Care Navigation Partner - Physician Practices

Imagine a career at one of the nation's most advanced health networks. Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital
- Cedar Crest, Lehigh Valley Hospital
- Muhlenberg, Lehigh Valley Hospital
- Hazleton, and Lehigh Valley Hospital
- Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

The Care Navigation Partner will deliver education, outreach, and in-person assistance to patients served. The care navigation partner will collaborate with stakeholders to triage and process telephone calls from patients, caregivers, and providers ranging from general information to more complex situations related to care management. Can conduct one-to-one extended patient meetings, perform follow-up with patients, family/caregivers, providers and community resources via e-mail, phone or other communications.

Promotes timely access to appropriate care, works to reduce emergency room utilization and hospital readmissions. Creates and promotes adherence to care plan developed in coordination with the patient, primary care provider, and family/caregivers. The care navigation partner will also support practice quality work and gap closure efforts.

Focuses on chronic illness management as directed by care pathways and adjusts plan of care as necessary to reduce emergency room utilization and hospital readmissions accomplished by leveraging data analytics and population risk reports to prioritize and tactically respond. Builds strong relationships to achieve patient goals and provide seamless care. In partnership with patient and care team develops and re-assesses patient goals.

Maintains contact with patient and relevant circle of support from initial connection as required/needed to promote best health outcomes. Plans and facilitates patient education and ensures patients and family comprehension of care and interventions. Supports practice quality efforts focusing on completion of health maintenance opportunities for managed population and assist practice with management of not met reports and portal outreach campaigns.

Completes pre-visit planning. Assist patients with applying for community resources, including emergency financial assistance, housing assistance, access to foodbanks, and other community-based resources.

Bachelor’s Degree in nursing 3 years clinical experience in an inpatient or ambulatory setting American Heart Association Basic Life Support
- State of Pennsylvania RN
- Licensed Registered
- State of Pennsylvania

Master’s Degree in nursing

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use,
* patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal,…