Nurse Navigator, RN

JOB TITLE: Nurse Navigator, RN - PRN

Monday - Friday, 
 
GENERAL SUMMARY OF DUTIES: 

As our Nurse Navigator, you will be an educator and advocate for our Total Joint Replacement Patients.  In this role, you can expect to coordinate patient engagement throughout the entire episode of care from days before surgery through weeks following surgery. The Nurse Navigator will support optimization and recovery in coordination with patients and their care coaches and collects data through in person patient contacts/ screenings, education forums, chart reviews and computer-generated reports.

Pre-Operative Period

• Assesses the patient’s plan of care and develops, implement, monitors and documents the utilization or resources and progress of the patients through their care, facilitating options and services to meet the patient’s health care needs. 
• Meet with patients one-on-one and communicate the role of the Navigator in the care continuum and the expectations for the patient throughout the episode of care
• Identify and track all pre-operative requirements for the patient and ensure they are completed.
• Establish and maintain relationship-based care with the patient and family. 
• Coordinate the collection of clinical information from the patient record Perform telephonic health assessments to determine risk stratification (Including a comprehensive assessment of the physical, emotional, environmental, and psychosocial needs of the patient).
• Willing to learn and utilize Epic, HST and other software systems in daily activities to effectively manage TJR patients throughout the continuum of care
• Learn and understand the various evolving requirements of insurers and regulators in relation to Total Joint Replacement care
• Collect and organize all appropriate pre-operative information for all patients including but not limited to (Outpatient PT assessment, pre-op labs, EKG, H&P, Chest X-ray, and pre-procedure discharge planning)
• Collaborate with patient's PCP offices and/or hospital pre-op testing centers when necessary to gather important pre-op health information.
• Schedule and verify patient TJR education class dates.
• Identify and communicate barriers for the patient for enhanced discharge planning.
• As part of the Total Joint Replacement (TJR) Program the Orthopedic Nurse Navigator is responsible for managing all assigned total joint replacement orthopedic patients throughout their episodes of care, utilizing an intra-collaborative approach.
• Adhere to the scope of practice for a Registered Professional Nurse per Georgia state regulatory guidelines.

Post-Operative Period

• Communicate and collaborate with multiple providers and multi-disciplinary care team members to determine discharge for patients post procedure.
• Follow-up with patients at pre-determined intervals and as needed throughout the episode of care based on patient status, telephonically.
• Coordinate and track physician appointment follow-ups (including patient's PCP, surgeon, and other appropriate providers) at pre-determined intervals for the patient post procedure.
• Serves as a clinical liaison with outside care providers to include, but not limited to, home health nursing, PT and third-party administrators.

Qualifications

• Graduate of accredited school of professional nursing (RN)
• Minimum of 3 years related ambulatory experience and/or training as a perioperative, orthopedic, care nurse. Preferable care management, case management or clinical coordination.
• Candidates must possess excellent customer service and interpersonal skills.
• Proficient computer skills and the ability to work independently, multi-task, and problem-solve.
• Professional oral and written communication skills
• Must have valid BLS certification within 30 days of hire.