RN Navigator – Care Management/Disease Management
Core
Provides care management support to a panel of patients requiring specialty services, coordinating care across the continuum and supporting overall treatment plans.
Role type
Senior Registered Nurse Care Manager (Disease Management)
Builds
Integrated care plans and patient support networks for specialty services
Domain
Healthcare / Chronic Disease Management / Dialysis
Required skills
Care coordination, Plan of care development, Interdisciplinary collaboration, Resource identification, Quality improvement, Patient education, Transition planning, Data assessment
Preferred skills
Case Manager Certification, Specialty Certification, Dialysis unit experience, Chronic kidney disease experience
Technologies
Electronic medical record systems
Responsibilities
Assess patient needs and gather relevant data from patients, families, and providers; Develop and implement treatment plans incorporating evidence-based nursing practice; Coordinate services and resolve barriers to care; Monitor patient outcomes and adapt plans as needed; Supervise care management support staff; Lead transition and discharge planning.
Seniority
Mid-Senior level, hands-on IC