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