Registered Nurse-Community Accountable Care Nurse Navigator, Full Time Days

apartment Cape Fear Valley Health location_onCoffeyville, KS 67337, US

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Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

Managed Care Planning

Job Family

Nursing

Work Shift

Days (United States of America)

Summary

Provide cross-continuum care management services for high-risk patients. Through collaboration with patients, providers and community resources, assess the needs of each patient and ensure patients have timely access to the care they need.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Provides proactive care that is intended to help improve the overall health and wellness of program participants
Supplements employee wellness practices by implementing programs designed to reduce absenteeism and support health and safety in the workplace and broader community
Provides an optimal mixture of healthcare and patient navigation at lower costs than traditional models
Expands access and navigates non-urgent health care resources through mobile resources and/or community-based services
Completion of in-home visits for patients with barriers to care that impede their ability to care for themselves or attend outpatient services
Completion of comprehensive primary and secondary assessments to include chronic disease management, psychosocial evaluation and socioeconomic vulnerabilities
Works in cooperation with other key stakeholders/key medical providers to offer coordinated and integrated care (physician offices, home health agencies, hospice, long term care facilities, public health department, social services, etc.)
May perform moderate or waived point of care testing per CLIA guidelines
Demonstrates standards of performance (respect, teamwork, communication, compassion) that support and encourage patient satisfaction and principles of service excellence
Functions as physician and hospital extenders by utilizing advanced protocols/procedures approved by the Medical Director
Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

High school diploma or equivalent required
Current state licensure as a licensed practical nurse or registered nurse required

Work Experience:

1 year case management, managed care program development and implementation, or geriatric experience preferred
Previous experience in public health or integrated health care concepts required

Knowledge, Skills, and Abilities Required:

Knowledge of public healthcare, community navigation and transitional care
Knowledge of Cumberland County geography, particularly locations of major streets, buildings, hospitals, doctors’ offices
Ability to read road maps rapidly and accurately while under stress
Knowledge of, and the ability to apply correctly, the policies and procedures of the ACO
Ability to deal tactfully and firmly with patients, their support systems, the general public, other county, and/or city personnel
Knowledgeable in chronic disease management, population health management, and age specific physiological, psychosocial, developmental and spiritual needs of target population group

Physical Requirements:

Hearing, speaking, and visual acuity are required

Required Licenses and Certifications

RN - Board Of Nursing

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

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