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Posted Date 10 hours ago(4/20/2021 3:21 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6093
Job Locations
US-TX-El Paso
Colleague Shift
Mon-Fri, 9am-6pm CST
Posted Date 3 weeks ago(3/31/2021 12:54 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6023
Job Locations
US-VA-Bristol | US-VA-Abingdon
Posted Date 2 weeks ago(4/7/2021 4:59 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6022
Job Locations
US-VA-Bristol
Posted Date 3 weeks ago(3/30/2021 6:51 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6021
Job Locations
US-KS-Kansas City
Posted Date 3 weeks ago(3/30/2021 8:15 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6014
Job Locations
US-RI-North Kingstown
Posted Date 3 weeks ago(4/1/2021 11:53 AM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6013
Job Locations
US-RI-Warwick
Posted Date 3 weeks ago(3/30/2021 8:18 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6011
Job Locations
US-RI-Providence
Posted Date 3 weeks ago(3/30/2021 8:13 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6010
Job Locations
US-RI-Pawtucket
Posted Date 3 weeks ago(3/30/2021 8:09 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6009
Job Locations
US-RI-Woonsocket
Posted Date 3 weeks ago(3/30/2021 8:24 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6002
Job Locations
US-MA-Fall River
Posted Date 3 weeks ago(3/30/2021 8:23 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-6000
Job Locations
US-MA-Bridgewater
Posted Date 3 weeks ago(3/30/2021 8:21 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5996
Job Locations
US-MA-Boston
Posted Date 3 weeks ago(3/30/2021 8:27 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5995
Job Locations
US-MA-Lowell | US-MA-Peabody
Posted Date 3 weeks ago(3/30/2021 8:20 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5991
Job Locations
US-MA-Andover
Posted Date 2 weeks ago(4/7/2021 4:59 PM)
Job Summary The Skilled Inpatient Care Coordinator (SICC) plays an integral role in optimizing patients’ recovery journeys.  The SICC completes weekly functional assessments and engages the PAC inter-disciplinary care team providing them with the proprietary nH Outcome tool to align expectations for discharge planning. The position engages patients and families to share information and facilitate informed decisions.   By serving as the link between patients and the appropriate health care personnel, the SICC is responsible for ensuring efficient, smooth, and prompt transitions of care.   Responsibilities - Perform Skilled Nursing Facility (SNF) assessments on patients using clinical skills and appropriate measurement tools, such as nH Predict, nH Outcome, InterQual and CMS criteria, upon admission to SNF and periodically through the patient stays. - Review targets for Length of Stay (LOS), target outcomes, and discharge plans with providers and families. - Complete all SNF concurrent reviews, updating authorizations on a timely basis. - Collaborate effectively with the patients’ health care teams to establish an optimal discharge. The health care team includes physicians, referral coordinators, discharge planners, social workers, physical therapists, etc. - Assure patients’ progress toward discharge goals and assist in resolving barriers. - Participate weekly in SNF Rounds providing accurate and up to date information to the naviHealth Sr. Manager or Medical Director. - Assure appropriate referrals are made to the Health Plan, High-Risk Case Manager, and/or community-based services. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed. - Attend patient/family care conferences. - Assess and monitor patients’ continued appropriateness for SNF setting (as indicated) according to InterQual criteria or the nH Outcome. - When naviHealth is delegated for utilization management, review referral requests that cannot be approved for continued stay and are forward to licensed physicians for review and issuance of the NOMNC when appropriate. - Coordinate peer to peer reviews with naviHealth Medical Directors. - Support new delegated contract start-up to ensure experienced staff work with new contracts. - Manage assigned caseload in an efficiently and effectively utilizing time management skills. - Enter timely and accurate documentation into the CM Tool application. - Daily review of census and identification of barriers to managing independent workload and ability to assist others. - Review monthly dashboards, readmission reports, quarterly, and other reports with the assigned Clinical Team Manager, as needed, to assist with the identification of opportunities for improvement. - Adhere to organizational and departmental policies and procedures. - Maintain confidentiality of all PHI information in compliance with HIPPA, federal and state regulations, and laws. - Perform other duties and responsibilities as required, assigned, or requested. Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist - 3 - 5 years of clinical experience required - At least 2 years of Case Management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player   Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended time periods (1 - 2 hours) - Travel requirements - Ability to mobilize to and within sites within an assigned local or regional market/area, including car transport, up to 85% of the time   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5959
Job Locations
US-KS-Topeka
Colleague Shift
Mon-Fri, 8am-5pm CST
Posted Date 3 weeks ago(3/31/2021 1:48 PM)
