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Under the direction of the Transition of Care (TOC) Navigator/ Coordinator the RN Navigator serves as the point of contact for referring physicians, patients and caregivers to provide resources and assistance with accessing clinical and supportive care services. This role will coordinate patient navigation for Scotland Health.

Qualifications: BSN required Certification Preferred. 2 years of RN experience minimum with experience in case management or navigation preferred.

Job Duties and Standards

+ Community outreach/ Education : Establishes and develops relationships within the hospital and larger community to help increase awareness of our healthcare system services. Participates in community outreach to educate the public about our services.

+ Physician communication : Serves as an advocate and works along with physicians to assist patients/care partners in navigation of Scotland Healthcare System, including but not limited to specialist offices, surgical services, imaging, etc. to ensure timely and appropriate care.

+ Patient assessment : Evaluates new patients for emotional, social or other barriers to care and refers them to needed services. Collaborates with resources to address social drivers of healthcare.

+ Quality Improvement : Identifies opportunities for programmatic process improvement; including moving from inpatient services to outpatient services, as well as for patient returning to their communities for treatment and follow up.

+ System level communication : Coordinates communication across multiple services lines and between physicians, discharge planners, case managers, medical staff and caregivers regarding the next steps in care. Responsible for communication between Primary, Specialty, imaging, and the Emergency Center. Establishes contact with appropriate staff members in our facilities and outside facilities to ensure timely continuity of care. Eliminating and working through barriers to care to provide a seamless transition between departments and service lines.

+ Clinical judgement : Uses clinical judgement in situations outside of protocol for the safest patient outcome.

+ Conflict management : Anticipates and eliminates potential conflicts between internal teams and health system partners and/or families/residents.

+ Caring and compassion : Enhances the patient and family experience by meeting the needs of reasonable requests for patient and family comfort. Provide answers or resources for patient or family concerns. Initiates ongoing communication and education with patients and their family regarding any new concerns that may arise, providing emotional support.

+ Prepares patient for visits : Calls patients prior to visits to answer questions that patient or family members may have regarding the appointment when applicable. Helps organize appointments/procedure during diagnosis/staging process, reinforcing explanation needed about diagnosis and plan of care. Linking patients to available resource both inside and outside of SHCS when necessary.

+ In person availability : Accompanies patients to appointments, on a case by case basis depending on the complexity of the treatment plan or the need of the patient.

+ Data: Maintains a data base and documentation to support the program and regulatory requirements. Report data to committees as appropriate.