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Steward Health Care System Nurse Navigator in Foxboro, Massachusetts

About Steward Health Care System

Steward Health Care is the largest private, tax-paying physician-led health care network in the United States. Headquartered in Dallas, Texas, Steward operates 35 hospitals in the United States and the country of Malta that regularly receive top awards for quality and safety. The company employs approximately 42,000 health care professionals. The Steward network includes multiple urgent care centers and skilled nursing facilities, substantial behavioral health services, over 7,900 beds under management, and approximately 2.2 million full risk covered lives through the company's managed care and health insurance services.

Steward Medical Group (SMG), Inc. is Steward's multi-specialty group practice with over 4,500 employees including over 1,800 physicians and advanced practitioners. SMG operates approximately 450 practice locations throughout Massachusetts, Southern New Hampshire, Rhode Island, New Jersey, Pennsylvania, Ohio, Florida, Utah, Arizona, Texas, Louisiana and Arkansas, and provides more than 4 million patient encounters per year.

Position Summary

Under the direction and supervision of the Medical Director of the Norwood Hospital Cancer Center of Foxboro, the Nurse Navigator functions as a member of the multidisciplinary team as an advocate and educator for patients from the initial phone assessment throughout the continuum of care, including diagnostic studies, diagnosis, treatment planning, treatment and survivorship. The Nurse Navigator coordinates care and provides clinical assessment services to referral sources, families and patients. Builds a relationship with patients and physicians to coordinate a plan of care including appointments, education, provision and/or enablement of support services and representation within the multidisciplinary care environment. Assumes responsibility and accountability for the management of resources to achieve efficient, high quality outcomes for each cancer patient including support for interdisciplinary and cross facility collaboration. Ensures appropriate coordination of care between the patient, family, the multidisciplinary team members and outside agencies to ensure continuity of care and optimal clinical outcomes and resource management. The Nurse Navigator acts as an advocate and point of contact for the patient and caregiver to ensure appropriate management of the patient’s healthcare needs, providing expertise in disease and symptom management to the patient while at the (Cancer Center) and at home.

Key Responsibilities

  • Facilitates the delivery of services by establishing relationships with relevant health care providers, facilities and community resources ensuring appropriate utilization across the continuum of care.

  • Has a full understanding of the CMS benefits and regulations and works within those systems.

  • Coordinates with providers, families, Care Management and Hospital staff and sets expectations as appropriate.

  • Maintains documentation standards in conjunction with hospital policy and procedures.

  • Attends PACT and Transitions of Care meetings at Steward Hospitals.

  • Provides consultation and education to the client/family and other health care members as needed.

  • Facilitates the use of preferred providers as directed by the Medical Director for ambulatory appointments and tests as appropriate.

  • Monitors acute care services to achieve the highest quality outcomes.

  • Maintains and respects patient confidentiality according to HIPAA policy and procedures.

  • Confers regularly with RAP and CCPM nurses, and refers to SHCN programs as appropriate.

  • Shares information with hospital inpatient case management departments when necessary.

  • Attends case management meetings at assigned hospitals when necessary.

  • Performs other functions as assigned.

Required Knowledge & Skills

  • Must possess the ability to utilize a clinical reasoning process for assessing, planning, implementing and evaluating the plan of care while ensuring that coordination of services.

  • Demonstrates sound knowledge and actions in the care and decision making for designated patient populations and seeks guidance appropriately.

  • Ideal candidate would be ONCC certified nurse with inpatient oncology case management experience.

  • Strong oncology knowledge.

  • Demonstrates an ability to apply principles of critical thinking.

  • Knowledge of managed care principles and physician office practice.

  • Display strong organizational skills.

  • Strong interpersonal skills.

  • Ability to prioritize and reprioritize quickly.

  • Ability to develop collaborative relationships both internally and externally to Steward.

  • Strong leadership skills.

  • Strong verbal and written communication skills.

  • Collaborates with multiple providers to provide quality care.

  • Maintains information in a confidential manner according to policy.

Education/Experience/Licensure/Technical/Other

  • Education: RN license required; BLS/CPR certified; BSN in Nursing. Certified as an Oncology Certified Nurse and have a minimum of 2-4 years oncology nursing practice.

  • Experience (Type & Length): 2-4 years oncology nursing practice. 1 year experience in Case Management and/or similar role

  • Software/Hardware: Strong knowledge in Microsoft Office applications: Word, Excel, PowerPoint.

  • Other: Understanding of the health care delivery setting and managed care.

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