Job Summary The Cross-Market Care Coordinator works in a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional Care Coordinator (TCC). The Cross-Market Care Coordinator plays an integral role in the patient’s journey towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team in both the acute care and post-acute care (PAC) settings.   The Care Coordinator is responsible for identifying the appropriate first PAC setting in acute and utilizing nH Predict to align expectations and discharge planning efforts in PAC. In both settings, the Care Coordinator evaluates a defined population for transitional needs post-discharge to improve outcomes. The Care Coordinator engages hospital care teams, physicians, post-acute care providers, and patients and their families/caregivers while providing objective information and support throughout the care continuum focusing on safe transitions of care and improving the patient journey. A successful Cross-Market Care Coordinator demonstrates a high degree of adaptability and flexibility and is one whose skills and proficiency allow for quick integration – in part or in whole – into an existing market or client model.    Responsibilities - Perform SICC and/or TCC responsibilities telephonically as directed by leadership. - Engage and collaborate with in-market leaders as needed based on current assignment or as directed by leadership.  This could include in-market Clinical Team Managers or Provider Relations Managers. - Participate in the collaborative patient care process to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet patients’ post-acute health needs, using communication and available resources to promote quality, cost-effective outcomes. - Maintain nH Coordinate case documentation per established standards. - Provide telephonic post-discharge support to assist a defined population of patients in meeting short-term needs to prevent readmissions. This may include - collaboration with other care team members such as home health providers to avoid redundant telephonic follow up and coordinate care. - Address end of life issues including hospice and palliative care options. - Practice cultural competency with awareness and respect for diversity. - Facilitate the development of culturally sensitive individualized transitional care plans for services that including clinical, psycho-social, and environmental needs. Monitor and evaluate the effectiveness of plans and make recommendations for changes in the transitional care plan that incorporates transitional needs, as indicated. - Provide individualized evidence-based condition-specific patient education directed at self-care and reduction of exacerbations. Education is delivered at the appropriate health literacy level in a culturally sensitive manner. - Perform all Transitional Care Coordinator (TCC) and/or Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. - Assist in identifying patients who qualify for the BPCI-A program. - May perform functional assessments on a defined population of patients using clinical skills and proprietary PAC management workflow system and functionally based assessment technology tools. Provide outcome targets to the appropriate audience. - Utilize naviHealth proprietary technology and industry-standard evidence-based tools, such as nH Predict™ and InterQual, for consideration of the appropriate level of care, readmission risk, and needed interventions. - Collaborate effectively with patients’ interdisciplinary health care teams to coordinate the target length of stay and an optimal transition plan to the most appropriate PAC setting and connecting patients to community resources and additional services as appropriate. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. - Communicate with hospital case management and physicians on identified patients that do not meet criteria and assist with developing appropriate discharge setting as needed. - Participate in weekly readmission and other type rounds as needed based upon opportunities. - Attend weekly SNF Rounds and other meetings. - Participate in SNF IDT (Interdisciplinary Teams Rounds) weekly providing accurate and up to date information to the naviHealth Management team. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed including attending patient/family care conferences. - Manage assigned caseload in an efficient and effective manner utilizing good time management skills. - Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits). - Pursue and maintain multi-state licensure to meet business needs. - Initiate and maintain access to multiple Electronic Medical Record (EMR) platforms. - Adhere to organizational departmental policies and procedures. - Adhere to all local, state, and federal regulatory policies and procedures. - Promote a positive attitude and work environment. - Attend naviHealth meetings as requested. - Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist - 3 - 5 years of clinical experience required - At least 2 years of case management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel, and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended periods (1- 2 hours) - Travel requirements - Role is primarily remote/telephonic but may require travel as directed by manager   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5955
Job Locations
US-ME
Posted Date 3 weeks ago(3/31/2021 1:48 PM)
Job Summary The Cross-Market Care Coordinator works in a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional Care Coordinator (TCC). The Cross-Market Care Coordinator plays an integral role in the patient’s journey towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team in both the acute care and post-acute care (PAC) settings.   The Care Coordinator is responsible for identifying the appropriate first PAC setting in acute and utilizing nH Predict to align expectations and discharge planning efforts in PAC. In both settings, the Care Coordinator evaluates a defined population for transitional needs post-discharge to improve outcomes. The Care Coordinator engages hospital care teams, physicians, post-acute care providers, and patients and their families/caregivers while providing objective information and support throughout the care continuum focusing on safe transitions of care and improving the patient journey. A successful Cross-Market Care Coordinator demonstrates a high degree of adaptability and flexibility and is one whose skills and proficiency allow for quick integration – in part or in whole – into an existing market or client model.    Responsibilities - Perform SICC and/or TCC responsibilities telephonically as directed by leadership. - Engage and collaborate with in-market leaders as needed based on current assignment or as directed by leadership.  