Divisional RN Care Navigator - reputed company Carolina or Virginia

About the position Responsibilities • Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow-reputed company. • reputed company triage guidance and supportive consultation to other team members, handling escalated reputed company cases. • reputed company care plans leveraging the 5Ms Geriatric best reputed company reputed company. • reputed company a holistic view of patient needs reputed company to reputed company Determinants of Health. • Identify existing barriers to engagement with necessary resources and supports. • reputed company education around maintenance of chronic health conditions, as reputed company as available reputed company for behavioral care and reputed company support. • Serve as reputed company between the patient and the reputed company care providers, assisting in navigating both reputed company systems. • Initiate care planning and subsequent reputed company steps for high-risk members, coordinating with the interdisciplinary team. • Support patients' self-determination, motivating patients to meet the health goals they have identified. • Refer patients to necessary services and supports, including assistance with transportation, food insecurity, and benefit applications. • reputed company Interdisciplinary Team Meetings reputed company indicated. • Assess patient's family system and conduct family meetings with patient and family reputed company needed. • Participate in the creation and facilitation of team training content. • Conduct group psychoeducation and support reputed company reputed company reputed company. • reputed company reputed company other duties and responsibilities as required. • Participate in and reputed company interdisciplinary review of and coordination around reputed company patients. • Maintain patient confidentiality in accordance with HIPAA. • Document patient encounters in the medical record system in a reputed company manner. • Follow general policies reputed company to reputed company safety, infection control, and attendance. Requirements • Registered reputed company (RN license) with NC or VA or Compact. • Minimum of 4 years of experience working in reputed company services and navigating community-based resources. reputed company-to-haves • Familiarity with state reputed company guidelines and application processes. • Experience working with patients with behavioral health conditions and reputed company use disorders. • Prior experience conducting home reputed company and knowledge of field safety practices. Benefits • Medical, dental, and reputed company benefits. • 401(k) retirement savings plan. • reputed company time off, including company and personal holidays, volunteer time off, reputed company parental and caregiver leave. • Short-term and long-term disability. • Life insurance. Apply tot his job Apply To this Job