Nurse Navigator
Company: Bayview Physicians Group
Location: Chesapeake
Posted on: February 24, 2021
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Job Description:
Assists and provides support to high risk patients who require
support to address barriers to improved care and their overall
health outcomes and empower patients to become active participants
in their own care. Assists with coordination of care between
healthcare providers to ensure that patients receive the right care
at the right place and the right time.Work in collaboration with
members of the patient's care team and communicate effectively.
Candidate must be able to thrive in a moderately paced, urgent
need, complex, health care environment, where the Nurse Navigator
works as a key, valued member of the multidisciplinary
team.Patients with moderate and high risk for poor outcomes /
inefficient care require additional assistance to manage their
chronic conditions. The nurse navigator will address any gaps in
care that are identified, alongside the primary care physician and
specialists to improve patient health outcomes, quality of life and
improve the patient care experience. This is in addition to
coordinating medical appointments; addressing patients' barriers to
medication regimen adherence, reminding patients of appointments,
coordinating nonclinical services (such as transportation home
health aide). Maintain appropriate documentation of patient
contact, referrals made, and services provided. Must always be
time-efficient, organized, professional and compliant with HIPAA
rules and regulations.Duties will include:* Demonstrates proficient
computer skills and is able to function within the electronic
medical record as well as other computer software programs.*
Supports practice manager with the implementation of key processes
of patient centered initiatives in the practice.* Facilitates staff
training and education on the tenets of patient centered care,
chronic disease management and referral/order management.* Empower
the patient/ family to collaborate with the healthcare providers to
create and maintain a patient-centered care plan. .* Will work in
collaboration with the primary care physician to notify the office
of the patient's disposition and any available clinical details.*
Reviews documentation provided from insurance carrier, medical
record, care plan, records from hospital or other referral sources
to determine patient needs for navigation services and discuss a
patient specific plan of action.* Facilitate the scheduling of
follow up appointments during transitions of care.* Will contact
high-risk patients after the office follow up visit and review
their care plan and follow up visit instructions through teach-back
techniques. Help facilitate any orders for tests/ procedures /
referrals or subsequent follow up appointments.* Answers general
questions about tests, procedures, getting to offices, labs,
hospitals. Help patients to formulate questions to ask their
healthcare provider and to be empowered to participate in shared
decision making.* Provides referrals to other local agencies, as
appropriate, for services such as transportation etc.* Work closely
with the PCP's office staff and attributed patients to close gaps
in care.* Documents all client interactions in electronic database
with accurate notes indicating interactions with patients,
specialists, care providers and hospital staff ancillary service
providers.* Works collaboratively as a team with other Nurse
Navigators and office staff to ensure that each patient receives
comprehensive services.* Other related duties or special projects
related to quality activities or initiatives as assigned by
supervisor.* Education*: Registered Nurse or Licensed Practical
Nurse* Experience*: At least 3 years minimum experience in an
outpatient healthcare settingJob Type: Full-timePowered by
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Keywords: Bayview Physicians Group, Chesapeake , Nurse Navigator, Healthcare , Chesapeake, Virginia
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