Care Navigator Resume Samples

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JM
J Maggio
Janae
Maggio
4137 Elvie Lodge
Los Angeles
CA
+1 (555) 951 0575
4137 Elvie Lodge
Los Angeles
CA
Phone
p +1 (555) 951 0575
Experience Experience
Philadelphia, PA
Care Navigator
Philadelphia, PA
Orn, Lehner and Miller
Philadelphia, PA
Care Navigator
  • Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs
  • Assist the care team by helping to measure quality and identify, refine and implement practice improvements
  • Risk sharing knowledge
  • Well versed in the knowledge of chronic conditions including prevention, disease characteristics and health promotion efforts
  • Demonstrate personal responsibility and respect for patients, families, caregivers and co-workers in professional appearance
  • Document each patient’s individualized care plan and care coordination in the Practice’s database
  • Develop and maintain relationships among patients, families and caregivers, and the patient’s care team
Detroit, MI
Patient Care Navigator RN
Detroit, MI
Breitenberg Group
Detroit, MI
Patient Care Navigator RN
  • Assists with the development of all personnel on his/her shift, including unit specific orientation and continuing education
  • Consistently demonstrates behavior which reflects that working as a team is more important than self-interest
  • Protects confidentiality of patients/co-workers, respecting their dignity, privacy, and differences
  • Maintains awareness of current developments and trends in the provision of patient care services
  • Facilitates communication with patients, physicians, guests, and co-workers
  • Consistently maintains a professional level of conduct
  • Consistently demonstrates courteous and positive behaviors, e.g. smile, pleasant tone of voice, positive eye contact
present
Dallas, TX
RN, Ambulatory Care Navigator
Dallas, TX
Murazik-Waters
present
Dallas, TX
RN, Ambulatory Care Navigator
present
  • Establish and maintain positive working relationships with all key customers (physicians, office staff, patients, families, and interdisciplinary team)
  • Perform other duties as assigned
  • Participate in quality improvement initiatives
  • Provide assessment and education utilizing clinically-sound, evidence-based guidelines
  • Provide timely, clinical documentation of patient encounters, using the EHR and other tools
  • Collaborate with inpatient care management resources to follow patient through care continuum
  • Engage patient in self-management
Education Education
Bachelor’s Degree in Accuracy
Bachelor’s Degree in Accuracy
University of Virginia
Bachelor’s Degree in Accuracy
Skills Skills
  • 3+ years of previous experience in a Case Management setting
  • Computer savvy
  • Great interpersonal skills
  • Excellent communication skills (written and verbal)
  • Strong attention to detail
  • Highly organized
  • Able to multitask efficiently and effectively
  • Knowledge of community resources
  • Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient’s continuum of care
  • Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state laws and contracts with insurance companies
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15 Care Navigator resume templates

1

Care Navigator Resume Examples & Samples

  • Assist PCP offices to
  • Active LPN or LVN license in the state(s) in which the nurse is required to practice
  • Risk sharing knowledge
2

Care Navigator Resume Examples & Samples

  • Active FL LPN or LVN license without restrictions
  • Ability to travel on site (daily) throughout the central Pensacola areas
  • Previous Medicare/Medicaid experience
  • Previous experience in utilization management, discharge planning and/or home health/rehab
3

Licensed Behavioral Health Care Navigator Resume Examples & Samples

  • Focus on initial inpatient admission for psychiatric and chemical dependency patients
  • Make patient assessments and determining appropriate levels of care
  • Obtain information from providers on outpatient requests for treatment
  • Determine if additional clinical treatment sessions are needed
  • Manage inpatient and outpatient mental health cases throughout the entire treatment plan
  • Administer benefits and review treatment plans
  • Coordinate benefits and transitions between various areas of care
  • Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
  • Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health
  • 2+ years post - Masters experience in a related mental health environment
  • Inpatient experience
4

Patient Care Navigator Resume Examples & Samples

  • Coordinates and monitors patient care/progression through the Care Continuum. Serves as a single point of contact for referring physicians, patients and caregivers to ensure access to clinical and support care services. Facilitates the scheduling of all appointments and consults
  • Assists patients in understanding their diagnosis, treatment options, and the resources available, including educating eligible patients about appropriate clinical research studies and technologies
  • Assist patients and families in establishing a support network and addressing physical, social, and emotional needs
  • Develops patient education programs and tools. Provides appropriate teaching, outreach, and education to patients and families
  • Collects data and tracks interventions and outcomes to support strategic planning processes
  • Accurately documents the administration of care in the patient recorded in a timely manner
  • Reviews all diagnostic imaging studies, lab values, and notifies primary physician as appropriate for abnormal findings
  • Recognizes and reports signs and symptoms of abuse and neglect to physician(s) and Department Director or appropriate agency
5

