RN Clinical Liaison

Nurse Navigator

When you join Choice Hospice, you become part of a team that is not only dedicated to their patients but to each other as well. Here, you will truly make a difference every day as you work alongside a supportive team. With a competitive benefits package, work-life balance, professional development, and an outstanding work environment, you will have everything you need to achieve success in your career. Bring your passion for patient care and you will build a career you love in this Nurse Navigator job.

Join the Choice Health at Home/Choice Hospice Team and apply for this Nurse Navigator opportunity today!

Nurse Navigator Job Responsibilities

• Focused on reducing preventable admissions, readmissions, and preventable ED visits by supporting discharge planning to the next level of care and educating patients regarding the appropriate setting for care.
• Meet with patients in the hospital or nursing facility to discuss services and transition to home on either home health or hospice services.
• Facilitates communication and provides care coordination along the continuum of care including inpatient care team as well as the physician and community care team.
• Ensures appropriate management/stabilization of chronic medical conditions to prevent readmission and promote optimal outcomes.
• Act as a liaison for clinical appropriateness to our internal branch Directors on the complexity of patients discharging and validating that the needs can be serviced at home; input documentation into HCHB regarding the service needs, contact information of patient/family; and coordinate with other vendors as necessary.
• Coordinate home health and/or hospice services with physician as needed, which may include taking both written and verbal orders.
• Partner with Business Development Liaison in the field to provide clinical education to referral sources; work in conjunction with referral sources on protocols for our program needs.
• Develops relationships with and facilitates referrals to community resources including Skilled Nursing Facility (SNF), Rehab, Long Term Acute Care (LTAC), Home Health, Hospice, Palliative Care, Transportation, Medication Asst., DME, and other community resources.
• Provide communication and continuing education to the referral sources.
• Completes activities pertaining to achieving and maintaining quality measures related to payer contracts as indicated.
• Exhibits behaviors and actions which create a high level of patient satisfaction, contributes to positive patient relations and reflects respect for a patient's rights, needs and confidentiality.
• Meets all general requirements, annual competencies, and maintains knowledge of all regulatory Federal, State, Local regulations and VBP contract requirements.
• Completes effective patient focused phone call backs to patients at specified time interval based within 24/72 hours and 7 day follow up.
• During all outreaches focus on medication reconciliation/self-management; use of personal health record, Follow up with PCP and Specialists, review of indicators that patient's condition is worsening and how to respond and follow up for post admission patient satisfaction.

Patient Care Navigator Job Qualifications

• Associate or bachelor's degree in nursing with RN License.
• 1 – 3 years of experience
• Competent in Microsoft Office applications with proficiency in Excel
• Ability to work in a fast-paced, multi-task environment with competing priorities.
• Excellent interpersonal/listening skills.
• Home Care Home Base experience preferred not mandatory.
• Demonstrates effective high-level communication and human relations skills that promote harmony and teamwork.
• Can demonstrate behaviors and actions that support the mission, Choice Pillars, and operations of Choice Health at Home which contribute to continuous quality improvement.

Benefits and Perks

• Medical, Dental, Vision Insurance
• 401k You're eligible after 3 months of service/The plan is 100% fully vested immediately /Choice Health At Home contributes 100% of the first 3% you contribute each pay period
• Health Savings Account
• Life Insurance
• Short & Long Term Disability Insurance
• Paid Time Off and Paid Holidays