RN, Chronic Care Navigator (NonExempt)

Job Description

Job Description

Job Summary

The Chronic Care Nurse Navigator plays a pivotal role in coordinating comprehensive care for patients with chronic conditions. This individual will serve as a central point of contact, guiding patients and their families through the healthcare system, ensuring timely access to services, and promoting adherence to treatment plans. The Nurse Navigator will also educate patients on self-management strategies and connect them with community resources.

Responsibilities

• Patient Advocacy and Education :

Act as a patient advocate, ensuring their needs and preferences are addressed throughout their care journey.

Assess patient needs and develop individualized care plans in collaboration with the healthcare team including primary care providers, clinic patient navigator, case management team, and clinic office staff.

Connect patients with relevant community resources, support groups, and educational materials.

Maintain accurate and thorough documentation in clinic and hospital electronic medical record of patient encounters, care plans, and outcomes.

Contribute to the development and implementation of quality improvement initiatives related to chronic care management.

Qualifications

Associate's Degree in Nursing (ADN) required.

Current, unencumbered Registered Nurse (RN) license in Texas.

Minimum of 5 years of clinical experience in a chronic care setting.

Excellent communication, interpersonal, and organizational skills.

Working Conditions