Care Navigator LVN Resume Examples & Samples

  • Evaluation and assessment of patient for identified needs to include education and socioeconomic factors
  • Provides counseling and crisis intervention for promoting patient and family understanding and acceptance of health conditions. (LSW)
  • Demonstrates strong communication skills with patients, families, medical staff, colleagues and other departments throughout continuum of care
6

Breast Patient Care Navigator RN Resume Examples & Samples

  • Reviews patient case lists generated by technology-enabled data triggers to identify patients that could benefit from intervention, while tracking outcomes of referrals and treatments and maintaining detailed records that measure effectiveness of the program
  • Reviews clinical progress of patients and coordinates communications to referring, consulting, and primary care physicians, notifying an MD if there is a clinically abnormal finding
  • Evaluates and provides input regarding the utilization of resources to meet the needs of the target population
  • Plan and delivers weekly status updates
  • Maintains and role models a leadership/customer service role in interacting with colleagues, physicians, guests, patients, and vendors
  • Education: Bachelor’s Degree in Nursing with graduation from an accredited school of nursing required. Masters degree preferred
  • Experience: Minimum 3 - 5 years relevant specialty area experience (i.e. Cardiovascular, Orthopedic, Neuro., Spine, Oncology) specialty area experience strongly preferred. Knowledge and application of pertinent computer programs and imaging software (I.E. MUSE, PACS, etc.)
  • Special Qualifications
  • Knowledge of MS Office, scheduling systems, and hospital based computing systems (i.e. Meditech)
  • Critical thinking, service excellence and good interpersonal communications skills
  • Ability to read/comprehend written/verbal instructions
  • Demonstrates advanced computer skills
  • Leadership skills to direct others and maintain a common vision for project objectives. Must be a motivator
  • Routinely looks for innovative performance improvement opportunities
  • An understanding, enthusiasm and commitment to the goals of the project
7

Care Navigator Resume Examples & Samples

  • Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, and culturally and linguistically sensitive care coordination services
  • Use case management processes to ensure quality care is delivered to the Practice’s patients, families and caregivers in the most efficient and effective manner across the care continuum
  • Engage patients, families and their caregivers in understanding, establishing and monitoring patient self-management care plans, as appropriate, in a manner that is culturally and linguistically appropriate to the patient, family and caregiver
  • Document each patient’s individualized care plan and care coordination in the Practice’s database
  • Coordinate the patient’s care by facilitating patient, family or caregiver access to medical home providers, employees and resources as needed by the patient
  • Conduct and document assessments of patient needs and resources for effective self-care management
  • Develop and maintain relationships among patients, families and caregivers, and the patient’s care team
  • Communicate with and provide feedback to referral sources including physicians, advanced practice providers, behavioral health specialists, social services, employees and/or care coordinators as appropriate
  • Act as the primary contact point, advocate and source of information for patients, and the community partners who help treat them
  • Research, find, and link patients to resources, services and support mechanisms for their care plans and self-care management needs
  • Provide timely communication with patients as required
  • Assist the care team by helping to measure quality and identify, refine and implement practice improvements
  • Demonstrate personal responsibility and respect for patients, families, caregivers and co-workers in professional appearance
  • Demonstrate flexibility, enthusiasm and willingness to cooperate while working with others in multi-disciplinary teams with activities to include participating in daily huddles
  • High School Degree (Required), College Degree (Preferred)
  • One year experience in Health Care industry encouraged
  • Well versed in the knowledge of chronic conditions including prevention, disease characteristics and health promotion efforts
  • Demonstrated skills in leadership, advocacy, communication, education and counseling
  • Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs
  • Bilingual: English/Spanish, depending on location preferred
  • Exemplary work ethic and professionalism
  • Strong computer skills – technology savvy
  • Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient’s continuum of care
  • Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state laws and contracts with insurance companies
  • Excellent interpersonal skills reflecting clarity and diplomacy; communicates accurately and effectively with all levels of employees and management
  • Detail oriented, thorough and able to handle multiple tasks and projects with varying deadlines and priorities
  • Ability to interpret and relay to patients, families and caregivers the applicable Medicare, Medicaid or private insurance coverage for ordered services to include information about coverage limits and any costs the patient may incur
  • Classroom Training
  • Must be able to stand for long periods of time
  • Frequently required to stand, walk, sit, use hands, handle documents, bend and stoop as needed, and reach with hands and arms
  • Required to use a keyboard and computer regularly
8

