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Care Navigator

Company: University of New Mexico - Hospitals
Location: Edgewood
Posted on: September 21, 2023

Job Description:

Department: Women's Imaging Eubank
FTE: 1.00
Full Time
Shift: Days
Position Summary:
Coordinate and provide ongoing patient support, oversight and education related to perinatal access. Serve as primary patient contact for Special Delivery patients. Facilitate coordination of genetic counseling appointments and flow of information between internal and referring providers, clerical staff, and contracted vendor. Collaborate with the MFM staff, Ultrasound staff, Outreach staff, and Genetic Counseling staff. Serve as a clinical resource and liaison to patients, family members, staff, and providers on access and coordination of care. Provide clinical leadership and quality oversight to clinical staff. Serves as a role model to promote positive work environment and quality patient care. Ensures adherence to Hospital and Departmental Policies and Procedures. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.
Detailed responsibilities:
* ENVIRONMENT - Maintain a safe, comfortable, and therapeutic environment for patients/families in accordance with Hospitals standards
* ADMINISTRATION - Greet/check in with patients at all MFM WUS Genetics visits; serve as navigator and patient advocate to ensure that patients attend all MFM, Fetal Testing, Genetics, Outreach, and Special Delivery clinics; facilitate and transport patients to various consult appointments (i.e. direct or facilitate transportation to other clinics)
* ADMINISTRATION - Attend and be available during Special Delivery / MFM clinics: accompany patient from visit to visit when necessary to ensure that she sees all the providers and clinics (particularly important for out of town patients); coordinate visits between outreach and UNM clinics; monitor and direct traffic between WUS, MFM, and Journeys Monday - Friday
* COORDINATION - Be available by telephone / video conference during all outreach sessions for provider and patient coordination
* FOLLOW-UP - Phone follow-up post discharge as needed or requested by family: follow-up on patient no show appointments by phone or email
* ADMINISTRATION - Antepartum /Postpartum visits for Special Delivery moms; face to face or phone contact with the parents while the baby is in the NICU
* LIAISON - Serve as liaison with community services as needed; be available as contact for primary OB; serve as primary contact for UNM providers about Special Delivery patients
* FOLLOW-UP - Responsible for contacting families at the appropriate intervals post neonatal loss (e.g. one month, 6 months, Birthday, expected due date, holidays, Mother's Day and Father's Day)
* PROGRAMS - Develop perinatal grief / hospice program for patients with lethal anomalies and ongoing pregnancies; collaborate with Journey's program; coordinate referrals to support groups and treatment as needed
* SPECIAL DELIVERY - Serve as the primary point of referral for Special Delivery patients for UNM MFM, external MFM, and primary OB providers; create Special Delivery Summary in mother's medical record upon entry into Special Delivery program; update Special Delivery Summary when plans change; add Special Delivery indications to Cerner problem list; update Special Delivery database twice weekly; send weekly email to Special Delivery distribution list as scheduled appointments for coming week, updates list, etc.; ensure familiarity with each patient and awareness of any updates or changes
* ADMINISTRATION - Send Thank You letters to referring physicians for referring patients
* MEETINGS - Attend weekly MFM-Neonatology "In and Out" conference; lead weekly Special Delivery Conference; attend Peds Cardiology and NICU conferences
* SPECIAL DELIVERY FUND - Manage Special Delivery Fund. Solicit donations to Special Delivery Fund through UNM Foundation; work with OB department accountant to purchase gift cards, transportation and hotel vouchers; assess patient need for Special Delivery fund resources; distribute fund gift cards; collaborate with MFM Chief to decide distribution of funds
* PATIENT CARE - Ensure contracted vendor receives results and reports for abnormal screening results, abnormal carrier screen results, and abnormal results from all genetic procedures
* PATIENT CARE - Ensure all lab orders are placed properly; monitor lab results to ensure lab results are not missed; follow-up as needed
* CARE MANAGEMENT - Contact patients being referred for medical, transportation, and lodging need; introduce available services; coordinate with Care Management

* GENETIC COUNSELING - Ensure patients are aware of Genetic Counseling appointments by following up with reminder calls; ensure Genetic Counseling reports are delivered to all referring providers in a timely manner: be a liaison and resource person for questions and answers for genetic procedures and labs; develop and maintain a Genetics Fast Fact card by keeping the card up to date with current facts
* PATIENT EDUCATION - Develop patient education binders; assemble and maintain patient-specific educational material in binder
* EDUCATION - Provide on-going education to clinic staff and be clinic resource for genetics
* PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
* PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
* PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
* PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
* PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"

* Program Graduate
* Bachelor's Degree
* Bachelor's Degree
Education specialization:
* Nationally Accredited Nursing Graduate
* BSN w/in 36 Months of Position
* Nursing
2 years directly related experience

Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
5 years directly related experience
* RN in NM or as allowed by reciprocal agreement by NM
* CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

Physical Conditions:
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.
Working conditions:
* Minor Hazard - physical risks, dirt, dust, fumes, noise
Department: Registered Nurse

Keywords: University of New Mexico - Hospitals, Albuquerque , Care Navigator, Other , Edgewood, New Mexico

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