Care Navigator Resume Samples

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J Maggio

Janae

Maggio

4137 Elvie Lodge

Los Angeles

+1 (555) 951 0575

4137 Elvie Lodge

Los Angeles

Phone

p +1 (555) 951 0575

Experience Experience

Philadelphia, PA

Care Navigator

Philadelphia, PA

Orn, Lehner and Miller

Philadelphia, PA

Care Navigator

Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs
Assist the care team by helping to measure quality and identify, refine and implement practice improvements
Risk sharing knowledge
Well versed in the knowledge of chronic conditions including prevention, disease characteristics and health promotion efforts
Demonstrate personal responsibility and respect for patients, families, caregivers and co-workers in professional appearance
Document each patient’s individualized care plan and care coordination in the Practice’s database
Develop and maintain relationships among patients, families and caregivers, and the patient’s care team

Detroit, MI

Patient Care Navigator RN

Detroit, MI

Breitenberg Group

Detroit, MI

Patient Care Navigator RN

Assists with the development of all personnel on his/her shift, including unit specific orientation and continuing education
Consistently demonstrates behavior which reflects that working as a team is more important than self-interest
Protects confidentiality of patients/co-workers, respecting their dignity, privacy, and differences
Maintains awareness of current developments and trends in the provision of patient care services
Facilitates communication with patients, physicians, guests, and co-workers
Consistently maintains a professional level of conduct
Consistently demonstrates courteous and positive behaviors, e.g. smile, pleasant tone of voice, positive eye contact

present

Dallas, TX

RN, Ambulatory Care Navigator

Dallas, TX

Murazik-Waters

present

Dallas, TX

RN, Ambulatory Care Navigator

present

Establish and maintain positive working relationships with all key customers (physicians, office staff, patients, families, and interdisciplinary team)
Perform other duties as assigned
Participate in quality improvement initiatives
Provide assessment and education utilizing clinically-sound, evidence-based guidelines
Provide timely, clinical documentation of patient encounters, using the EHR and other tools
Collaborate with inpatient care management resources to follow patient through care continuum
Engage patient in self-management

Education Education

Bachelor’s Degree in Accuracy

University of Virginia

Bachelor’s Degree in Accuracy

Skills Skills

3+ years of previous experience in a Case Management setting
Computer savvy
Great interpersonal skills
Excellent communication skills (written and verbal)
Strong attention to detail
Highly organized
Able to multitask efficiently and effectively
Knowledge of community resources
Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient’s continuum of care
Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state laws and contracts with insurance companies

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Care Navigator Resume Examples & Samples

Assist PCP offices to
Active LPN or LVN license in the state(s) in which the nurse is required to practice
Risk sharing knowledge

Care Navigator Resume Examples & Samples

Active FL LPN or LVN license without restrictions
Ability to travel on site (daily) throughout the central Pensacola areas
Previous Medicare/Medicaid experience
Previous experience in utilization management, discharge planning and/or home health/rehab

Licensed Behavioral Health Care Navigator Resume Examples & Samples

Focus on initial inpatient admission for psychiatric and chemical dependency patients
Make patient assessments and determining appropriate levels of care
Obtain information from providers on outpatient requests for treatment
Determine if additional clinical treatment sessions are needed
Manage inpatient and outpatient mental health cases throughout the entire treatment plan
Administer benefits and review treatment plans
Coordinate benefits and transitions between various areas of care
Identify ways to add value to treatment plans and consulting with facility staff or outpatient care providers on those ideas
Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, or Licensed Ph.D., or an RN with 2 or more years of experience in behavioral health
2+ years post - Masters experience in a related mental health environment
Inpatient experience

Patient Care Navigator Resume Examples & Samples

Coordinates and monitors patient care/progression through the Care Continuum. Serves as a single point of contact for referring physicians, patients and caregivers to ensure access to clinical and support care services. Facilitates the scheduling of all appointments and consults
Assists patients in understanding their diagnosis, treatment options, and the resources available, including educating eligible patients about appropriate clinical research studies and technologies
Assist patients and families in establishing a support network and addressing physical, social, and emotional needs
Develops patient education programs and tools. Provides appropriate teaching, outreach, and education to patients and families
Collects data and tracks interventions and outcomes to support strategic planning processes
Accurately documents the administration of care in the patient recorded in a timely manner
Reviews all diagnostic imaging studies, lab values, and notifies primary physician as appropriate for abnormal findings
Recognizes and reports signs and symptoms of abuse and neglect to physician(s) and Department Director or appropriate agency

