas, as directed.
</li></ul><ul><li>Able to travel and make home visits as needed. All other duties as assigned
</li></ul><p>Other information:<br>
<br>
</p><p><b>LINES OF REPSONSIBILITES </b><b>:
</b></p><p>(Chain-of-command)
</p><p>1. (Director)<br>
</p><p></p><p><b>CUSTOMER SERVICE:
</b></p><p>Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.<br>
</p><p></p><p><b>AGE SPECIFIC </b>:
</p><p>Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient&rsquo;s status and interpret the appropriate information needed to identify each patient&rsquo;s requirement relative to his or her age.
</p><p></p><p><b>AMERICANS WITH DISABILITIES ACT: (ADA) </b>:
</p><p></p><p>A. <b>Essential Duties </b>: Indicated by bold print within performance standards, preceding individual numbered criteria.
</p><p></p><p><b>The following table provides physical requirements that will be associated with, but not limited to, this position:
</b></p><p></p><div><div><div><div><ul><li>Light/moderate lifting up to 20 lbs, from the floor to shoulder height.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Kneeling<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Must be able to assist other employees with lifting more than 20 lbs.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Walking<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Light/moderate carrying up to 20 lbs.<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Standing/Squatting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Straight pulling<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Sitting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Pulling hand over hand<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Pushing<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Repeated bending<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Stooping/Bending<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Reaching above shoulder<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Climbing Stairs<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Simple grasping<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Climbing Ladders<br>
</li></ul></div><div><ul><li>No<br>
</li></ul></div></div><br>
<div><div><ul><li>Dual simultaneous grasping<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Depth Perceptions needed<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to see<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Identify Colors<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Operating office equipment<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Twisting<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Operating mechanical equipment<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Crawling<br>
</li></ul></div><div><ul><li>No<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to read and write<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Ability to Count<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to hear verbal communication without aid<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Operating Personal Vehicle<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>Ability to comprehend written/verbal communication<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div><div><ul><li>Other: Ability to deal with stress<br>
</li></ul></div><div><ul><li>Yes<br>
</li></ul></div></div><br>
<div><div><ul><li>OSHA Category<br>
</li></ul></div><div><ul><li>III<br>
</li></ul></div><div><ul><li>&middot;<br>
</li></ul></div><div><ul><li></li></ul></div></div><br>
</div></div><p></p><p>B. <b>Working Conditions </b><b>: </b>The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.
</p><p></p><p>C. <b>Occupational Exposure: </b>This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.
</p><p></p><p>D. <b>Aptitudes </b><b>: HIGH 1 2 3 4 5 6 LOW
</b></p><p></p><p><b>Intelligence: </b>General learning ability: The ability to &ldquo;catch on&rdquo; or understand instructions and underlying principles. Ability to reason and make judgments. <b>3
</b></p><p></p><p><b>Verbal: </b>Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. <b>3
</b></p><p></p><p><b>Numerical: </b>Ability to perform arithmetic operations quickly and accurately. <b>2
</b></p><p></p><p><b>Spatial: </b>Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to &ldquo;visualize&rdquo; objects or two or three dimensions, or to think visually of geometric forms. <b>2
</b></p><p></p><p><b>Form Perception: </b>Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. <b>3
</b></p><p></p><p><b>Clerical Perception: </b>Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. <b>2
</b></p><p></p><p><b>Motor Coordination: </b>Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. <b>3
</b></p><p></p><p><b>Finger Dexterity: </b>Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. <b>3
</b></p><p></p><p><b>Manual Dexterity: </b>Ability to move hands easily and skillfully. To work with hands in placing and turning motions. <b>3
</b></p><p></p><p><b>Eye-Hand-Foot Coordination: </b>Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. <b>3
</b></p><p></p><p><b>Color Discrimination: </b>Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. <b>3
</b></p><p></p><p>I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.
</p><p></p><p>If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.
</p><p></p><p>Employee Signature: ________________________________ Date: ____________________
</p><p></p><p>Transfer/Hire Date Effective: ________________________.</p></div>

LVN Nurse Navigator - FT - Days - Transitional Care Management

Northside Hospital

<div>Overview:
<div>
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.</div>
Responsibilities:
<p>
Leadership role that provides oversight and care coordination for the Colorectal Cancer Program and support toward Northside Hospital compliance with the National Accreditation Program for Rectal Cancer (NAPRC) standards. Responsibilities include serving in the NAPRC Rectal Cancer Program Coordinator role facilitating patients diagnosed with rectal cancer, in collaboration with a multidisciplinary team, access to high quality care throughout the continuum. Works collaboratively with the Colorectal Cancer Multidisciplinary Team consisting of colorectal surgeon(s), medical oncologist(s), radiation oncologist(s), pathologist(s), radiologist(s), surgical services leadership, service line coordinators, rectal cancer / GI cancer clinicians, and MDC Conference team. Provides support to the Colorectal Cancer Program physicians including the NAPRC Program Director(s) for data collection, evaluation of program outcomes and development of corrective actions as indicated.</p>
Qualifications:
<div>1. Bachelor of Science Degree in Nursing</div><div>
2. Three years of recent oncology nursing experience</div><div>
3. Strong administrative management supervisory experience as evidenced by ability to:</div><ul><li>
Plan, organize, direct, and control activities of an initiative within or across hospital services</li><li>
Establish and maintain effective working relationships with staff, management, physicians, and other healthcare providers</li></ul><div>
4. Successful coordination, team leadership, and service skills.</div><div>
5. Good written and oral communication skills.</div><div>
6. Good organization, analytical, and problem solving skills, to include experience analyzing and evaluating effectiveness of marketing and or program development initiatives.</div><div>
7. Knowledge and proficiency in the use of computers to include experience with data processing, spreadsheet and database programs.</div><div>
</div><div>
Preferred:</div><div>
</div><div>
1. Five or more years of oncology nursing experience</div><div>
2. Master&rsquo;s Degree in Nursing</div><div>
3. Certifications in Oncology Nursing</div><div>
4. Experience as an Oncology Nurse Navigator, Clinical Nurse Specialist or Nurse Practitioner</div><div>
5. Experience collaborating with stakeholders to develop collateral on products services.</div><div>
6. Knowledge of tools to communicate and share information with service line leaders and administration data reports, centralized way to view and collect strategic information with internal stakeholders, etc</div>
Work Hours:: 7:00am- 3:30pm Weekend Requirements:: No</div>

