Nurse Navigator-Oncology Mcc

Overview

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.

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 a plan for resolution.

Ability to provide clinical/financial education to colleagues, patients and families.

• Establish 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.
• Collaborate with the inpatient nursing staff for coordination of complex admissions/discharges.
• Collaborate with the referring physicians/community outreach centers to facilitate care in urologic services.
• Collaborate with the referring provider regarding treatment plan and needed follow up.
• Participate as a member of Divisional meetings for urology.
• Review health care information with the health care team, monitor the course of patients and the adherence of this course to clinical pathways or the patients' treatment plan.
• Review the care plan with provider, nursing staff and other members of the team as appropriate and ensure that communication is taking place with patient.
• Demonstrate the knowledge and skills necessary to provide care needs appropriate to the age of the patients served on the assigned patient populations.
• Facilitate 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.
• Ensure that the sequencing and scheduling of interventions, treatment, and procedures are in accordance with the clinical pathways or the patient's treatment plan.
• Optimize the efficiency of hospital systems which impact quality care.
• Liaison between in-patient and outpatient.
• Collaborate with other departments to accelerate scheduling and facilitate access to tests and consultations.
• Intervene when necessary to correct delays and to address any barriers for patients.
• Identify trends, themes and consistent barriers and work collaboratively with the healthcare team toward resolution.
• Work with pre-operative high-risk patients 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 adhered to.
• Ensure that patients meet eligibility requirements and clinical needs for program services within established policies and procedures.
• Collaborate with the health care team to initiate referrals to the appropriate service and/or provider, ensuring that adequate resources are accessible to patients.
• Ensure that all patients with abnormal test results are case managed within established policies and procedures.
• Identify patients who are likely to have unmet insurance and resource needs and communicate with health care team members and appropriate departments.
• Review various reports regularly (follow up, case management, lab results, performance indicators, billing authorizations, etc.) to ensure all services are in compliance with established policies and procedures.
• Ensure that the appropriate outside agencies are contacted and…