Demo

Nurse Navigator

St
Saint Joseph, MO Full Time
POSTED ON 4/22/2025
AVAILABLE BEFORE 6/22/2025
  • ·         Serves as a single point of contact for providers of care, patient, and family.
  • ·         Develops and maintain clinical protocols in collaboration with sponsoring physician.
  • ·         Manages any deviation from designed care pathway, coordinating with surgeon and primary care physician.
  • ·         Coordinates with preadmission testing/PAT and ANRP/Anesthesia/Primary Care Physician and/or surgeon to     optimize patient’s medical conditions prior to surgery
  • ·         Collaborates with members of the medical team to ensure a continuum of care for the program patient.
  • ·         Works collaboratively and acts as a liaison between the patient, patient’s family, physicians, nursing and ancillary   contracted services.
  • ·         Gathers pertinent information about the patient’s medical, psychosocial, and functional status
  • ·         Works within criteria set by the pre-admission/registration processes identified by the anesthesia provider and surgeon, sends appropriate referrals to anesthesia/surgeon for final determination when information warrants.
  • ·         Implements necessary changes in coordination with the medical team to improve patient quality of care and optimization pre-operatively.
  • ·         Provides necessary information and education to the patient and support person for the following: pre-operative, intra-operative, discharge and post discharge processes.
  • ·         Serves as the patient point of contact pre-operatively and post-operatively, if patient symptoms worsen. This requires on-call responsibilities.
  • ·         Identifies barriers to the plan of care and intervenes as appropriate.
  • ·         Manages the patients’ transition from the facility to other settings. This includes working in conjunction with home support person, outpatient physical therapy, home health agencies, etc. to ensure the patient is following the coordinated care plan.
  • ·         Keep patient and patient family engaged in the plan of care and moving toward the identified program timeframe for patient outcome goals. Be an advocate for the patient and the program.
  • ·         Works with physicians to develop and maintain clinical protocols.
  • ·         Participants in the quality assessment and performance improvement initiative for the program.
  • ·         Tracks and analyze outcome data for the program and provide reports to program committee and Quality Assessment and Performance Improvement Committee, quarterly.
  • ·         Tracks outcomes and referrals and treatments
  • ·         Measures effectiveness of program and drives improvement throughout process
  • ·         Conducts discharge phone calls for program patients
  • ·         Reviews clinical progress of patients and coordinates communications to referring, consulting and primary care physicians.

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