Nurse Navigator

EmpowerMe Wellness is a multi-disciplinary healthcare services organization focused on improving the lives of residents in independent living, assisted living and memory care communities. We provide onsite geriatric primary care services in addition to our physical, occupational, and speech therapy offerings. Our mission is to improve the lives of seniors and the communities they call home.

Remote position Must be willing to work evenings Reports To: Vice President of Medical Services FLSA Status: Non-Exempt Direct Reports: Yes Department: Primary Care Position Summary: As the Nurse Navigator, you are responsible for providing individualized assistance across the care continuum to patients, families, and caregivers to expedite, coordinate care, and address health system barriers. This position assumes the responsibility for the coordination of patient care through interdisciplinary and multidisciplinary collaboration to achieve optimal patient outcomes with a focus on high-risk patients or those with complex care needs (including multidisciplinary care) while building and maintaining community and independent provider relationships to provide expedient and reliable access to quality patient care.

Coordinates patient services with physicians and staff to provide quality care in an appropriate and effective manner; provides appropriate counsel and teaching to patients and families; ensures continuity of care and promotes health care maintenance. Bridge gaps in care and assess/troubleshoot care transitions and barriers to care. Promotes and maintains good public relations with patients/families and acts as a liaison between our EmpowerMe team, the communities we serve, and our patients and their families. Coordinates patient care, orders diagnostic tests, conveys findings to care team, coordinates patient appointments and assists with referrals to outside sources. Participates in continued professional development, attending educational programs, in-service, and meetings as needed. Maintain navigation services documentation according to program standards. Obtains consent and all necessary intake paperwork from resident or POA prior to initiation of all integrated services. Performs data entry tasks and maintains patient electronic health record. Documents residents' medical information, including medical history and health insurance information. Assists in schedule management and coordination of services. Comply with HIPAA and PHI guidelines and protect confidentiality at all times. Other clinical and administrative duties as assigned.