Job Description

Job Description

Job Description

Position Summary:

The Telehealth Care Navigator coordinates care, prioritizes risk, and ensures quality care delivery and patient satisfaction. The primary goal of the telehealth care navigator is to prevent ED visits, supplement in-person visits for high-risk patients, identify high risk patients who need additional oversight, and improve patient satisfaction & overall care coordination between patient/branch/field clinicians. In addition, you will provide ongoing evaluation of care management services using professional standards of care and practice to evaluate self, programs, and service activities. You will maintain knowledge of current techniques, trends, and professional issues. You will use group process to identify, analyze, and resolve care problems.

Essential Job Functions/Responsibilities:

Ability to conduct patient engagement and follow-up from a virtual platform using a gold standard of customer service

Assess & identify patients appropriate for telehealth & remote patient monitoring

Complete telehealth and phone visits and meet productivity expectations while monitoring daily analytics such as vital signs, pain, psychosocial issues on patient's dashboard and be able to problem solve issues.

Ability to conduct patient engagement and follow-up from a virtual platform using a gold standard of customer service

Care coordination with patient physician, branch leaders, patient care team including obtaining orders, updating plan of care as needed to reduce risk of ED visits, hospitalizations or overall care needs.

Must be able to function independently in a high volume environment, supporting locations in multiple time zones

Participates in acute care huddles, discharge planning meetings and discussions regarding patient discharges and participates in problem solving when difficult discharges and/or frequent readmissions to the acute care setting occur. Attend case conferences as needed.

Educate colleagues on the RPM program and support/enhance client self-determination.

Identify and assess resource utilization and safety issues, taking appropriate action.

Monitor and follow up on previous day on-call high risk issues while assisting with development of Telehealth plan of care elements.

Utilize technology to assess, educate, and coordinator appropriate follow up as needed.

Position Qualifications:

1. Minimum of 3 years Nursing experience RN or LVN, 1-2 years in a home care setting

2. Good computer skills for Microsoft excel and word

3. Current, full, active, and unrestricted registration as a graduate professional nurse in States that the

home health agency operates in.

4. Good verbal and written communication with patients families, and staff associated with each case.

5. Nursing Diploma or Associates Degree in Nursing. Bachelor's in nursing preferred.

SKILLS REQUIRED

1. Demonstrates a high level of clinical competency

2. Ability to navigate patient issues remotely with use of technology

3. Demonstrates exemplary customer services, focused on supportive verbal communication to

patients/families

4. Must be proficient in written and spoken English. Speaking a second language is a plus but not

required.

5. Strong organization skills.

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