Care Navigator – Population Health

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Implement care strategies that address the physical, mental, and social requirements of patients.

• Conduct medical assessments and pre-surgical evaluations.

• Facilitate seamless transitions in care and apply evidence-based disease management prior to hospitalization and post-discharge.

• Identify patients who are not meeting clinical objectives or quality benchmarks and arrange necessary follow-ups.

• Review and document medication lists and allergies within the Electronic Health Record (EHR).

• Utilize registries, data, and published research for informed decision-making at the point of care.

• Aid in quality improvement initiatives, participate in pilot programs, and engage in research activities.

• Recognize variances in care standards and systemic issues that may lead to errors, delays, complications, or increased costs.

• Foster relationships with hospitals, rehabilitation centers, and post-acute care facilities.

• Provide care navigation services for specialized populations, including those within LVHN Specialty Institutes and BPCI-A.

• Collaborate with patients and their families to set shared objectives.

• Identify barriers related to healthcare, transportation, finances, and psychological aspects; coordinate services and advocate for patients and their families.

• Work cohesively within a multidisciplinary team to deliver education and navigation throughout the continuum of care.

⛳️ Requirements

• Bachelor’s Degree in Nursing; equivalent experience may be considered in place of a Bachelor's degree.

• A minimum of 5 years of experience as a registered nurse (RN).

• At least 2 years of prior experience in case management, disease management, home healthcare, or in a hospital or physician office environment.

• A minimum of 2 years of experience with electronic medical records (EMR).

• RN - Licensed Registered Nurse in the State of Pennsylvania upon hire.

• CACRN - Certified Ambulatory Care RN in the State of Pennsylvania within 3 years or CCCTM - Certified Care Coordinator-Transition Management MSNCB in the State of Pennsylvania within 3 years.

• Strong ability to prioritize and coordinate care plans effectively.

• Proficient in engaging with individuals from diverse backgrounds.

• Capability to recognize cultural, social, economic, and behavioral influences on public health services.

• Familiarity with computer applications and analytical tools.

• Ability to lift and carry 25 lbs.; frequent sitting/standing and keyboard usage; patient care tasks may involve kneeling, bending, squatting, and performing CPR.

🏝️ Benefits

• Monday to Friday work schedule, from 8:00 AM to 4:30 PM.

• Opportunity for remote work within Pennsylvania.

• Possible weekend rotation.

• Equal employment opportunity protections provided.