Harper University Hospital Nurse Navigator General Surgery and MBS/see min quals in Detroit, Michigan

Under limited direction and according to established policies and procedures, provides care coordination services to patients, families or post surgery care givers. Functions as a facilitator of inter-disciplinary collaboration across care transitions. Coaches target patient populations and their caregivers to assume an active role in the formation and execution of a plan of care, encourage self management, and assist in coordination of communication between the patient, caregivers, surgeon and primary care providers. Collaborates and communicates with care providers both internal and external to coordinate service delivery and achieve optimal patient outcome of care. Collaborates and communicates with hospital care management teams to coordinate post surgical plan of care. Collaborates and communicates with attending physician regarding patient’s post surgical needs. Creates and maintains a Patient Centered Record that consists of the essential elements for facilitating productive interdisciplinary communication throughout any care transition or patient handover including disease specific education, community resources, adherence to evidence based practice, discharge checklists and medication reconciliation. Evaluates and improves care processes across patient populations. Problem solves care issues and concerns with patient and family. The primary role of the Bariatric Nurse navigator is coordination of care for bariatric surgery patients through the continuum pre/post-management of ongoing Bariatric Surgery Center of Excellence (BSCOE) compliance. This includes bariatric program development, patient and staff education, as well as the oversight of multidisciplinary teams and acting as the liaison between the hospital and the surgical practice. The role of the nurse navigator includes, but is not limited to, the following: Navigates, assesses and monitors the continuity of care and expedites and coordinates the delivery of services to facilitate a patient's progress throughout the continuum of care, from point of first interest, through the qualification period, the surgery process, post-op care, and post discharge to achieve desired quality outcomes. Makes daily rounds on all bariatric surgery patients. Coordinates administrative functions and the development and implementation of patient care clinical pathways; navigates the patient through the process; updates patient policies and procedures for care of bariatric surgery patients. Assumes a leadership role to facilitate interdisciplinary collaboration and review the plan of care and communicate findings effectively with all members of the multidisciplinary team Documents in the medical record and works in conjunction with the dietitian, physical therapist, and other disciplines to coordinate facility nutrition programs, exercise programs, or medical management programs (for both the surgical and non-surgical candidates) and informs patients of these programs. Functions as a clinical liaison and resource for the hospital program; responsible for assisting the hospital with achieving and maintaining BSCOE certification/accreditation through meeting or exceeding Center of Excellence standards of care. Facilitates patient and family education, and the discharge process to promote continuity of care after discharge and optimal patient outcomes. Reviews and revises patient education materials. Performs telephone follow-up surveys on patients post discharge, at specified intervals and annually for up to five (5) years. Ensures all patient care is provided in accordance with Hospital and other regulatory and safety requirements including CMS, Joint Commission, OSHA, State and Federal regulations. [BRASSRING IMPORT 10/25/16]

Minimum Qualifications
  1. Graduate from an accredited school of Nursing. Bachelor’s degree in Nursing (BSN) or other health-related field, or equivalent combination of education and or related experience. 2. Licensed to practice as a Registered Nurse (RN) in the State of Michigan. 3. Two years of clinical patient care experience. 4. Two years of case management or care coordination experience. 5. Experience with Lean or similar process improvement methodology, preferrred. 6. Bariatric patient care experience preferred. [BRASSRING IMPORT 10/25/16]

Job Title: Nurse Navigator General Surgery and MBS/see min quals

Job Location Name: Huron Valley Sinai Hospital

Job Description: Under limited direction and according to established policies and procedures, provides care coordination services to patients, families or post surgery care givers. Functions as a facilitator of inter-disciplinary collaboration across care transitions. Coaches target patient populations and their caregivers to assume an active role in the formation and execution of a plan of care, encourage self management, and assist in coordination of communication between the patient, caregivers, surgeon and primary care providers. Collaborates and communicates with care providers both internal and external to coordinate service delivery and achieve optimal patient outcome of care. Collaborates and communicates with hospital care management teams to coordinate post surgical plan of care. Collaborates and communicates with attending physician regarding patient’s post surgical needs. Creates and maintains a Patient Centered Record that consists of the essential elements for facilitating productive interdisciplinary communication throughout any care transition or patient handover including disease specific education, community resources, adherence to evidence based practice, discharge checklists and medication reconciliation. Evaluates and improves care processes across patient populations. Problem solves care issues and concerns with patient and family. The primary role of the Bariatric Nurse navigator is coordination of care for bariatric surgery patients through the continuum pre/post-management of ongoing Bariatric Surgery Center of Excellence (BSCOE) compliance. This includes bariatric program development, patient and staff education, as well as the oversight of multidisciplinary teams and acting as the liaison between the hospital and the surgical practice. The role of the nurse navigator includes, but is not limited to, the following: Navigates, assesses and monitors the continuity of care and expedites and coordinates the delivery of services to facilitate a patient's progress throughout the continuum of care, from point of first interest, through the qualification period, the surgery process, post-op care, and post discharge to achieve desired quality outcomes. Makes daily rounds on all bariatric surgery patients. Coordinates administrative functions and the development and implementation of patient care clinical pathways; navigates the patient through the process; updates patient policies and procedures for care of bariatric surgery patients. Assumes a leadership role to facilitate interdisciplinary collaboration and review the plan of care and communicate findings effectively with all members of the multidisciplinary team Documents in the medical record and works in conjunction with the dietitian, physical therapist, and other disciplines to coordinate facility nutrition programs, exercise programs, or medical management programs (for both the surgical and non-surgical candidates) and informs patients of these programs. Functions as a clinical liaison and resource for the hospital program; responsible for assisting the hospital with achieving and maintaining BSCOE certification/accreditation through meeting or exceeding Center of Excellence standards of care. Facilitates patient and family education, and the discharge process to promote continuity of care after discharge and optimal patient outcomes. Reviews and revises patient education materials. Performs telephone follow-up surveys on patients post discharge, at specified intervals and annually for up to five (5) years. Ensures all patient care is provided in accordance with Hospital and other regulatory and safety requirements including CMS, Joint Commission, OSHA, State and Federal regulations. [BRASSRING IMPORT 10/25/16]

Minimum Qualifications: 1. Graduate from an accredited school of Nursing. Bachelor’s degree in Nursing (BSN) or other health-related field, or equivalent combination of education and or related experience. 2. Licensed to practice as a Registered Nurse (RN) in the State of Michigan. 3. Two years of clinical patient care experience. 4. Two years of case management or care coordination experience. 5. Experience with Lean or similar process improvement methodology, preferrred. 6. Bariatric patient care experience preferred. [BRASSRING IMPORT 10/25/16]

Category: Nursing - Licensed Nursing / Patient Care - Other

Work Shift: Days

Benefit Status: FULL TIME

Bi-Weekly Hours: 80

Work Week: Generally Mon-Fri