Health Care Navigator Resume Examples & Samples

  • Triages all incoming calls for problem resolution. Documents in CMS and other required/applicable computer systems
  • Coordinates problem resolution with Nurse Navigator and/or Wounded Warrior Case Managers according to established Wounded Warrior Navigation and Assistance Program processes
  • Researches and gathers information on military and community resources and enters information in the resource database
  • Communicates effectively with all disciplines of the medical and beneficiary
  • UM/Coding Experience and/or medical terminology
9

Medicaid & Charitable Care Navigator Resume Examples & Samples

  • Orientation: Provides orientation to the KP integrated care system and PCP model for all new Special Populations (Special Pops) members. Orientation includes but is not limited to; available KP and external resources such as the KP Nurse Advice Line, Exceptional Needs Program, dental care, transportation and translator services. Verifies that members have received their ID card and orders cards as needed. Educates member to the role of the PCP and the appropriate use of health care resources
  • Screening: Through the use of a telephonic screening process, identifies members that have unmet needs or active concerns. This may include ethnic and language considerations to care, social issues, chronic disease including mental health, disabilities or current pregnancy
  • Intervention: Assist member with finding and accessing needed services and medical care, including but not limited to making PCP selection, scheduling appointments, assisting with RX refills, transportation arrangements, and assistance for making contact with outside resources or benefits; i.e. mental health and dental providers
  • Follow-up: Refers cases to the Exceptional Needs Program for assistance and guidance when complex issues or concerns are identified. As directed by RN, makes other arrangements and referrals and communicates findings and actions to the PCP or other providers. Through population review, re-contacts previous outreach members to follow-up on overuse of ED and missed appointments; reinforcing appropriate use of resources. Assists with needed arrangements to support appropriateness
  • Documentation and Communication: Provides general administrative support to the Medicaid program through recordkeeping, scheduling meetings and filing as requested
  • Minimum two (2) years of experience with health related customer service, medical office practice or other patient-related experience in the ambulatory setting
  • Minimum three (3) years of experience in health related customer service, medical office practice or other patient-related experience in the ambulatory setting
  • Experience with outreach programs
  • Associate's degree in business administration, communication, marketing, or health related field
  • Excellent oral and written communication skills and demonstrated ability to establish rapport with patients/members
  • Ability to manage multiple work priorities and requests from members
  • Demonstrated ability to effectively use Microsoft Word and Excel and the ability to quickly learn new computerized systems such as appointing programs
  • Must demonstrate initiative and excellent problem solving skills
10

Care Navigator, Southeast Washington Resume Examples & Samples

  • Directly provides and/or assists in the delivery of and volunteer recruitment and training for outreach efforts, educational presentations, early stage programming, support groups, and events in counties served by SE WA ALTC, in conjunction with SE WA ALTC and Alzheimer’s Association staff. Counties include Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, and Asotin
  • Serves as lead in forming a planning committee for and organizing up to five local forums in designated counties for the purpose of building local awareness of Alzheimer’s and related dementias, programs and services, and to create interest by community leaders to design dementia capable communities at the grass roots level, resulting in a call to action
  • Represents the Association in a variety of professional, business, and public settings, including providing trainings and presentations to community and professional groups, as well as at community events such as health fairs
  • Conducts community outreach efforts, including making presentations about Chapter and local programs and services to interested groups; establishes and maintains connections with community health organizations, businesses, government agencies, and other strategic partners; represents the Association to a variety of community meetings and events for outreach, engagement, collaboration, fundraising, and referral purposes
  • Per the contract with SE WA ALTC
11

Care Navigator Resume Examples & Samples

  • Active RN or LPN license
  • Extensive hospice benefit and eligibility knowledge
  • A minimum of three years clinical hospice experience with at least one year in a clinical management role or experience in acute care case management/discharge planning/Clinical Navigator role preferred
  • Excellent knowledge of state and federal home health/hospice agency benefit, eligibility, regulations/Conditions of Participation and Compliance standards and requirements
12

