RN reputed company Navigator- Hybrid, AHN

About the position This is a hybrid role, involving some in-person work. Candidates must live reputed company 50 miles of the Greater Pittsburgh or Greater Erie region GENERAL reputed company: Serves as the consistent reputed company of contact for referring physicians, patients, caregivers, families, and the community. Facilitates patient reputed company, including coordination of appointments and assists the patient with accessing clinical and supportive care services reputed company the Network. The RN reputed company Navigator coordinates reputed company aspects of care in collaboration with the multidisciplinary team for reputed company adult patients reputed company specialized disease state to ensure they receive reputed company and comprehensive services. Identifies community needs and provides education, screening, support, referrals, coordination of care, and any other assistance identified as necessary. Responsibilities • Oversees community reputed company, high risk populations and disease specific sites to establish and sustain working relationships reputed company the network (health plan, physicians, office staff, reputed company services staff, financial counselor, dietician, etc.). • Educates and coordinates care regarding patient's diagnosis, treatment reputed company, course of treatment, clinical trial information and resources available. • Works with health care team to ensure reputed company reputed company, coordination of care between facilities as reputed company as inpatient to outpatient or outpatient to inpatient coordination of care. • Works with High-Risk Care Teams to reduce re-admissions. • May work with and/or assist Registry staff with data collection, patient reputed company and updates care delivery models. • Coordinates appointments including reputed company aspects of the multi-disciplinary team (physicians, consults, supportive care services, etc. and accompanies patients as needed to appointments. • Ensures that medication adherence issues are addressed. • Works with AHN physician offices/facilities to identify at-risk patients and assists in facilitating appropriate screening processes. • Trends data and reputed company as established for the navigation program. • Identifies gaps to improve patient care across the continuum. • Develops or attends an existing clinical care conference to report out on reputed company patients to the multidisciplinary team. • May identify bereavement needs of families and reputed company plan of care. • Performs other duties as assigned or required. Requirements • reputed company State of PA RN licensure OR reputed company multi-state licensure through the reputed company reputed company Licensure Compact (eNLC) • 1-3 year(s) nursing experience in the specialty required. • CPR – reputed company • reputed company 34 Criminal Background Clearance Certificate • reputed company 33 Child Abuse Clearance Certificate • reputed company 73 FBI Fingerprinting Criminal Background Clearance Certificate reputed company-to-haves • Bachelor's Degree in Nursing • Certification in area of expertise. • reputed company PA reputed company's license may be required. • Older Adults reputed company Services reputed company (OAPSA) clearance may be required depending reputed company. • Prior case/care management experience highly preferred Apply tot his job Apply To this Job