Atrium Health Navicent
Overview
Director Care Navigation role at Atrium Health Navicent. Department: 34006 Navicent Health Medical Center - Patient Placement. Status: Full time. Hours per week: 40. Schedule Details/Additional Information: Varies. Responsibilities
Provides oversight to the Care Transitions team in relation to discharge planning and care pathway functions and activities. Duties include the establishment of work schedules, ensuring employees work within Atrium Health's pay practices, performs performance evaluations in a timely and appropriate manner, etc., while ensuring alignment with current clinical standards and the day-to-day execution of programmatic operations. Works collaboratively with others through assessment of patient learning needs and discharge planning, designing, implementing, and continuously evaluating case management activities and processes. Keeps current on state, federal, and payor requirements and regulatory guidance affecting the discharge planning process and communicates changes in requirements to the staff. Participates in internal and external compliance audits. Assists staff with problem solving and resolution of problems and issues related to placement, community resources, and home care services. Provides guidance on situations that are difficult to manage. Discusses care pathways with Physicians, APPs, and staff to ensure appropriate management in a patient- and organization-centered manner that optimizes throughput. Provides leadership in the development and revision of departmental policies, procedures, work instructions, and protocols. Orients new staff and ensures continuing education of all departmental staff. Supports staff development and performance management; maintains focus on key needs, expectations, and enterprise initiatives. Serves as primary departmental contact and liaison to community-based resources, including referral facilities/agencies which may be utilized by patients discharged from the facility. Acts as regional representative on probate court petitions and hearings. Identifies issues within processes to ensure optimum flow and success. Provides leadership and guidance to the team in process improvement initiatives. Stays abreast of new innovations and trends in care coordination, evidence-based practice, utilization management, and service excellence. Disseminates information and focuses efforts on skills required and critical milestones for advancing outcomes-focused care throughout the region and beyond. Provides leadership in the development and monitoring of key metrics to ensure success. Determines root cause and formulates action plans to support success. Ensures adequate communication cascading to keep staff fully informed of initiatives, expectations, and enterprise-wide experiences. Fosters a safe environment where staff can verbalize issues and concerns. Provides action-based feedback to staff. Develops evidence-based programs and initiatives to promote optimal quality of care and improvement of patient transitions, maximize growth, and enhance revenue opportunities. Leads and supports patient experience initiatives that drive top decile performance in patient satisfaction from a behavioral health perspective, with evidence of continuous improvement efforts. Collaborates with behavioral health leadership, medical director, colleagues, and physicians to set and achieve goals and strategies for the Behavioral Health service line. Education
Bachelor of Science in Nursing Certification / License
Registered Nurse in Georgia or a Compact License Work Experience
Ten years of experience in progressive management positions within an acute hospital setting, with a minimum of five years' experience in an implicit discharge planning or clinical case management position. Knowledge / Skills / Abilities
Proficiency in medical terminology, clinical assessment, and diagnostics skills. Knowledge of the DRG process and payment methodology for various federal, state, and commercial payers. Concurrent coding skills. Skill in identifying problems and recommending solutions. Skills in preparing and maintaining records and written reports. Skill in establishing and maintaining effective working relationships with physicians, hospital staff, and vendors. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Extensive knowledge of reimbursement systems. Extensive knowledge of Federal, State and payer-specific regulations and policies pertaining to documentation and coding. Working knowledge of federal and state benefits and entitlements. Must possess experience in discharge/transition planning and a thorough understanding of rules and regulations related to transition planning/placement services. Knowledge of community resources and case management is required. Working knowledge of CMS regulations and rules of participation. Familiarity and working knowledge of Best Practices relative to Medicare compliance (DNV CARF Joint Commission). Physical Requirements and Working Conditions
Must be able to use visual acuity to monitor screen, computer, and hard copy materials. Must be able to hear and verbally communicate in person and over the phone or radio. Must be able to sit for prolonged periods of time (up to 2 hours). Must be able to comprehend and learn the operation of various office equipment. Must have functional range of motion of the cervical, thoracic, and lumbar spines, upper and lower extremities with a grip strength of 50-60 pounds. Must be able to forward reach, overhead reach, bend, squat, kneel and apply proper body mechanics during the transfers and transport of supplies and/or equipment using proper body mechanics. Must be able to lift up to ten pounds. Pay Range
$50.05 - $75.10 Our Commitment to You
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits And More
Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