Mhcil Patient Care Navigator Admpcn Resume Examples & Samples

  • Two to four years college education preferred
  • Previous Patient Navigator or Unit Secretary experience preferred
  • Familiarity with insurance verification, scheduling, and pre-registration preferred
  • Familiarity with medical terminology preferred
  • Must be able to type 30 words per minute required
  • Bilingual candidate preferred
  • Demonstrates excellent listening, verbal and written communication skills
  • Ability to maintain a high degree of accuracy in carrying out work duties while coping with a large volume of patients
13

Care Navigator RN Resume Examples & Samples

  • Meets and greets new patients to facility; explains and orients patients to the facility services such as therapy, meals, bathing, medications, activities and the guest services directory
  • Resolves customer requests, questions and initiates follow-up of concerns; provides information to improve customer service
  • Synchronizes discharge planning with the patient, family, rehabilitation, nursing and social service
  • Serves as a role model to foster superb customer service
14

Patient Care Navigator RN Resume Examples & Samples

  • Experience in program development preferred
  • Experience as a nurse navigator and / or patient educator in oncology preferred
  • Experience in leadership preferred
  • Experience in customer service preferred
  • Basic computer program knowledge
  • Patient Monitoring equipment
  • Supports the philosophy of Kingwood Medical Center by facilitating cooperation of hospital staff in a multi-disciplinary approach to patient care
  • Consistently provides outstanding service to all patients, physicians, fellow employees, and guests
  • Maintains awareness of own limitations and seeks guidance from appropriate personnel as needed
  • Prioritizes activities of self based on demands for service
  • Remains alert to the detection of errors in own work and the work of others with appropriate corrective actions initiated
  • Demonstrates an understanding of patient rights, including those pertaining to confidentiality, informed decision-making, and privacy
  • Is aware of resources available for ethical concerns and makes appropriate referrals
  • Practices cost-efficiency
  • Performs technical skills proficiently in accordance with established standards, as evidenced by annual validation processes
  • Utilizes specialized knowledge and skill to perform job requirements
  • Adheres to Tardiness/Attendance policy
  • Actively participates in hospital and departmental group meetings
  • Consistently responds to requests in a positive, professional, and timely manner
  • Demonstrates interpersonal competencies such as effective problem-solving, negotiation, and conflict management skills
  • Consistently maintains a professional level of conduct
  • Facilitates communication with patients, physicians, guests, and co-workers
  • Consistently demonstrates courteous and positive behaviors, e.g. smile, pleasant tone of voice, positive eye contact
  • Utilizes appropriate lines of accountability for the continuous improvement of quality
  • Ensures that problems/concerns regarding departmental activities are communicated with Director
  • Ensures that problems/concerns regarding activities in the hospital are communicated appropriately
  • Protects confidentiality of patients/co-workers, respecting their dignity, privacy, and differences
  • Shows respect for hospital property and the property of others
  • Maintains awareness of current developments and trends in the provision of patient care services
  • Maintains awareness of current hospital and departmental operational policies and procedures which impact on responsibilities of position
  • Utilizes appropriate safety precautions and principles of good body mechanics at all times
  • Is knowledgeable of standards established by Kingwood Medical Center including, but not limited to: Fire, Safety, Infection Control, Disaster, and Universal Precautions
  • Assists with the development of all personnel on his/her shift, including unit specific orientation and continuing education
15

Oncology Care Navigator Resume Examples & Samples

  • Provide patient navigation for a specific tumor site or cancer for the region
  • Train and manage the peer navigators assigned to that cancer type
  • Manage support groups, participate in fund raising and educational community awareness activities
  • Track patient data in the 4D system, support and fill in for other navigators that may not be on site
  • Coordinate regional education to patients, physicians and staff regarding assigned tumor site Assist in grant writing, CME programs, and research and database data entry for outcome tracking
  • Experience in educating and/or navigating adults one-on-one and in larger groups
  • 2-3 years nurse navigator experience
  • Bachelor's Degree in Education, Healthcare, Community Health or a related field or an equivalent combination of education and experience
  • Required training or certification in patient navigation or willing to successfully complete training in patient navigation
  • Masters degree in Education, Healthcare, Community Health or a related field
  • Ability to deal with people in extremely stressful situations
16

