McLaren Health Care Healthcare Navigator in Lansing, Michigan
McLaren Medical Group
90070 - CPC Plus Operations
Hours per 2 week pay period
8:00 AM to 4:30 PM
Weekends and/or Holidays Required
On Call Required
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.
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.
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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