Care Navigator LVN Resume Examples & Samples

Evaluation and assessment of patient for identified needs to include education and socioeconomic factors
Provides counseling and crisis intervention for promoting patient and family understanding and acceptance of health conditions. (LSW)
Demonstrates strong communication skills with patients, families, medical staff, colleagues and other departments throughout continuum of care

Breast Patient Care Navigator RN Resume Examples & Samples

Reviews patient case lists generated by technology-enabled data triggers to identify patients that could benefit from intervention, while tracking outcomes of referrals and treatments and maintaining detailed records that measure effectiveness of the program
Reviews clinical progress of patients and coordinates communications to referring, consulting, and primary care physicians, notifying an MD if there is a clinically abnormal finding
Evaluates and provides input regarding the utilization of resources to meet the needs of the target population
Plan and delivers weekly status updates
Maintains and role models a leadership/customer service role in interacting with colleagues, physicians, guests, patients, and vendors
Education: Bachelor’s Degree in Nursing with graduation from an accredited school of nursing required. Masters degree preferred
Experience: Minimum 3 - 5 years relevant specialty area experience (i.e. Cardiovascular, Orthopedic, Neuro., Spine, Oncology) specialty area experience strongly preferred. Knowledge and application of pertinent computer programs and imaging software (I.E. MUSE, PACS, etc.)
Special Qualifications
Knowledge of MS Office, scheduling systems, and hospital based computing systems (i.e. Meditech)
Critical thinking, service excellence and good interpersonal communications skills
Ability to read/comprehend written/verbal instructions
Demonstrates advanced computer skills
Leadership skills to direct others and maintain a common vision for project objectives. Must be a motivator
Routinely looks for innovative performance improvement opportunities
An understanding, enthusiasm and commitment to the goals of the project

Care Navigator Resume Examples & Samples

Apply the principles of comprehensive, community-based, patient-centered, developmentally appropriate, and culturally and linguistically sensitive care coordination services
Use case management processes to ensure quality care is delivered to the Practice’s patients, families and caregivers in the most efficient and effective manner across the care continuum
Engage patients, families and their caregivers in understanding, establishing and monitoring patient self-management care plans, as appropriate, in a manner that is culturally and linguistically appropriate to the patient, family and caregiver
Document each patient’s individualized care plan and care coordination in the Practice’s database
Coordinate the patient’s care by facilitating patient, family or caregiver access to medical home providers, employees and resources as needed by the patient
Conduct and document assessments of patient needs and resources for effective self-care management
Develop and maintain relationships among patients, families and caregivers, and the patient’s care team
Communicate with and provide feedback to referral sources including physicians, advanced practice providers, behavioral health specialists, social services, employees and/or care coordinators as appropriate
Act as the primary contact point, advocate and source of information for patients, and the community partners who help treat them
Research, find, and link patients to resources, services and support mechanisms for their care plans and self-care management needs
Provide timely communication with patients as required
Assist the care team by helping to measure quality and identify, refine and implement practice improvements
Demonstrate personal responsibility and respect for patients, families, caregivers and co-workers in professional appearance
Demonstrate flexibility, enthusiasm and willingness to cooperate while working with others in multi-disciplinary teams with activities to include participating in daily huddles
High School Degree (Required), College Degree (Preferred)
One year experience in Health Care industry encouraged
Well versed in the knowledge of chronic conditions including prevention, disease characteristics and health promotion efforts
Demonstrated skills in leadership, advocacy, communication, education and counseling
Culturally effective capabilities demonstrating a sensitivity and responsiveness to varying cultural characteristics and beliefs
Bilingual: English/Spanish, depending on location preferred
Exemplary work ethic and professionalism
Strong computer skills – technology savvy
Ability to apply critical thinking skills and make sound judgments both while performing daily responsibilities and throughout the patient’s continuum of care
Knowledge and demonstrated abilities to work in a regulatory climate that includes oversight by federal and state laws and contracts with insurance companies
Excellent interpersonal skills reflecting clarity and diplomacy; communicates accurately and effectively with all levels of employees and management
Detail oriented, thorough and able to handle multiple tasks and projects with varying deadlines and priorities
Ability to interpret and relay to patients, families and caregivers the applicable Medicare, Medicaid or private insurance coverage for ordered services to include information about coverage limits and any costs the patient may incur
Classroom Training
Must be able to stand for long periods of time
Frequently required to stand, walk, sit, use hands, handle documents, bend and stoop as needed, and reach with hands and arms
Required to use a keyboard and computer regularly

