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Care Navigation Nurse Coordinator

PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy.
Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
The Care Navigation Nurse Coordinator promotes quality patient care, ongoing clinical problem solving and customer support for Fresenius Health Partners (FHP) Care Navigation population by providing guidance, support, care coordination, education and other care coordination functions as defined by the pertinent program as assigned while acting as the subject matter expert and resource for patients and caregivers, non-clinical Care Navigation staff, dialysis staff, physicians and other health care professionals.
Services are generally provided telephonically but there may be programs where on site visits to clinics, medical offices, hospitals and/or patient homes are required.
Programs principally include the Care Navigation Unit but could extend to other Company care management program.
DUTIES / ACTIVITIES:
CUSTOMER SERVICE:
Responsible for driving the FMS culture through values and customer service standards.
Accountable for outstanding customer service to all external and internal customers.
Develops and maintains effective relationships through effective and timely communication.
Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES Utilizes clinical judgment, independent analysis, critical thinking, time management and detailed knowledge of the Care Navigation Program to facilitate the coordination of care for patients assigned to the Care Navigation unit.
Collaborates with clinical and non-clinical staff and other members of the patient's health care team to develop an individual plan of care to facilitate an immediate action plan to meet the patient's current needs.
Communicates and coordinates with patient, appropriate members of patient's health care team in developing, executing and reviewing results of care coordination efforts.
Collects, reviews and employs all pertinent medical information available from but not limited to FMC clinical systems, care management notes, hospital discharge information, physician clinical information and patient reported health status.
Assesses patient condition, in conjunction with clinic staff, such as the discovery of unreported medical or social conditions or changes at home that may lead to adverse outcomes and ensures that these are referred to appropriate sources for attention.
Maintains and updates the appropriate software/tracking logs of patients in the Care Navigation Program to manage and record required information and data.
Evaluates program processes and makes recommendations to management that will improve the effectiveness and efficiency of the program.
Maintains the integrity of Protected Health Information (PHI).
Complies with all departmental required data collection and auditing activities, participates in quality improvement activities and participates in project-based work.
Maintains current knowledge of the departmental program software and the Company's clinical information systems.
Improve job related capabilities through continuing education, professional seminars and technical workshops.
Other duties as assigned.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION:
Bachelor of Science in Nursing.
Must have current unrestricted nursing licensure in practicing State with ability to obtain licensure in multiple states.
EXPERIENCE AND REQUIRED SKILLS:
Minimum of two (2) years' experience in Nephrology Nursing, Dialysis Nursing with related case management experience.
Must exhibit leadership skills and behaviors and be able to collaborate with both clinical and non-clinical team members to facilitate desired care coordination outcome.
Must have clear and persuasive patient communication skills.
Previous successful call center, problem solving and budgeting experience Excellent verbal, written and meeting presentation skills Successful project management Excellent analytical and leadership skills Proficient with MS Word, Excel, PowerPoint, and computer user interfaces Must be organized and detail oriented with a strong bias for follow-up and problem resolution Proven ability to be a team player EO/AA Employer:
Minorities/Females/Veterans/Disabled

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