Nurse Navigator - Population Health

Job description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Responsible for triaging incoming patient referrals, assessing needs, giving appropriate clinical dispositions and facilitating referrals to WVU Medicine primary care and specialty care providers. This position will educate the patient when appropriate regarding immediate care advice and preventive behaviors. Accompanies patients to appointments and coordinates travel, accommodations, and itinerary. MINIMUM QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Current unencumbered licensure with the WV Board of Registered Professional Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). EXPERIENCE: 1. Three (3) years of registered nursing experience. PREFERRED QUALIFICATIONS : EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelors of Science in Nursing Degree (BSN). 2. Obtain certification in Basic Life Support within 30 days of hire date. EXPERIENCE: 1. Care coordination experience. 2. Outpatient/clinic experience. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Assess and facilitate coordination of multidisciplinary care across the care continuum. Provide communication, advocacy, and education in a culturally competent manner. 2. Clinically triages new patient referrals efficiently, to ensure timely access to care. 3. Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and/or end of life care. 4. May facilitate referrals within clinics by scheduling and coordinating clinic appointments, e-visits or telehealth visits with a provider. 5. Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address needs of patients. 6. Assess health literacy and educational needs of patient. Provide clinical education about diagnosis, treatment, side effects, and post- treatment care. 7. Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery. 8. Bridge gaps in care and assesses/troubleshoots care transitions and barriers to care. 9. Documents all conversations with patients to maintain a comprehensive medical record. 10. Provides communication with referring providers and primary care providers. Provides direction/guidance to Patient Navigators. 11. Participates in all service line team meetings. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift. 2. Ability to sit for extended periods of time. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Multiple different clinic offices and ancillary testing departments. SKILLS AND ABILITIES: 1. Ability to handle and maintain confidential information. 2. Ability to work in a fast paced and rapidly changing environment. 3. Excellent oral and written communication skills as well as strong organizational and motivational skills. Additional Job Description: 7a-7p with 7p-7a and weekend rotation - primarily 7a-7p - fully remote Scheduled Weekly Hours: 36 Shift: Day (United States of America) Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 415 SYSTEM Population Health Management