Health Care Navigator Resume Examples & Samples

Triages all incoming calls for problem resolution. Documents in CMS and other required/applicable computer systems
Coordinates problem resolution with Nurse Navigator and/or Wounded Warrior Case Managers according to established Wounded Warrior Navigation and Assistance Program processes
Researches and gathers information on military and community resources and enters information in the resource database
Communicates effectively with all disciplines of the medical and beneficiary
UM/Coding Experience and/or medical terminology

Medicaid & Charitable Care Navigator Resume Examples & Samples

Orientation: Provides orientation to the KP integrated care system and PCP model for all new Special Populations (Special Pops) members. Orientation includes but is not limited to; available KP and external resources such as the KP Nurse Advice Line, Exceptional Needs Program, dental care, transportation and translator services. Verifies that members have received their ID card and orders cards as needed. Educates member to the role of the PCP and the appropriate use of health care resources
Screening: Through the use of a telephonic screening process, identifies members that have unmet needs or active concerns. This may include ethnic and language considerations to care, social issues, chronic disease including mental health, disabilities or current pregnancy
Intervention: Assist member with finding and accessing needed services and medical care, including but not limited to making PCP selection, scheduling appointments, assisting with RX refills, transportation arrangements, and assistance for making contact with outside resources or benefits; i.e. mental health and dental providers
Follow-up: Refers cases to the Exceptional Needs Program for assistance and guidance when complex issues or concerns are identified. As directed by RN, makes other arrangements and referrals and communicates findings and actions to the PCP or other providers. Through population review, re-contacts previous outreach members to follow-up on overuse of ED and missed appointments; reinforcing appropriate use of resources. Assists with needed arrangements to support appropriateness
Documentation and Communication: Provides general administrative support to the Medicaid program through recordkeeping, scheduling meetings and filing as requested
Minimum two (2) years of experience with health related customer service, medical office practice or other patient-related experience in the ambulatory setting
Minimum three (3) years of experience in health related customer service, medical office practice or other patient-related experience in the ambulatory setting
Experience with outreach programs
Associate's degree in business administration, communication, marketing, or health related field
Excellent oral and written communication skills and demonstrated ability to establish rapport with patients/members
Ability to manage multiple work priorities and requests from members
Demonstrated ability to effectively use Microsoft Word and Excel and the ability to quickly learn new computerized systems such as appointing programs
Must demonstrate initiative and excellent problem solving skills

Care Navigator, Southeast Washington Resume Examples & Samples

Directly provides and/or assists in the delivery of and volunteer recruitment and training for outreach efforts, educational presentations, early stage programming, support groups, and events in counties served by SE WA ALTC, in conjunction with SE WA ALTC and Alzheimer’s Association staff. Counties include Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, and Asotin
Serves as lead in forming a planning committee for and organizing up to five local forums in designated counties for the purpose of building local awareness of Alzheimer’s and related dementias, programs and services, and to create interest by community leaders to design dementia capable communities at the grass roots level, resulting in a call to action
Represents the Association in a variety of professional, business, and public settings, including providing trainings and presentations to community and professional groups, as well as at community events such as health fairs
Conducts community outreach efforts, including making presentations about Chapter and local programs and services to interested groups; establishes and maintains connections with community health organizations, businesses, government agencies, and other strategic partners; represents the Association to a variety of community meetings and events for outreach, engagement, collaboration, fundraising, and referral purposes
Per the contract with SE WA ALTC