Clinical Coordinator, Colorectal Cancer Program

Osborn Family Health Center

<p></p><div><p><b>Title: </b>Patient Navigator
</p><p><b>Job Summary: </b>The Patient Navigator functions as a clinical support liaison between patients, providers and care team members throughout Osborn Family Health Center and reports to the Chief Medical Officer/Chief Executive Officer. Also coordinates patient-centered care as a liaison between referring physicians, hospital facilities and all other collaborating health care entities. This position will also work in collaboration with all applicable departments.<br>
<br>
<b>Summary of Accountabilities:</b></p><ul><li>
Always provides high quality customer service to patients in person and over the telephone.</li><li>
Maintain current demographic information on patients (name change; address; insurance updates).</li><li>
Always maintain strict HIPAA compliance.</li><li>
Assist in the navigation of patients to reduce gaps in care.</li><li>
Track and monitor provider orders for outpatient services to include laboratory, radiology, diagnostic testing, and consultation services.</li><li>
Attach results and/or consult reports for outpatient services including laboratory, radiology, diagnostic testing, and consultation services for provider review.</li><li>
Work to improve patient compliance through telephone calls, written correspondence, and the patient portal.</li><li>
Assist patients, when necessary, with lost or misplaced orders upon request.</li><li>
Notify ordering provider of patient non-compliance.</li><li>
Facilitate the process for follow-up appointments as needed.</li><li>
Complete Referrals and Prior Authorization for Providers and Specialty Care Services.</li><li>
Willingness to engage in training, i.e., webinar, webcast, any on-line opportunities.</li><li>
Make recommendations on how to improve efficiency in departments.</li><li>
Willingness to cooperate with covering of staff members and/or make recommendations to manager.</li><li>
Ensure compliance with all company policies, procedures, and guidelines.</li><li>
May sometimes undertake a variety of special projects and/or administrative duties to assist in the efficiencies of the organization.</li><li>
Communicate concerns/patient issues with CMO/CEO /or Risk/Claims Manager.</li><li>
Assists with any additional duties as needed or as directed by CMO/CEO.</li></ul><p><b><br>
Minimum Degree and Experience Required:</b></p><p>
Minimum high school diploma or equivalent.</p><p>
Preferred two years' experience as a Certified Medical Assistant</p><p>
Familiarity with IDC10 and CPT coding preferred</p><p><b>
Skill Requirements:</b></p><p>
Fluent in Spanish/English</p><p>
Ability to assist with patients who present with language barriers.</p><p>
Translation Video/Translation of Telephone.</p><p>
Ability to be detailed oriented and organized.</p><p>
Ability to communicate to promote effective working relationships with other members of staff</p><p>
Ability to work effectively under pressure</p><p>
Ability to perform diversified duties with a high degree of accuracy.</p><p>
.</p></div>

Patient Navigator

CVS Health

<div><p>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger &ndash; helping to simplify health care one person, one family and one community at a time.</p><p></p><p><b>
Position Summary</b></p><p><b>
This is a remote work from home role anywhere in the US with virtual training.</b></p><p></p><p>
American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.</p><p></p><p><b>
Key Responsibilities</b></p><ul><li><p>
This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients.</p></li><li><p>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member&rsquo;s needs to ensure appropriate administration of benefits.</p></li><li><p>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.</p></li><li><p>
Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.</p></li><li><p>
Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.</p></li><li><p>
Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives.</p></li><li><p>
Utilizes case management processes in compliance with regulatory and company policies and procedures.</p></li><li><p>
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations.</p></li><li><p>
Identifies and escalates member&rsquo;s needs appropriately following set guidelines and protocols.</p></li><li><p>
Need to actively reach out to members to collaborate/guide their care.</p></li><li><p>
Perform medical necessity reviews.</p></li></ul><p><b><br>
Required Qualifications</b></p><ul><li><p>
5+ years&rsquo; experience as a Registered Nurse with at least 1 year of experience in a hospital setting.</p></li><li><p>
The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support.</p></li><li><p>
1+ years&rsquo; experience documenting electronically using a keyboard.</p></li><li><p>
1+ years&rsquo; current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience.</p></li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li><p>
1+ years&rsquo; Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care.</p></li><li><p>
1+ years' experience in Utilization Review.</p></li><li><p>
CCM and/or other URAC recognized accreditation preferred.</p></li><li><p>
1+ years&rsquo; experience with MCG, NCCN and/or Lexicomp.</p></li><li><p>
Bilingual in Spanish preferred.</p></li></ul><p><b><br>
Education</b></p><ul><li><p>
Diploma or Associates Degree in Nursing required.</p></li><li><p>
BSN preferred.</p></li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$54,095.00 - $155,538.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.</p><br>
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.<p><br>
Additional details about available benefits are provided during the application process and on Benefits Moments.</p><br>
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Case Manager, Registered Nurse

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