RN, Ambulatory Care Navigator Resume Examples & Samples

  • Identify chronic and preventative patient needs
  • Establish and maintain positive working relationships with all key customers (physicians, office staff, patients, families, and interdisciplinary team)
  • Collaborate with primary care practice team and patient to develop plan of care, with respect to ethnic and cultural diversity
  • Serve as an essential link between patients and all other care providers
  • Facilitate appropriate screenings for early disease detection
  • Coordinate patient access to necessary services, including community and public health resources
  • Oversee multidisciplinary appointments for consults and support services, including labs, diagnostics, social work, dieticians, etc. and facilitate as needed for optimum health outcomes
  • Provide timely, clinical documentation of patient encounters, using the EHR and other tools
  • Attend conferences, trainings, and meetings related to the care navigator program
  • Travel to designated physician practices or other health system/community sites, as needed
  • Participate in quality improvement initiatives
  • Complete special projects, as assigned by leadership team
17

Patient Care Navigator Resume Examples & Samples

  • Knowledge of commercial, government, and managed care authorization process
  • Knowledge of Medical Terminology , ICD/CPT coding
  • 5 years experience in the Healthcare Industry
  • Proficient in computer systems, software applications, and data entry
  • Back office medical assistant experience, highly preferred
18

Oncology Care Navigator Rn Snmh Resume Examples & Samples

  • Registered Nurse with 2-3 years experience in Cancer Care and Treatment
  • Good presentation and computer skills
  • Comfortable in dealing with death and dying
19

RN Care Navigator Resume Examples & Samples

  • Engage patient in self-management
  • Collaborate with inpatient care management resources to follow patient through care continuum
  • Provide assessment and education utilizing clinically-sound, evidence-based guidelines
  • Collect data, track outcomes, and support strategic planning initiatives
  • Registered Nurse must have experience/certification that matches assigned practice specialty
  • History of positive rapport with patients, families, physicians, and interdisciplinary team
  • Applicable experience in patient education and knowledge of hospital and community resources
  • Relevant experience in working with diverse populations
  • Exceptional problem-solving, critical-thinking, organizational, interpersonal, and written/verbal communication skills
  • Ability to work in self-directed environment with attention to detail and follow-through
  • Computer literate; Microsoft Office competency required
20

Quality Care Navigator Resume Examples & Samples

  • Participate as a member of MMO multi-disciplinary team to provide outreach services to Medicare members and other government programs populations. Provide service coordination and linkage, including activation of benefits, medical services, culturally specific resources, and peer support
  • Identify members with social or demographic barriers to receiving health care or optimizing health outcomes. Such identification will be through various risk stratification tools and referrals from customer service and care management
  • Develop relationships with community resources and create a library of interventions that can assist members in self-management and accessing necessary health and social services
  • Implement Member Advisory Group for Medicare Advantage members at MMO, including promoting access to peer support services
  • Proficiency with Microsoft Office Applications
  • Knowledge of motivational interviewing techniques, experience preferred
21

Customer Care Navigator Resume Examples & Samples

  • Identify customer needs and help solve customer issues related to health plans, health and wellness and enrollment within regulatory guidelines; providing direct guidance or identifying other EmblemHealth and community resources to find customer solutions, conduct customer needs assessment, education on condition management. Understand and maintain excellent working knowledge of EmblemHealth products, services and technology platforms. Document interactions in support of quantitative metrics for the site and department
  • Work with manager to deliver and organize onsite health seminars and classes, including EmblemHealth vendor-led classes
  • Proactively communicate with customers, EmblemHealth departments and community partners the status of any outstanding issues until solved. Effectively describe final resolution to customer
  • Work together with sales team to identify customers in need of enrollment services and post sales customer service follow-up. Proactively support operational aspects of other internal groups such as product, customer service and quality to help improve customer experience and operations
  • Participate in weekly meetings with manager and team members across sites to discuss customer care issues, improvement opportunities, community offerings, and other site and company priorities
  • Represent EmblemHealth at onsite interactions with community partners and leaders
  • Ability to demonstrate excellent service knowledge and hospitality
  • Possesses optimistic warmth and empathy for the customers’ experience
  • Strong team player with ability and desire to work with different EmblemHealth departments, team members and leaders
  • Professional attitude and conduct at all times including in the face of unknown situations
  • Self-awareness and integrity with a strong sense of accountability
  • Excellent verbal/written communication skills. Both informative and persuasive styles
  • Strong analytical skills and critical attention to detail
  • Creative thinker and adaptable. Takes the initiative to pioneer solutions to novel problems
  • Curiosity and a hunger to learn
  • Prepared to offer ideas for improvement. “Always be on the improve.”
  • Customer Service breadth and depth of knowledge
  • Bachelor’s Degree strongly preferred
  • Fluent in Cantonese and/or Mandarin languages
  • 3 to 5 years of experience working with customers in medical or managed care environment required
  • Experience in evidence-based health and lifestyle coaching techniques preferred; willingness to attend appropriate training and certification classes
  • Experience communicating directly with customers, assessing needs, and connecting customers with resources
  • Knowledgeable on how to navigate all aspects of medical care and managed care system; health and wellness
22

