Network Navigator, Case Management VUH

## Network Navigator, Case Management, FT Days - VUHApply:
Nashville, TN:
Full time:
Posted Today:
R-68306
** Discover Vanderbilt Health**:
With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated.

We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.
** Organization:
** Care Transition Center
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* Job Summary:

** JOB SUMMARY  Provides leadership by being actively involved with case management staff to help complex cases and remediating barriers. Collaborates with community resources and consulting with clinical teams to meet the needs of the patient/family in managing challenges related healthcare, including, but not limited to appropriate follow-up care, psychosocial issues, funding/financial benefits to meet short term and long term goals..
** Position Shift
** Mon - Fri; 40 hrs/wk8:00 AM - 4:30 PM  

KEY RESPONSIBILITIES  
• Leads patient progress through care continuum with outcomes based practice; daily management of communication between providers, facilities, families, and transport.  
• Manages post-acute care hotline, triaging phone calls from post-acute facilities/agencies, patients/families that initiates decision tree for deploying clinical resources, or executing a transfer to acute setting based on immediate patient needs.  
• Transitions patients to appropriate level of care using alternative interventions to attain patient/family specific goals based on plan of care.  
• Establishes outpatient follow-up appointments for patients defined as members of an at risk population, including ongoing communications with ambulatory providers.  
• Initiates and receives clear handover from post-acute to acute level of care with conversation, documentation, and follow-up.

• Serves as primary customer service representation for post-acute services for network providers; performs outreach and satisfaction calls when appropriate.  
• Works closely with legal conservators in decision making related to execution of the patient plan of care.  
• The responsibilities listed are a general overview of the position and additional duties may be assigned.  
• Acts as lead to Case Managers in coordinating patient progress through care continuum with outcomes based practice; daily management of communication between providers, facilities, families, and transport.
TECHNICAL CAPABILITIES  
• Access Patient Education (Advanced):
Demonstrates uppermost levels of patient education in practical applications of a complex nature. Possesses mastery of knowledge, training, and expertise to be capable of successfully delivering treatment planning services across the care continuum. Takes a lead role in complex situations when there is a need to achieve results. Actively participates in outside professional organizations and forums.  
• Patient Assessment & Evaluation (Advanced):
Demonstrates the uppermost levels of expertise in patient assessment and evaluations in challenging and complex situations. Conducts primary care patient interviews and physical examination. Often takes a lead role in complex patient care situations. Possesses expert knowledge, training and experience to mentor less experienced peers.  
• Evidence-Based Practice (Advanced):
Recognizes, Implements, and evaluates practice…