This could include in-market Clinical Team Managers or Provider Relations Managers. - Participate in the collaborative patient care process to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet patients’ post-acute health needs, using communication and available resources to promote quality, cost-effective outcomes. - Maintain nH Coordinate case documentation per established standards. - Provide telephonic post-discharge support to assist a defined population of patients in meeting short-term needs to prevent readmissions. This may include - collaboration with other care team members such as home health providers to avoid redundant telephonic follow up and coordinate care. - Address end of life issues including hospice and palliative care options. - Practice cultural competency with awareness and respect for diversity. - Facilitate the development of culturally sensitive individualized transitional care plans for services that including clinical, psycho-social, and environmental needs. Monitor and evaluate the effectiveness of plans and make recommendations for changes in the transitional care plan that incorporates transitional needs, as indicated. - Provide individualized evidence-based condition-specific patient education directed at self-care and reduction of exacerbations. Education is delivered at the appropriate health literacy level in a culturally sensitive manner. - Perform all Transitional Care Coordinator (TCC) and/or Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. - Assist in identifying patients who qualify for the BPCI-A program. - May perform functional assessments on a defined population of patients using clinical skills and proprietary PAC management workflow system and functionally based assessment technology tools. Provide outcome targets to the appropriate audience. - Utilize naviHealth proprietary technology and industry-standard evidence-based tools, such as nH Predict™ and InterQual, for consideration of the appropriate level of care, readmission risk, and needed interventions. - Collaborate effectively with patients’ interdisciplinary health care teams to coordinate the target length of stay and an optimal transition plan to the most appropriate PAC setting and connecting patients to community resources and additional services as appropriate. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. - Communicate with hospital case management and physicians on identified patients that do not meet criteria and assist with developing appropriate discharge setting as needed. - Participate in weekly readmission and other type rounds as needed based upon opportunities. - Attend weekly SNF Rounds and other meetings. - Participate in SNF IDT (Interdisciplinary Teams Rounds) weekly providing accurate and up to date information to the naviHealth Management team. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed including attending patient/family care conferences. - Manage assigned caseload in an efficient and effective manner utilizing good time management skills. - Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits). - Pursue and maintain multi-state licensure to meet business needs. - Initiate and maintain access to multiple Electronic Medical Record (EMR) platforms. - Adhere to organizational departmental policies and procedures. - Adhere to all local, state, and federal regulatory policies and procedures. - Promote a positive attitude and work environment. - Attend naviHealth meetings as requested. - Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist - 3 - 5 years of clinical experience required - At least 2 years of case management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel, and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended periods (1- 2 hours) - Travel requirements - Role is primarily remote/telephonic but may require travel as directed by manager   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5954
Job Locations
US-MA
Posted Date 3 weeks ago(3/31/2021 5:51 PM)
Job Summary The Cross-Market Care Coordinator works in a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional Care Coordinator (TCC). The Cross-Market Care Coordinator plays an integral role in the patient’s journey towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team in both the acute care and post-acute care (PAC) settings.   The Care Coordinator is responsible for identifying the appropriate first PAC setting in acute and utilizing nH Predict to align expectations and discharge planning efforts in PAC. In both settings, the Care Coordinator evaluates a defined population for transitional needs post-discharge to improve outcomes. The Care Coordinator engages hospital care teams, physicians, post-acute care providers, and patients and their families/caregivers while providing objective information and support throughout the care continuum focusing on safe transitions of care and improving the patient journey. A successful Cross-Market Care Coordinator demonstrates a high degree of adaptability and flexibility and is one whose skills and proficiency allow for quick integration – in part or in whole – into an existing market or client model.    Responsibilities - Perform SICC and/or TCC responsibilities telephonically as directed by leadership. - Engage and collaborate with in-market leaders as needed based on current assignment or as directed by leadership.  