Care Navigator Resume Examples & Samples

Active RN or LPN license
Extensive hospice benefit and eligibility knowledge
A minimum of three years clinical hospice experience with at least one year in a clinical management role or experience in acute care case management/discharge planning/Clinical Navigator role preferred
Excellent knowledge of state and federal home health/hospice agency benefit, eligibility, regulations/Conditions of Participation and Compliance standards and requirements

Mhcil Patient Care Navigator Admpcn Resume Examples & Samples

Two to four years college education preferred
Previous Patient Navigator or Unit Secretary experience preferred
Familiarity with insurance verification, scheduling, and pre-registration preferred
Familiarity with medical terminology preferred
Must be able to type 30 words per minute required
Bilingual candidate preferred
Demonstrates excellent listening, verbal and written communication skills
Ability to maintain a high degree of accuracy in carrying out work duties while coping with a large volume of patients

Care Navigator RN Resume Examples & Samples

Meets and greets new patients to facility; explains and orients patients to the facility services such as therapy, meals, bathing, medications, activities and the guest services directory
Resolves customer requests, questions and initiates follow-up of concerns; provides information to improve customer service
Synchronizes discharge planning with the patient, family, rehabilitation, nursing and social service
Serves as a role model to foster superb customer service

Patient Care Navigator RN Resume Examples & Samples

Experience in program development preferred
Experience as a nurse navigator and / or patient educator in oncology preferred
Experience in leadership preferred
Experience in customer service preferred
Basic computer program knowledge
Patient Monitoring equipment
Supports the philosophy of Kingwood Medical Center by facilitating cooperation of hospital staff in a multi-disciplinary approach to patient care
Consistently provides outstanding service to all patients, physicians, fellow employees, and guests
Maintains awareness of own limitations and seeks guidance from appropriate personnel as needed
Prioritizes activities of self based on demands for service
Remains alert to the detection of errors in own work and the work of others with appropriate corrective actions initiated
Demonstrates an understanding of patient rights, including those pertaining to confidentiality, informed decision-making, and privacy
Is aware of resources available for ethical concerns and makes appropriate referrals
Practices cost-efficiency
Performs technical skills proficiently in accordance with established standards, as evidenced by annual validation processes
Utilizes specialized knowledge and skill to perform job requirements
Adheres to Tardiness/Attendance policy
Actively participates in hospital and departmental group meetings
Consistently responds to requests in a positive, professional, and timely manner
Demonstrates interpersonal competencies such as effective problem-solving, negotiation, and conflict management skills
Consistently maintains a professional level of conduct
Facilitates communication with patients, physicians, guests, and co-workers
Consistently demonstrates courteous and positive behaviors, e.g. smile, pleasant tone of voice, positive eye contact
Utilizes appropriate lines of accountability for the continuous improvement of quality
Ensures that problems/concerns regarding departmental activities are communicated with Director
Ensures that problems/concerns regarding activities in the hospital are communicated appropriately
Protects confidentiality of patients/co-workers, respecting their dignity, privacy, and differences
Shows respect for hospital property and the property of others
Maintains awareness of current developments and trends in the provision of patient care services
Maintains awareness of current hospital and departmental operational policies and procedures which impact on responsibilities of position
Utilizes appropriate safety precautions and principles of good body mechanics at all times
Is knowledgeable of standards established by Kingwood Medical Center including, but not limited to: Fire, Safety, Infection Control, Disaster, and Universal Precautions
Assists with the development of all personnel on his/her shift, including unit specific orientation and continuing education

Oncology Care Navigator Resume Examples & Samples

Provide patient navigation for a specific tumor site or cancer for the region
Train and manage the peer navigators assigned to that cancer type
Manage support groups, participate in fund raising and educational community awareness activities
Track patient data in the 4D system, support and fill in for other navigators that may not be on site
Coordinate regional education to patients, physicians and staff regarding assigned tumor site Assist in grant writing, CME programs, and research and database data entry for outcome tracking
Experience in educating and/or navigating adults one-on-one and in larger groups
2-3 years nurse navigator experience
Bachelor's Degree in Education, Healthcare, Community Health or a related field or an equivalent combination of education and experience
Required training or certification in patient navigation or willing to successfully complete training in patient navigation
Masters degree in Education, Healthcare, Community Health or a related field
Ability to deal with people in extremely stressful situations

