RN Navigator Home Health

SGS_JOB_1936

Admin/Clerical
 Texas
RN Navigator
Care management
Home health

Contract - 3 Months + (Possibilities of Contract Extension)

The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. They are a member of the patient’s care team and act as a patient advocate, providing proactive outreach to Health value-based payer patients. The RN Navigator makes recommendations to primary care providers regarding ongoing services. The RN Navigator facilitates communication and coordinates care with physicians, the providers’ clinic, hospital facilities, family, caregivers, and other community healthcare providers. The Associate will support transitions of care as needed.

Job Responsibilities:

  • Demonstrates expertise in navigating electronic medical record and other care management applications.
  • Collaborates with team members in the discharge process, performing outreach/documentation according to CMS guidelines and the Population Health workflow.
  • Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient’s condition is worsening and how to respond.

Skills:

  • 3-5 years of clinical experience required.
  • 2 years of Home health experience preferred.
  • 2-3 years of managed care and/or care management experience preferred.

Education/Experience:

  • Bachelor’s Degree in Nursing.
  • Registrations, or Certifications: RN license in the state of employment or compact is required.

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