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Director Care Navigation role at Atrium Health Navicent. Department: 34006 Navicent Health Medical Center - Patient Placement. Status: Full time. Hours per week: 40. Schedule Details/Additional Information: Varies. Responsibilities
Provides oversight to the Care Transitions team in relation to discharge planning and care pathway functions and activities. Duties include the establishment of work schedules, ensuring employees work within Atrium Health's pay practices, performs performance evaluations in a timely and appropriate manner, etc., while ensuring alignment with current clinical standards and the day-to-day execution of programmatic operations. Works collaboratively with others through assessment of patient learning needs and discharge planning, designing, implementing, and continuously evaluating case management activities and processes. Keeps current on state, federal, and payor requirements and regulatory guidance affecting the discharge planning process and communicates changes in requirements to the staff. Participates in internal and external compliance audits. Assists staff with problem solving and resolution of problems and issues related to placement, community resources, and home care services. Provides guidance on situations that are difficult to manage. Discusses care pathways with Physicians, APPs, and staff to ensure appropriate management in a patient- and organization-centered manner that optimizes throughput. Provides leadership in the development and revision of departmental policies, procedures, work instructions, and protocols. Orients new staff and ensures continuing education of all departmental staff. Supports staff development and performance management; maintains focus on key needs, expectations, and enterprise initiatives. Serves as primary departmental contact and liaison to community-based resources, including referral facilities/agencies which may be utilized by patients discharged from the facility. Acts as regional representative on probate court petitions and hearings. Identifies issues within processes to ensure optimum flow and success. Provides leadership and guidance to the team in process improvement initiatives. Stays abreast of new innovations and trends in care coordination, evidence-based practice, utilization management, and service excellence. Disseminates information and focuses efforts on skills required and critical milestones for advancing outcomes-focused care throughout the region and beyond. Provides leadership in the development and monitoring of key metrics to ensure success. Determines root cause and formulates action plans to support success. Ensures adequate communication cascading to keep staff fully informed of initiatives, expectations, and enterprise-wide experiences. Fosters a safe environment where staff can verbalize issues and concerns. Provides action-based feedback to staff. Develops evidence-based programs and initiatives to promote optimal quality of care and improvement of patient transitions, maximize growth, and enhance revenue opportunities. Leads and supports patient experience initiatives that drive top decile performance in patient satisfaction from a behavioral health perspective, with evidence of continuous improvement efforts. Collaborates with behavioral health leadership, medical director, colleagues, and physicians to set and achieve goals and strategies for the Behavioral Health service line. Education
Bachelor of Science in Nursing Certification / License
Registered Nurse in Georgia or a Compact License Work Experience
Ten years of experience in progressive management positions within an acute hospital setting, with a minimum of five years' experience in an implicit discharge planning or clinical case management position. Knowledge / Skills / Abilities
Proficiency in medical terminology, clinical assessment, and diagnostics skills. Knowledge of the DRG process and payment methodology for various federal, state, and commercial payers. Concurrent coding skills. Skill in identifying problems and recommending solutions. Skills in preparing and maintaining records and written reports. Skill in establishing and maintaining effective working relationships with physicians, hospital staff, and vendors. Ability to interpret, adapt and apply guidelines and procedures. Ability to analyze complex clinical scenarios and apply critical thinking. Extensive knowledge of reimbursement systems. Extensive knowledge of Federal, State and payer-specific regulations and policies pertaining to documentation and coding. Working knowledge of federal and state benefits and entitlements. Must possess experience in discharge/transition planning and a thorough understanding of rules and regulations related to transition planning/placement services. Knowledge of community resources and case management is required. Working knowledge of CMS regulations and rules of participation. Familiarity and working knowledge of Best Practices relative to Medicare compliance (DNV CARF Joint Commission). Physical Requirements and Working Conditions
Must be able to use visual acuity to monitor screen, computer, and hard copy materials. Must be able to hear and verbally communicate in person and over the phone or radio. Must be able to sit for prolonged periods of time (up to 2 hours). Must be able to comprehend and learn the operation of various office equipment. Must have functional range of motion of the cervical, thoracic, and lumbar spines, upper and lower extremities with a grip strength of 50-60 pounds. Must be able to forward reach, overhead reach, bend, squat, kneel and apply proper body mechanics during the transfers and transport of supplies and/or equipment using proper body mechanics. Must be able to lift up to ten pounds. Pay Range
$50.05 - $75.10 Our Commitment to You
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits And More
Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
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