RN, Ambulatory Care Navigator Resume Examples & Samples

Identify chronic and preventative patient needs
Establish and maintain positive working relationships with all key customers (physicians, office staff, patients, families, and interdisciplinary team)
Collaborate with primary care practice team and patient to develop plan of care, with respect to ethnic and cultural diversity
Serve as an essential link between patients and all other care providers
Facilitate appropriate screenings for early disease detection
Coordinate patient access to necessary services, including community and public health resources
Oversee multidisciplinary appointments for consults and support services, including labs, diagnostics, social work, dieticians, etc. and facilitate as needed for optimum health outcomes
Provide timely, clinical documentation of patient encounters, using the EHR and other tools
Attend conferences, trainings, and meetings related to the care navigator program
Travel to designated physician practices or other health system/community sites, as needed
Participate in quality improvement initiatives
Complete special projects, as assigned by leadership team

Patient Care Navigator Resume Examples & Samples

Knowledge of commercial, government, and managed care authorization process
Knowledge of Medical Terminology , ICD/CPT coding
5 years experience in the Healthcare Industry
Proficient in computer systems, software applications, and data entry
Back office medical assistant experience, highly preferred

Oncology Care Navigator Rn Snmh Resume Examples & Samples

Registered Nurse with 2-3 years experience in Cancer Care and Treatment
Good presentation and computer skills
Comfortable in dealing with death and dying

RN Care Navigator Resume Examples & Samples

Engage patient in self-management
Collaborate with inpatient care management resources to follow patient through care continuum
Provide assessment and education utilizing clinically-sound, evidence-based guidelines
Collect data, track outcomes, and support strategic planning initiatives
Registered Nurse must have experience/certification that matches assigned practice specialty
History of positive rapport with patients, families, physicians, and interdisciplinary team
Applicable experience in patient education and knowledge of hospital and community resources
Relevant experience in working with diverse populations
Exceptional problem-solving, critical-thinking, organizational, interpersonal, and written/verbal communication skills
Ability to work in self-directed environment with attention to detail and follow-through
Computer literate; Microsoft Office competency required

Quality Care Navigator Resume Examples & Samples

Participate as a member of MMO multi-disciplinary team to provide outreach services to Medicare members and other government programs populations. Provide service coordination and linkage, including activation of benefits, medical services, culturally specific resources, and peer support
Identify members with social or demographic barriers to receiving health care or optimizing health outcomes. Such identification will be through various risk stratification tools and referrals from customer service and care management
Develop relationships with community resources and create a library of interventions that can assist members in self-management and accessing necessary health and social services
Implement Member Advisory Group for Medicare Advantage members at MMO, including promoting access to peer support services
Proficiency with Microsoft Office Applications
Knowledge of motivational interviewing techniques, experience preferred

Customer Care Navigator Resume Examples & Samples

Identify customer needs and help solve customer issues related to health plans, health and wellness and enrollment within regulatory guidelines; providing direct guidance or identifying other EmblemHealth and community resources to find customer solutions, conduct customer needs assessment, education on condition management. Understand and maintain excellent working knowledge of EmblemHealth products, services and technology platforms. Document interactions in support of quantitative metrics for the site and department
Work with manager to deliver and organize onsite health seminars and classes, including EmblemHealth vendor-led classes
Proactively communicate with customers, EmblemHealth departments and community partners the status of any outstanding issues until solved. Effectively describe final resolution to customer
Work together with sales team to identify customers in need of enrollment services and post sales customer service follow-up. Proactively support operational aspects of other internal groups such as product, customer service and quality to help improve customer experience and operations
Participate in weekly meetings with manager and team members across sites to discuss customer care issues, improvement opportunities, community offerings, and other site and company priorities
Represent EmblemHealth at onsite interactions with community partners and leaders
Ability to demonstrate excellent service knowledge and hospitality
Possesses optimistic warmth and empathy for the customers’ experience
Strong team player with ability and desire to work with different EmblemHealth departments, team members and leaders
Professional attitude and conduct at all times including in the face of unknown situations
Self-awareness and integrity with a strong sense of accountability
Excellent verbal/written communication skills. Both informative and persuasive styles
Strong analytical skills and critical attention to detail
Creative thinker and adaptable. Takes the initiative to pioneer solutions to novel problems
Curiosity and a hunger to learn
Prepared to offer ideas for improvement. “Always be on the improve.”
Customer Service breadth and depth of knowledge
Bachelor’s Degree strongly preferred
Fluent in Cantonese and/or Mandarin languages
3 to 5 years of experience working with customers in medical or managed care environment required
Experience in evidence-based health and lifestyle coaching techniques preferred; willingness to attend appropriate training and certification classes
Experience communicating directly with customers, assessing needs, and connecting customers with resources
Knowledgeable on how to navigate all aspects of medical care and managed care system; health and wellness

