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Nurse Navigator Home health, Administration ELG PLC HH, Home Care Elgin

Company: AMITA Health
Location: Elgin
Posted on: May 17, 2019

Job Description:

Requisition ID: 63886
Location: Presence Home Care Elgin
Location Address:
799 S McClean Blvd, Elgin, IL 60123 United States (US)

Daily Hours: 8
Standard Hours: 40
Employment Status: Full-time
Employment Type: Regular
Shift: Day
FLSA: E

SUMMARY
The Nurse Navigator - Home Health is a professional Registered Nurse (RN) who serves as an integrated part of the clinical team and provides post-acute assessment services to referral sources, families, and patients in order to determine the appropriate level of care and/or services. Identifies and implements placement of services to facilitate successful patient outcomes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Serves as initial contact at hospitals and advocates for patients and families to ensure coordination of post-acute services.
    2. Provides support to the patient and family by listening and responding to their question/concerns and by guiding them through the discharge process. Educates patients and families in understanding their diagnosis, treatment options, and resources
    available to them.

    3. Utilizes clinical criteria to refer patients to appropriate resources for services or care and coordinates the process of obtaining referrals to those resources for patients and their families.

    4. Promotes effective utilization of healthcare resources for placement in the appropriate care level post discharge by facilitating implementation of and updates to patient's discharge plan. Works collaboratively with interdisciplinary healthcare team to achieve
    optimal clinical outcomes.

    5. Provides education and consultation to physicians and other health care providers regarding resources and services available to patients.

    6. Collaborates with physicians, patients and families in the after-care planning process. Coordinates team efforts to ensure all critical elements have been communicated to the patient/family.

    7. Documents all discharge planning activities and reviews data to ensure accuracy. Reviews processes with the goal of improving the clinical experience for referred patients and their physician. Works collaboratively with the hospital team and with
    Presence Health to facilitate any needed changes.

    8. Monitors regulatory issues and requirements regarding potential denial of benefits and provide information to appropriate individual. Contacts payer to assess benefit coverage and the need for prior authorization for post discharge care.

    9. Intervenes to avoid concurrent denial of services by planning care and discharge with clinical team.

    This document represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. Other duties may be assigned.

    QUALIFICATIONS
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education and/or Experience
    Graduate of an accredited nursing program required. Minimum two years of experience in Case Management or similar role required.
    Bachelor's degree in Nursing preferred.
    Computer Skills
    Must be proficient with Microsoft Office: Word, Excel, and Outlook.

    Certificates, Licenses, Registrations
    Registered Nurse with a current Illinois License required. Basic Life Support (BLS)/CPR certification are required.

    Business Unit: PLC Home Health Suburban
    Job Function: Nursing
    COMPANY OVERVIEW:
    EOE of Minorities/Females/Vets/Disability

    Nearest Major Market: Elgin
    Nearest Secondary Market: Chicago
    Job Segment: Medical, Home Care, Nursing, Law, Registered Nurse, Healthcare, Legal

Keywords: AMITA Health, Elgin , Nurse Navigator Home health, Administration ELG PLC HH, Home Care Elgin, Other , Elgin, Illinois

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