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RN/Nurse Navigator - Home Health/Hospice (V731)

Company: Veritas Global Consulting Group, LLC
Location: Austin
Posted on: April 25, 2018

Job Description:

JOB CODE: (V731) RN/Nurse Navigator (Home Health/Hospice) LOCATION: Austin, TX SPECIAL INSTRUCTIONS: Do not apply for this position unless you have home health or hospice experience. No exceptions. Thank you. If you want to be a part of an exceptional team and organization, then this highly autonomous role is for you! Outstanding opportunity with a national leader delivering home based care, working with home health and hospice agencies ensuring patients receive continuity of care in the home environment. Nurse Navigators work directly with patients in their homes, and collaborate with physicians, home health and hospice agencies to establish in-home treatment plans and certify the need for services. Our client partners with home health and hospice agencies, collaborates with independent and assisted living communities, and works with skilled nursing facilities and hospitals nationally to coordinate services and patient transitions to home care. Candidates must be a licensed Registered Nurse, and have 2+ years Hospice Industry experience, no exceptions. Home Health experience is a plus. Base salary is negotiable, based on your experience. POSITION DESCRIPTION A Nurse Navigator works closely with the Physician, other health providers and specialty services to maximize the health status of the home-bound patient. This position requires contact with the high risk patients and their care givers to perform barrier assessments, offer solutions to improve patient care, serve as an advocate to identify life goals and provide input in the treatment planning process. A Nurse Navigator will also ensure the coordination and communication of a patients treatment plan and general status to all providers and care givers during the continuum of care. This position requires advanced nursing knowledge and expertise to identify a patient need in the home and the ability to direct and implement care coordination plans for hospice or home care when medically appropriate in the home setting. ESSENTIAL DUTIES AND RESPONSIBILITIES: Provides on-site clinical coordination Coordinates the transition of care for patients throughout the continuum to ensure patient needs are met accordingly via case conferencing with providers and continuum partners Attends all scheduled continuum meetings deemed necessary Facilitates positive relationship development among the continuum Collaborates with all continuum partners: Physicians, Hospices, Home Health Providers, staff, patients/families, community agencies, clinical liaisons Serves as an educational resource regarding hospice and home care for providers, patients, and care givers Perform a needs assessment of very high risk patients (with their input) to maximize or improve current health status and independence Review patients charts to identify gaps in care, potential hospice or home health referrals, and coordinate services with the care team to manage these issues Educate the patient and the care giver on the importance of care in the continuum; this will enable providers to communicate with each other, identifying gaps in care, reduce hospital readmission, improved outcomes and patient satisfaction Is accessible via phone and email to continuum partners, providers, peers, and supervisor during working hours. Flexibility in work schedule to accommodate needs of patient and care givers When necessary or as directed, travel to patient locations such as hospital, skilled nursing facility, an in the home to assess patient needs and status Facilitate communication of patient status and plan of care during transitional experiences such as home to hospital, hospital to post-acute care facility, and back to home. The Navigator will communicate with the providers, patient or care giver, and any specialty program staff that are available, such as hospice, and homecare Confirm that appropriate home care, hospice and other ancillary services are in place and are being delivered as directed by the care team Works closely with all providers [Physicians, Nurse Practitioners (NP), Physician Assistants-(PA)] regarding: Criteria for hospice and home care referrals Community resources in specific geographical service area Case conferencing to coordinate care, improve documentation and communication, patient education materials Facilitates/leads continuum meetings to facilitate appropriate participants discussion regarding utilization of continuum resources to meet patient and family needs Assists with documentation to support eligibility of patient under the care of hospice or home care (which may include chart audit worksheet, Labs, diagnostics, History and Physical, Fast Scale, Mortality Risk Scale, etc.) Utilize clinical tools such as protocols, physician orders, and care coordination models to maximize patient care. Participates in developing and enhancing tools and educational programs that promote patient services: Provides or arranges for in-services for continuum staff Attends all required meetings (monthly staff, etc.) and in-services Provides periodic ride-along with Physicians, NP/PAs Identifies any potential opportunities for improvements within the program/continuum or any needed program development Provides/Coordinates educational opportunities for continuum staff on an as needed bases to include participation in new hire orientations Complete and submit reports and data on a daily, weekly, and monthly basis to track volume and productivity Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner Maintains communication with the Director of Nurse Navigators regarding compliance, job performance and significant patient care issues as they arise QUALIFICATIONS: Active R.N. License At least 1-2 years of hospice experience Ability to perform extensive telephone assessment Knowledge of Medicare regulations and home care and hospice standards Experience with small group presentations and teaching/training Understanding of adult learning principles Exhibits excellent interpersonal skills Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.) Must be very structured, organized, very detailed and able to meet deadlines PREFERRED KNOWLEDGE, SKILLS AND EXPERIENCE Home Health and care management experience Leadership and/or marketing experience The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. For consideration, please send us your CV/resume in MS Word format only. If there is a viable match, one of our consultants will contact you within 24-48 hours. To ensure that our response to your application reaches your INBOX (not your junk or spam folder), please add our email address to your Safe Senders list or to your Address Book.

Keywords: Veritas Global Consulting Group, LLC, Austin, RN/Nurse Navigator - Home Health/Hospice (V731), Healthcare, Austin, Texas

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