Cancer Care Navigator Resume Examples & Samples

Collaborates with patient/family to prioritize patient needs, problems and goals; intervenes or refers as appropriate
Monitors, trends and records patient response to disease, illness and treatment
Applies specialized expertise to solve problems, generate ideas, plan care, teach and create new services
Anticipates future needs of the patient and educates or refers to appropriate sources. Ensures patient's understanding of educational resources
Tracks appointments and referrals including support services and communicates to clinics and primary care about services and patient needs
BLS from the American Heart Associate required
Registered RN thru MN Moard of Nursing required
OCN from Oncology Nursing Certification Corporation preferred
4 to 6 years experience required in oncology and care management of cancer patients required

Care Navigator Resume Examples & Samples

High School Diploma or GED required; Certificate in health promotion, health education, medical assistant, nursing, athletic training, nutrition or other health related field preferred
Two (2) years of experience working in health and wellness promotion required; experience focusing on the delivery of customer service preferred
Experience working with medical terminology or ICD-10 coding preferred
Knowledge of specific disease and lifestyle related topics such as smoking cessation, weight management, nutrition, pre/post-natal care, stress reduction and chronic conditions
Must be adaptable and thrive in a high energy, creative and ever changing work environment
Ability to handle multiple duties with minimal direction. Apply critical thinking skills and make decisions based upon individual needs
Experience with motivational interviewing and behavior change theories
MS Office proficient. Computer skills that include but are not limited to Word, Excel, Power Point and ACT
Ability to travel. Must have reliable means of transportation
Proven examples of displaying the Nova values: Passion, Caring, Collaborative, Trustworthy, Respectful and Accountable

Lvn-care Navigator Resume Examples & Samples

Perform medication reconciliations under the supervision of an RN (if an LVN)
Acceptance and response to referrals from the multi-disciplinary health care team and community regarding clients who may require intensive social services assistance
Demonstrates self-motivation and initiative by developing and maintaining current information on community resources through attendance of continuing education and professional associations
Coordinates patient care with CHP Nurse Manager and CMO. Assists the RN Care Coordinator in the development of a plan of care that includes realistic and measurable goals to produce desired patient outcomes
Provides services to patients at risk for hospital readmissions and emergency room admissions

Care Navigator Resume Examples & Samples

Maintains knowledge of social welfare system, community resources and other programs applicable to patient and family needs. Performs community outreach and other liaison activities
Documents in a manner that is concise and relevant to the patient’s condition and plan of care
Provides guidance and support to Level I Patient Care Navigators as required. Support can include in-depth social or nursing assessment as applicable. This support can assist with determining and providing appropriate levels of education and/or resources. Displays nonjudgmental acceptance, maintains confidentiality and establishes a positive rapport and working relationship with patients/family/visitors/staff/community
Provides education to patients about chronic disease management and leads them to create self-management goals through the use of knowledge and specific educational skill sets
Communicates effectively with all staff, patients, families and physicians

Lbsw-pediatric Care Navigator Resume Examples & Samples

Evaluation and assessment for identified needs and barriers in preventing readmissions
Acceptance and response to referrals from multi-disciplinary heath care team and community regarding clients who may require social services assistance
Maintains current knowledge of the social welfare system, its programs, and applicability to patient and family needs
Displays nonjudgmental acceptance, maintains confidentiality, and establishes a positive rapport and working relationship with patients/family/visitors/staff/peers/community
Assists with the development and maintenance of student affiliation programs
Assists patients with applying for and receiving prescription assistance through various available programs
Maintains harmonious relationships with all community clinics, CMG clinics and hospital staff, providing support and displaying a positive attitude to ensure quality patient care. Communicates patient needs appropriately and effectively to other health care providers
Develops and maintains relationships within the community in order to provide a variety of cost-reduced services for patients in need
Participates in patient care conferences, such Contract/DSRIP/Clinic meetings, to better identify and address patient needs
Documentation in medical record(s) all relevant information to the social worker’s assessment, the patient’s plan of care and direct assistance in a concise manner
Assess needs of all teams. Supports care management’s teams and its patients. Attends visits with patients/families as required
Support and participate in community outreach/benefit programs and committees