Cancer Care Navigator Resume Examples & Samples

  • Collaborates with patient/family to prioritize patient needs, problems and goals; intervenes or refers as appropriate
  • Monitors, trends and records patient response to disease, illness and treatment
  • Applies specialized expertise to solve problems, generate ideas, plan care, teach and create new services
  • Anticipates future needs of the patient and educates or refers to appropriate sources. Ensures patient's understanding of educational resources
  • Tracks appointments and referrals including support services and communicates to clinics and primary care about services and patient needs
  • BLS from the American Heart Associate required
  • Registered RN thru MN Moard of Nursing required
  • OCN from Oncology Nursing Certification Corporation preferred
  • 4 to 6 years experience required in oncology and care management of cancer patients required
23

Care Navigator Resume Examples & Samples

  • High School Diploma or GED required; Certificate in health promotion, health education, medical assistant, nursing, athletic training, nutrition or other health related field preferred
  • Two (2) years of experience working in health and wellness promotion required; experience focusing on the delivery of customer service preferred
  • Experience working with medical terminology or ICD-10 coding preferred
  • Knowledge of specific disease and lifestyle related topics such as smoking cessation, weight management, nutrition, pre/post-natal care, stress reduction and chronic conditions
  • Must be adaptable and thrive in a high energy, creative and ever changing work environment
  • Ability to handle multiple duties with minimal direction. Apply critical thinking skills and make decisions based upon individual needs
  • Experience with motivational interviewing and behavior change theories
  • MS Office proficient. Computer skills that include but are not limited to Word, Excel, Power Point and ACT
  • Ability to travel. Must have reliable means of transportation
  • Proven examples of displaying the Nova values: Passion, Caring, Collaborative, Trustworthy, Respectful and Accountable
24

Lvn-care Navigator Resume Examples & Samples

  • Perform medication reconciliations under the supervision of an RN (if an LVN)
  • Acceptance and response to referrals from the multi-disciplinary health care team and community regarding clients who may require intensive social services assistance
  • Demonstrates self-motivation and initiative by developing and maintaining current information on community resources through attendance of continuing education and professional associations
  • Coordinates patient care with CHP Nurse Manager and CMO. Assists the RN Care Coordinator in the development of a plan of care that includes realistic and measurable goals to produce desired patient outcomes
  • Provides services to patients at risk for hospital readmissions and emergency room admissions
25

Care Navigator Resume Examples & Samples

  • Maintains knowledge of social welfare system, community resources and other programs applicable to patient and family needs. Performs community outreach and other liaison activities
  • Documents in a manner that is concise and relevant to the patient’s condition and plan of care
  • Provides guidance and support to Level I Patient Care Navigators as required. Support can include in-depth social or nursing assessment as applicable. This support can assist with determining and providing appropriate levels of education and/or resources. Displays nonjudgmental acceptance, maintains confidentiality and establishes a positive rapport and working relationship with patients/family/visitors/staff/community
  • Provides education to patients about chronic disease management and leads them to create self-management goals through the use of knowledge and specific educational skill sets
  • Communicates effectively with all staff, patients, families and physicians
26

