Hfmg Rn Nurse Navigator - Melbourne, United States - Health First

Health First

Verified Company

Melbourne, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

Description:

***Responsible for providing personalized member face to face visits in the acute care hospital setting to ensure the member is set up for a safe discharge and post discharge care. Educate the members on the benefits that are available to them during and after discharge and support the members with getting these services well-coordinated. Ccollaborate with the hospital-based care team and the health plan care team to ensure the member is enrolled in the appropriate post discharge care management program.

PRIMARY ACCOUNTABILITIES

Meet with all members during the in patient (IP) stay.
Conduct a high-level risk assessment with the member in conjunction with the Utilization Management (UM) nurse.
Ensure the members are introduced to the appropriate post discharge care management program and are enrolled prior to discharge.
Consult with internal clinical staff as needed when assessment or gaps in care indicate increasing severity of the member's condition requiring more intense monitoring and intervention.
Promote health management programs and provide community resources available to members.
Utilize engagement skills and motivational interviewing techniques to enroll members in programs.
Provide education, monitor and reporting compliance, identify gaps in care, and adjust the plan as needed. 9. Assist with coordinating post discharge follow up visits timely and that members has a plan in place to get to their appointments.

Qualifications:

MINIMUM QUALIFICATIONS Education:

Education: Associate's degree in Nursing or Nursing Sciences
Licensure: Current Florida RN license free of any restrictions or disciplinary action pending and able to practice without the supervision of another licensed legally and independently professional.
Certification: None required
Work Experience: Three years clinical experience in Med Surg or critical care.
Work Experience in lieu of Education: None
Knowledge/Skills/Abilities
Proficient in Microsoft Office
Outlook, Word, Excel, PowerPoint
Ability to work autonomously with mínimal supervision
Strong critical thinking skills o Strong communication skills and professional presence
Ability to maintain composure in stressful office environment
Excellent interpersonal skills and ability to connect and build a relationship with the members

PREFERRED QUALIFICATIONS

Education: Bachelors degree
Licensure: No additional
Certification: Certified Case Manager (CCM), or ACM
Work Experience: Two years previous experience in care management, Utilization Management, Managed Care, and/or Workers Compensation/Disability Medical Management
Work Experience in lieu of Education: None
Knowledge/Skills/Abilities

: No additional

PHYSICAL REQUIREMENTS

Majority of time involves sitting or standing; occasional walking, bending, stooping
Long periods of computer time or at workstation
Light work that may include lifting or moving objects up to 20 pounds with or without assistance.
May be exposed to inside environments with varied temperatures, air quality, lighting and/or low to moderate noise
Communicating with others to exchange information.
Visual acuity and handeye coordination to perform tasks
Workspace may vary from open to confined; on site or remote
May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle