Care Navigator, Emergency Department Job at Eastern Connecticut Health Network
POSITION SUMMARY:
Responsible for managing patient populations with acute, chronic illness and/or multiple co-morbidities, identified as requiring additional transition of care support following visit to the Emergency Department setting. Works in coordination with multiple PCP's and/or community providers and serves as the central link to an identified population of patients. Through skilled assessment, education, collaboration and coordination of healthcare and community resources, the ED Care navigator assists patients to gain self-efficacy/management skills, achieve optimum functional health status and quality of life.
EDUCATION/CERTIFICATION
- Currently licensed as a Registered Nurse in the state of Connecticut.
- BSN preferred
EXPERIENCE
- Two to five years' work experience in an RN role in the Emergency Department setting.
- Experience managing complex patients in an Emergency Department setting.
COMPETENCIES
- Work requires good analytical, organizational and interpersonal skills.
- Must be able to work collaboratively with other members of the health care team and communicate effectively in English, both verbally and in writing.
- Basic computer skills are necessary.
ESSENTIAL DUTIES and RESPONSIBILITIES:
Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.
Job-Specific Competency
1. Plans interventions appropriate to patients' medical and nursing diagnoses, age, abilities and resources; establishes and implements learning and disease self-management plan for patient/significant others; documents planning process according to organizational standards.
2. Provides teaching to patients/families related to patient's diagnosis, pathology, medical and nursing treatment plans, discharge needs and health goals; documents each-element of care per organizational and unit standards.
3. Collaborates with multidisciplinary team members to ensure appropriate follow-up with community care navigator post-discharge.
4. Performs high risk assessments utilizing high risk assessment tool and refers complex high risk patients to the complex care navigator.
5. Transitions discharges from the Emergency Room department to preferred HHA, SNF's and PCP's offices.
6. Collaborates and communicates care with patient's PCP and community care navigator.
7. Works collaboratively with hospital and post-acute leadership to develop and implement process for transitional care program.
8. Participates in the development of disease management strategies, measurement of patient outcomes related to hospital utilization, community outreach presentations, education, and groups related to disease management issues.
Location: Eastern Connecticut Health Network · Care Management
Schedule: Full-time, Day, 40
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