Overview:
Parkview Health at Home in Fort Wayne, Indiana, where the Home Health Navigator holds the key to getting patients home sooner. Make a profound impact on their lives by ensuring they receive the right care, at the right time, in the right setting. Join our Care Coordination team and educate at-risk patients about home-based services, guiding their journey back home with confidence. As the Health at Home Navigator (HHN), your understanding of home-based services will be a beacon of hope. Collaborate with providers to ensure seamless and timely discharges home, elevating clinical outcomes and patient satisfaction.
Responsibilities:
As the Health at Home Navigator (HHN), your understanding of home-based services will be a beacon of hope. Collaborate with providers to ensure seamless and timely discharges home, elevating clinical outcomes and patient satisfaction.Guide patients through post-acute care in the home.
* Identify those who benefit from home-based services, overcoming health care system barriers.
* Safeguard their well-being, reducing financial and clinical risks.
* Advocate for patients during multidisciplinary rounds, fostering holistic care.
* Communicate care destination info and home service candidates to ensure a seamless transition.
* Works with hospital partners to identify and prioritize patient populations who will benefit from CHCN services.
* Initiates care destination discussion and discharge process upon entrance to the system, identifying and engaging with patients for "why not home" informational visit.
* Guides patients through and around barriers within the healthcare system.
* Identifies opportunities to reduce both financial and clinical risks to patients and families who have been discharged from the hospital.
* Acts as an active participant in multidisciplinary rounds as a patient advocate to ensure efficient continuity of care throughout the continuum.
* Communicate pertinent care destination information and the home services candidates who were identified to the case manager and/or social worker.
* Maintains communication with patients, families, and health care providers to monitor patient satisfaction.
Qualifications:
* Completion of an accredited registered nursing program.
* Current unrestricted license as a registered nurse in state(s) of practice.
* Three years clinical experience.
* Home Health experience required. Combination of Acute and PostAcute care delivery experience preferred.
* Must have excellent computer skills and ability to learn new systems.
* Must have strong organizational (time management) skills, strong interpersonal skills, the ability to handle multiple priorities with strong attention to detail.
* Knowledge of and practical use of good business English, spelling, arithmetic, practices and the ability to communicate effectively using written and verbal skills.
* Proficient in email communications and internet usage along with basic use of Microsoft Excel and Word.
* Knowledge of information technology to evaluate care effectiveness (care process, outcomes and cost).
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