Transitional Care Navigator Resume Examples & Samples

Works with the patient to coordinate transitions into or out of a care setting in order to obtain appropriate services and benefits. This may include faxing information, performing referrals or tasking other depts. or consultants, arranging authorization and transportation, assuring transfer documentation completion, arranging DME, coordinating home health care, confirming arrangements, obtaining clothing, making physician or outpatient appointments, obtaining test results, obtaining medications, etc
Performs transfer of accurate, pertinent patient information between levels of care. Performs follow-up calls to patients and providers regarding their experience and issue resolution
Participates in departmental improvements, Banner initiatives and performs data collection for measurement of projects
Documents accurately and timely all interventions and necessary patient related activities in the correct medical record
Works collaboratively with team members; promotes collaborative relationships with vendors, community and referral resources
May perform tasks such as routine utilization reviews, securing community resources/information or other tasks as related to clinical specialty. May perform secretarial/cross coverage where needed

Transitional Care Navigator Resume Examples & Samples

Works with the patient to coordinate transition into or out of a care setting in order to obtain appropriate services and benefits as directed by the care coordination team. This may include faxing information, entering referrals or tasking other departments or consultants, arranging authorization and transportation, arranging durable medical equipment (DME), coordinating home health care, confirming arrangements, obtaining clothing, making physician or outpatient appointments, obtaining test results, delivering equipment from DME closet, and other patient related duties as designated
Performs transfer of accurate, pertinent patient information between all appropriate entities of the acute and post-acute care continuum. Performs follow-up calls to patients and providers regarding their experience with Banner; documenting findings and reporting any concerns or dissatisfaction to leadership for follow-up, issue resolution and data collection
Participates in performance improvement projects, Banner initiatives and performs data collection for measurement of projects as assigned
May perform tasks such as securing community resources/information or other tasks

Care Navigator Resume Examples & Samples

Nursing degree or equivelant with Bachelor of Science degree in Nursing or Master of Science in Social Work preferred. Will consider other clinical or non-clinical personnel with extensive hospice benefit and eligibility knowledge
Nurse Practitioner or Registered Nurse in applicable state preferred
A minimum of three years clinical home care and/or hospice experience with at least one year in a clinical management role or experience in acute care case management/discharge planning/Clinical Navigator role preferred

Population Health Post-acute Care Navigator Resume Examples & Samples

Will help give quality and evidence based care in an effort to reduce cost, optimize therapeutic outcomes and improve quality of life for MSHP lives
Assure SNF providers are implementing care pathways and best practice
Participates in care transitions process from hospital to SNF
Identify on a daily basis MSHP lives that are being serviced in SNF and conduct inpatient review, coordinate and implement plan of care, determine anticipated LOS and potential discharge needs
Responsible for the process of assessing, planning, organizing, coordinating, implementing, monitoring and evaluating the services and resources needed to respond to an individual’s needs
Identifies progress toward desired outcomes and intervenes to overcome deviation in expected plan of care
Actively participate in clinical rounds, reviews care plan with patients and direct care providers
Demonstrates the ability to formulate and appropriate outpatient care plan
Focuses on inappropriate utilization of services and ensures care is provided in the most appropriate setting
Actively participate in discharge planning
Refer cases with quality care concerns to Senior Director of Care Continuum
Functions as a liaison between patient, MS and SNF
Oversees data collect ion process
Reviews utilization patterns, identifies trends and problems
RN or PT licensure required
BS degree preferred
Two years of experience in Utilization Management
Two years of experience in home care
Excellent relationship management skill and non-aggressive assertiveness
Ability to problem solve
Computer literacy- Word, Excel, Power Point