RN Care Navigator - South Pulmonary Clinic

Join our team as a day shift, full‑time RN Care Navigator at INTEGRIS Health Medical Group South Pulmonary Clinic in Oklahoma City, OK. Get to Know Your Team INTEGRIS Health, Oklahoma’s largest not‑for‑profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits include front‑loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities Follows patients during their hospital stay and continues following post‑discharge to facilitate self‑management and avoid preventable readmissions. Works closely with a multidisciplinary team to develop and implement the patient’s plan of care. Ensures patients discharged from the hospital have a follow‑up appointment with their provider and reviews any unmet needs prior to the appointment. Conducts a full assessment, including but not limited to the support system and home environment. Oversees hand‑off of patients to post‑acute facility, agency and primary acute provider, maintaining contact and providing interventions as needed. Plans and conducts post‑discharge follow‑up phone calls with patients or caregivers to monitor progress, provide education and assist in decision‑making regarding self‑care. Provides education, tools and training that align with patient needs and willingness to learn to help patients and caregivers make informed decisions. Utilizes motivational interviewing techniques and other engagement strategies to facilitate adoption and adherence of care plans. Ensures open communication with providers, patients and caregivers to coordinate services within the organization, at outside facilities, at home and physician offices to promote care and maximize satisfaction. Reports to the assigned Director. This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Normal office environment. When working in clinical areas, potential exposure to infections, blood and body fluids, electrical equipment, chemicals. Must follow standard precautions. Qualifications Current licensure as a Registered Nurse (RN) in the State of Oklahoma or a multistate license from a Nurse Licensure Compact (NLC) member state. Bachelor’s degree in nursing preferred. Minimum of 4 years recent clinical experience in a variety of settings. Case‑management experience preferred. Excellent interpersonal communication and collaboration skills. Computer experience required; Windows and Excel preferred. Driver: this job requires operating a company‑owned vehicle or a personal vehicle with a current Oklahoma State driver’s license and acceptable driving record. INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status. About Us INTEGRIS Health mission: Partnering with people to live healthier lives. We provide unprecedented access to quality and compassionate health care, and offer some of the state’s best career and development opportunities. With INTEGRIS Health, you will have a genuine chance to make a difference in your life and career. INTEGRIS Health is the state’s largest Oklahoma‑owned health system with hospitals, rehabilitation centers, physician clinics, mental health facilities and home health agencies throughout much of the state. #J-18808-Ljbffr INTEGRIS Health