McLaren Health Care Healthcare Navigator in Lansing, Michigan

18-5492

Post Date

10/12/2018

Title

Healthcare Navigator

Job Family

Health Professional

Subsidiary

McLaren Medical Group

Department

90070 - CPC Plus Operations

Location

Lansing Region

City

Lansing

State

MI

Full Time

Yes

Hours per 2 week pay period

80

Schedule

8:00 AM to 4:30 PM

Weekends and/or Holidays Required

No

On Call Required

No

Description

JOB SUMMARY

Oversees patient care activities that affect readmission rates and continuum of care outcomes. Assists in the planning, implementation, and analysis of quality assessments activities and makes recommendations

to improve processes. The Healthcare Navigator is a clinical liaison between the healthcare team providers and the patient to ensure continuity of care for identified high risk patients transitioning from the hospital to the next level of care with the goal

of reducing fragmented or unsafe care and to reduce potentially preventable readmissions.

REQUIRED QUALIFICATIONS

  • RN or MSW with a valid unrestricted Michigan license

  • Two (2) years clinical nursing experience OR two (2) years MSW experience serving chronically ill patients and extensive knowledge of issues associated with chronic care, disability and geriatrics.

  • Familiar with initiatives of Managed Care Utilization Management, Medical Management and/or Case Management.

  • Ability to effectively manage multiple tasks, activities, and responsibilities.

  • Exemplary communication and presentation skills.

  • Ability to lead self-directed teams.

  • Commitment to collaborative practice.

PREFERRED QUALIFICATIONS

  • BSN

  • Three (3) years clinical nursing experience OR three (3) years MSW experience serving chronically ill patients and extensive knowledge of issues associated with chronic care, disability and geriatrics.

  • Two (2) years in Managed Care Utilization Management, Medical Management and/or Care Management experience.

  • Recent Case Management experience with Discharge Planning and Utilization Review.

  • Experience in a process improvement and multidisciplinary quality improvement area.

  • Certification specific to CM and/or UR.

  • Knowledge of licensing, accrediting, CMS, and third party payer requirements preferred.

  • Experience with diagnosis and procedure coding.

  • Proficiency with database, spreadsheet, and word processing programs.

  • Proficiency with research and data analysis.

  • Previous supervisory experience.

  • Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

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