Nurse Navigator-Oncology Mcc

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

SUMMARY

The Nurse Coordinator is responsible and accountable for ensuring high quality patient care that is coordinated , efficient, and supports desired clinical and financial outcomes for patients in the urology service line. In collaboration with the healthcare team, the Nurse Coordinator develops and utilizes critical pathways to ensure that specific patient outcomes are achieved and that resources are used appropriately within designated fiscal time frames. The Nurse Coordinator participates in the ongoing evaluation of practice patterns and systems and supports efforts to improve patient care and efficiency of operations. The Nurse Coordinator interacts with the Community Health staff in identification of trends and barriers to all aspects of care: clinical, financial, and perceptual. Ability to process complex problems: identify key components and develop plan for resolution. Ability to provide clinical /financial education to colleagues, patients and families.

EEO/AA/Disability/Veteran. RESPONSIBILITIES

As part of the interdisciplinary health care team, coordinates and ensures the implementation of the plan of care.

1. Establishes a system for coordinating the care of a patient throughout the continuum of care and linkage to resources to maximize patient care for quality and safety, putting the patient first.

1 2. Collaborates with the inpatient nursing staff for coordination of complex admissions/discharges.

Collaborates with the referring physicians/ community outreach centers to facilitate care in urologic services.

1 4. Collaborates with the referring provider regarding treatment plan and needed follow up.

1 5. Participates as a member of Divisional meetings for urology.

Reviews health care information with the health care team, monitors the course of patients and the adherence of this course to clinical pathways or the patients' treatment plan

1 6. Reviews the care plan with provider, nursing staff and other members of the team as appropriate and insures that communication is taking place with patient.

1 7. Demonstrates the knowledge and skills necessary to provide care needs appropriate to the age of the patients served on his or her assigned patient populations

1 8. Facilitates communication within the health care team and with the primary care provider and other disciplines to coordinate patient's progress through clinical pathways or the patient's treatment plan

1 9. Ensures that the sequencing and scheduling of interventions, treatment, and procedures are in accordance with the clinical pathways or the patient's treatment plan

2. Optimizes the efficiency of hospital systems which impact quality care.

2 1. Liaison between in-patient and outpatient.

Collaborates with other departments to accelerate scheduling and to facilitate access to tests and consultations.

RESPONSIBILITIES

2 3. Intervenes when necessary to correct delays and to address any barriers for patients

Identifies trends, themes and consistent barriers and work collaboratively healthcare team toward resolution

3. Utilizes information obtained from various resources available to:

3 1. Work with pre-operative patients that are high risk to ensure compliance with plan of care. Collaborate with the Patient Services Manager and Medical Director to ensure appropriate standards of nursing for established workflows are adhere to.

3 2. Ensure that patients meet eligibility requirements and clinical needs for program services within established policies and procedures.

3 3. Collaborate with health care team to initiate referrals to the appropriate service and/or provider, ensuring that adequate resources are accessible to patients.

3 4. Ensure that all patients with abnormal test results are case managed within established policies and procedures.

3 5. Identify patients who are likely to have unmet insurance and resource needs and communicate with health care team members and other appropriate departments.

3 6. Review various reports regularly, ie; follow up, case management, lab results, performance indicators, billing authorizations, etc. to ensure all services are in compliance with established policies and procedures.

3 7. Ensure that the appropriate outside agencies are contacted and necessary referrals are initiated and followed through.

4. Serves as a liaison for the referring provider for urologic services and ensures continuity of patient care for the referred patients.

4 1. Serves as a liaison to other health care providers, including for example physicians, social workers, outreach workers, smoking cessation counselors, and substance abuse resources to ensure coordinated patient care.

4 3. Promotes the utilization of the Visiting Nurse services for urologic patients.

Links patients with the appropriate institutional or community resources, advocating on their behalf for scarce resources, and developing new resources where gaps exist in the service continuum.

4 4. Ensure that appropriate services are provided and that necessary certifications for these services are carried out.

5. Along with other members of the health care team, acts as a patient advocate

Exhibits awareness of ethical/legal issues concerning patient care and strives to manage situations to reduce risk.

5 2. Educates patients regarding services provided by program.

Facilitates and ensures open communication among the health care team and the patient during the course of screening and care.

REQUIREMENTS

EDUCATION (number of years and type required to perform the position duties):

RN, BSN required.

EXPERIENCE (number of years and type required to meet an acceptable level of performance):

Minimum of five (5) years of relevant clinical experience with at least 2 years in specialty area.

SPECIAL SKILLS: Clinical credibility with physicians, nurses, and other members of the health care team. Interpersonal skills to facilitate negotiation for scarce resources, facilitate changes in systems and /or practices and to broker with outside agencies. Excellent communication skills with the ability to communicate effectively with multiple disciplines and skill levels. Ability to quickly process complex problems, identify key components, and develop plans for resolution . Effective interactions with all health care team members and the ability to elicit their cooperation. Demonstrated skills in clinical management of specific patient populations including working with and providing support to nursing . Ability to provide clinical/financial education to colleagues and patients/families.

ACCOUNTABILITY (how this position is held accountable for such as goals achievement, budget adherence, or other areas of accountability):

Accountability for coordinating and managing the care of urologic patients in particular programs, treatment modalities or divisions. Ensures that patients are progressing in accordance with the established clinical and financial outcomes; intervenes to correct delays and has the authority to cross departmental lines. Accountable for analyzing variances and implementing system and practice changes to enhance the efficiency and effectiveness of all departmental efforts related to desired clinical outcomes. Accountable for ensuring high quality patient and family centered care that is coordinated, efficient, and supports desired clinical and financial outcomes.

COMPLEXITY (describe planning, problem solving, decision making, creative activity, or other special factors inherent in the responsibilities of this position):

In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic).

Must possess extensive clinical expertise to be recognized as a credible clinician by physician and other members of the healthcare and administrative team. Demonstrated ability to understand and anticipate the impact of practice and system issues on efficiency and cost of care. Knowledgeable of the research process and the ability to utilize as well as conduct research. Responsible for the development of critical pathways in collaboration with the health care team members; must be able to negotiate differences in perspectives and treatment modalities among clinicians to achieve consensus as to the plan of care. Works with individuals and groups of physicians to help them understand opportunities to change patterns of practice and clinical resource management.

LICENSURE/CERTIFICATION:

CT RN Licensure

INFORMATIONAL

SPECIAL WORKING CONDITIONS AND PHYSICAL DEMAND:

Ability to work with diverse populations

EEO/AA/Disability/Veteran