RN, Registered Nurse Patient Navigator Senior - ImagingCenter - Full Time

Description

Summary : The Registered Nurse

Patient Navigator Lead is a Registered Nurse or licensed Nurse

Practitioner who provides health and wellness coaching, case

management services, analysis and expertise regarding CHRISTUS

services. These services will be provided by monitoring cases and

claims, analyzing biometric and health risk assessment data,

organizing disease management programs and proactively interacting

with members, physicians and other providers. Incumbent oversees

integrated data warehouse including program utilization, disease

management programs and contracted provider network support.

Responsibilities : Oversee the

development, implementation and management of an integrated medical

benefit program, including case management and health / disease

management.

Establish a system for

coordinating the caseload patient's care throughout the

continuum of care.

Use standard tools,

databases and methodologies to support the health benefit program

and provide leadership in managing cases, events and diseases that

are determined to be targeted priorities by Senior Management of

contracted employers.

Interact with providers

and plan members in case management medical activities to provide

the most efficient and effective service.

Identify targeted chronic diseases / high risk individuals (with

vendor support) and develop programs to reduce the financial and

health risks, using internal hospital programs / services whenever

possible.

Monitor and evaluate the effects of

case management on the patient population.

Create outcomes-management focus by interdisciplinary analysis of

specific clinical, financial and satisfaction elements for the

patient population.

Assist in the analysis of

demographics, utilization and reimbursement.

Prepare cost analysis and other reports to determine the

reasonableness of claim / cost data and utilization rates.

Make recommendations based on data analysis

for benefit structure, pharmacy formulary, deductibles, co-pays,

out of pocket, etc. to contracted employer groups.

Maintain consistent attendance, punctuality

and personal appearance in accordance with CHRISTUS attendance and

dress code policies.

Uphold organizational

values by treating others with respect, keeping commitments and

working ethically and with integrity.

Attend

meetings as required and participate in team activities. Exhibit

confidence, motivate and inspire others.

Establish and maintain effective working relationships with team

members, patients and the public by demonstrating the ability to

communicate verbally and in writing while responding clearly and

effectively.

Demonstrate the ability to read

and respond to e-mail and appointment requests in a timely manner

and on a regular basis.

Use time efficiently,

plan for additional resources, set goals and objectives and work in

an organized manner.

Demonstrate safety

practices and maintain a safe environment for patients, visitors

and fellow team members by following established safety and

infection control standards.

Requirements : Education / Skills :

Associate's Degree

in Nursing

Experience :

3 to 5 years of experience

Licenses, Registrations,

or Certifications : RN

License in state of employment or compact BLS

Work Schedule : 5 Days - 8 Hours

Work Type : Full Time