Healthcare Navigator

Subsidiary: McLaren Medical Group -
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
Bachelor's of Science Degree in Nursing or Social Work
Current Michigan licensure as Registered Nurse or registered through the State of Michigan as a Social Worker.
Three years RN experience in an acute care medical/surgical nursing environment
Knowledge of the Case Management theory and practice as demonstrated by at least 2 years of CM/UR experience.
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
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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