Billings Clinic Nurse Navigator - Orthopedics - Bozeman in Bozeman, Montana
Full Time RegularJob Description: The incumbent in this position acts as an advocate for patients serving as the primary point of contact and is responsible for coordinating the care and services of the identified patient populations for an extended period of time across the continuum of care for both inpatient and outpatient services; promoting effective resource utilization; assuming a leadership role with the multidisciplinary team to achieve an optimal clinical outcome.Essential Job FunctionsSupports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.Facilitates the coordination of patient care services to assure excellence in patient care and patient flow; includes coordinating care, treatment and communication among the medical teamFollows patient through the care continuum/experience, eliminating operational (such as scheduling, test results, etc.) barriers to services.Works closely with other healthcare disciplines to ensure timely appointments, results reporting, financial need referrals, communication, patient care and follow-up.Facilitates the development, implementation and adherence to clinical and evidenced based guidelines, as appropriate, to ensure optimal clinical outcomes.Ensures follow-up on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical va lues/core measures, patient care conferences, etc.) Ensures follow up has occurred regarding patient clinical and non clinical care to include adherence to plans of care, resource utilization, and general progress utilizing care conferences as necessary.Works in collaboration with the medical team to develop and implement clinical guidelines. Facilitates the adherence of the guidelines through regular evaluation and auditing of clinical practice.Ensures follow-up in the inpatient and/or outpatient setting on identified patient clinical and non-clinical care, facilitating communication and compliance to care plans (i.e., medication reconciliation, follow-up on care concerns/critical values/core measures, patient care conferences, etc.).Participates in educational activities related to patient/community, clinical operation, and process issues on an ongoing basis.Collaborates with other health care providers in developing, implementing, and evaluating educational materials for patients and their families.Aware of and assists with financial needs of the patients.Identify and access appropriate social services, including resources to assist caregivers to support treatment.Ensures accurate and timely data collection and entry into patient database as indicated by department guidelines.Works in collaboration with Leadership team to ensure hospital and clinic departmental goals and objectives are met.Works as an active team member and effective communicator.Performs other duties as assigned or needed to meet the needs of the department/organization.