Lbsw-pediatric Care Navigator Resume Examples & Samples

  • Evaluation and assessment for identified needs and barriers in preventing readmissions
  • Acceptance and response to referrals from multi-disciplinary heath care team and community regarding clients who may require social services assistance
  • Maintains current knowledge of the social welfare system, its programs, and applicability to patient and family needs
  • Displays nonjudgmental acceptance, maintains confidentiality, and establishes a positive rapport and working relationship with patients/family/visitors/staff/peers/community
  • Assists with the development and maintenance of student affiliation programs
  • Assists patients with applying for and receiving prescription assistance through various available programs
  • Maintains harmonious relationships with all community clinics, CMG clinics and hospital staff, providing support and displaying a positive attitude to ensure quality patient care. Communicates patient needs appropriately and effectively to other health care providers
  • Develops and maintains relationships within the community in order to provide a variety of cost-reduced services for patients in need
  • Participates in patient care conferences, such Contract/DSRIP/Clinic meetings, to better identify and address patient needs
  • Documentation in medical record(s) all relevant information to the social worker’s assessment, the patient’s plan of care and direct assistance in a concise manner
  • Assess needs of all teams. Supports care management’s teams and its patients. Attends visits with patients/families as required
  • Support and participate in community outreach/benefit programs and committees
27

Transitional Care Navigator Resume Examples & Samples

  • Works with the patient to coordinate transitions into or out of a care setting in order to obtain appropriate services and benefits. This may include faxing information, performing referrals or tasking other depts. or consultants, arranging authorization and transportation, assuring transfer documentation completion, arranging DME, coordinating home health care, confirming arrangements, obtaining clothing, making physician or outpatient appointments, obtaining test results, obtaining medications, etc
  • Performs transfer of accurate, pertinent patient information between levels of care. Performs follow-up calls to patients and providers regarding their experience and issue resolution
  • Participates in departmental improvements, Banner initiatives and performs data collection for measurement of projects
  • Documents accurately and timely all interventions and necessary patient related activities in the correct medical record
  • Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources
  • May perform tasks such as routine utilization reviews, securing community resources/information or other tasks as related to clinical specialty. May perform secretarial/cross coverage where needed
28

Transitional Care Navigator Resume Examples & Samples

  • Works with the patient to coordinate transition into or out of a care setting in order to obtain appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, obtaining clothing, making physician or outpatient appointments, obtaining test results, delivering equipment from DME closet, and other patient related duties as designated
  • Performs transfer of accurate, pertinent patient information between all appropriate entities of the acute and post-acute care continuum. Performs follow-up calls to patients and providers regarding their experience with Banner; documenting findings and reporting any concerns or dissatisfaction to leadership for follow-up, issue resolution and data collection
  • Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned
  • May perform tasks such as securing community resources/information or other tasks
29

Care Navigator Resume Examples & Samples

  • Nursing degree or equivelant with Bachelor of Science degree in Nursing or Master of Science in Social Work preferred. Will consider other clinical or non-clinical personnel with extensive hospice benefit and eligibility knowledge
  • Nurse Practitioner or Registered Nurse in applicable state preferred
  • A minimum of three years clinical home care and/or hospice experience with at least one year in a clinical management role or experience in acute care case management/discharge planning/Clinical Navigator role preferred
30

Population Health Post-acute Care Navigator Resume Examples & Samples

  • Will help give quality and evidence based care in an effort to reduce cost, optimize therapeutic outcomes and improve quality of life for MSHP lives
  • Assure SNF providers are implementing care pathways and best practice
  • Participates in care transitions process from hospital to SNF
  • Identify on a daily basis MSHP lives that are being serviced in SNF and conduct inpatient review, coordinate and implement plan of care, determine anticipated LOS and potential discharge needs
  • Responsible for the process of assessing, planning, organizing, coordinating, implementing, monitoring and evaluating the services and resources needed to respond to an individual’s needs
  • Identifies progress toward desired outcomes and intervenes to overcome deviation in expected plan of care
  • Actively participate in clinical rounds, reviews care plan with patients and direct care providers
  • Demonstrates the ability to formulate and appropriate outpatient care plan
  • Focuses on inappropriate utilization of services and ensures care is provided in the most appropriate setting
  • Actively participate in discharge planning
  • Refer cases with quality care concerns to Senior Director of Care Continuum
  • Functions as a liaison between patient, MS and SNF
  • Oversees data collect ion process
  • Reviews utilization patterns, identifies trends and problems
  • RN or PT licensure required
  • BS degree preferred
  • Two years of experience in Utilization Management
  • Two years of experience in home care
  • Excellent relationship management skill and non-aggressive assertiveness
  • Ability to problem solve
  • Computer literacy- Word, Excel, Power Point