This could include in-market Clinical Team Managers or Provider Relations Managers. - Participate in the collaborative patient care process to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet patients’ post-acute health needs, using communication and available resources to promote quality, cost-effective outcomes. - Maintain nH Coordinate case documentation per established standards. - Provide telephonic post-discharge support to assist a defined population of patients in meeting short-term needs to prevent readmissions. This may include - collaboration with other care team members such as home health providers to avoid redundant telephonic follow up and coordinate care. - Address end of life issues including hospice and palliative care options. - Practice cultural competency with awareness and respect for diversity. - Facilitate the development of culturally sensitive individualized transitional care plans for services that including clinical, psycho-social, and environmental needs. Monitor and evaluate the effectiveness of plans and make recommendations for changes in the transitional care plan that incorporates transitional needs, as indicated. - Provide individualized evidence-based condition-specific patient education directed at self-care and reduction of exacerbations. Education is delivered at the appropriate health literacy level in a culturally sensitive manner. - Perform all Transitional Care Coordinator (TCC) and/or Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. - Assist in identifying patients who qualify for the BPCI-A program. - May perform functional assessments on a defined population of patients using clinical skills and proprietary PAC management workflow system and functionally based assessment technology tools. Provide outcome targets to the appropriate audience. - Utilize naviHealth proprietary technology and industry-standard evidence-based tools, such as nH Predict™ and InterQual, for consideration of the appropriate level of care, readmission risk, and needed interventions. - Collaborate effectively with patients’ interdisciplinary health care teams to coordinate the target length of stay and an optimal transition plan to the most appropriate PAC setting and connecting patients to community resources and additional services as appropriate. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. - Communicate with hospital case management and physicians on identified patients that do not meet criteria and assist with developing appropriate discharge setting as needed. - Participate in weekly readmission and other type rounds as needed based upon opportunities. - Attend weekly SNF Rounds and other meetings. - Participate in SNF IDT (Interdisciplinary Teams Rounds) weekly providing accurate and up to date information to the naviHealth Management team. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed including attending patient/family care conferences. - Manage assigned caseload in an efficient and effective manner utilizing good time management skills. - Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits). - Pursue and maintain multi-state licensure to meet business needs. - Initiate and maintain access to multiple Electronic Medical Record (EMR) platforms. - Adhere to organizational departmental policies and procedures. - Adhere to all local, state, and federal regulatory policies and procedures. - Promote a positive attitude and work environment. - Attend naviHealth meetings as requested. - Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist - 3 - 5 years of clinical experience required - At least 2 years of case management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel, and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended periods (1- 2 hours) - Travel requirements - Role is primarily remote/telephonic but may require travel as directed by manager   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5953
Job Locations
US-AL
Posted Date 3 weeks ago(3/31/2021 1:48 PM)
Job Summary The Cross-Market Care Coordinator works in a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional Care Coordinator (TCC). The Cross-Market Care Coordinator plays an integral role in the patient’s journey towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team in both the acute care and post-acute care (PAC) settings.   The Care Coordinator is responsible for identifying the appropriate first PAC setting in acute and utilizing nH Predict to align expectations and discharge planning efforts in PAC. In both settings, the Care Coordinator evaluates a defined population for transitional needs post-discharge to improve outcomes. The Care Coordinator engages hospital care teams, physicians, post-acute care providers, and patients and their families/caregivers while providing objective information and support throughout the care continuum focusing on safe transitions of care and improving the patient journey. A successful Cross-Market Care Coordinator demonstrates a high degree of adaptability and flexibility and is one whose skills and proficiency allow for quick integration – in part or in whole – into an existing market or client model.    Responsibilities - Perform SICC and/or TCC responsibilities telephonically as directed by leadership. - Engage and collaborate with in-market leaders as needed based on current assignment or as directed by leadership.  This could include in-market Clinical Team Managers or Provider Relations Managers. - Participate in the collaborative patient care process to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet patients’ post-acute health needs, using communication and available resources to promote quality, cost-effective outcomes. - Maintain nH Coordinate case documentation per established standards. - Provide telephonic post-discharge support to assist a defined population of patients in meeting short-term needs to prevent readmissions. This may include - collaboration with other care team members such as home health providers to avoid redundant telephonic follow up and coordinate care. - Address end of life issues including hospice and palliative care options. - Practice cultural competency with awareness and respect for diversity. - Facilitate the development of culturally sensitive individualized transitional care plans for services that including clinical, psycho-social, and environmental needs. Monitor and evaluate the effectiveness of plans and make recommendations for changes in the transitional care plan that incorporates transitional needs, as indicated. - Provide individualized evidence-based condition-specific patient education directed at self-care and reduction of exacerbations. Education is delivered at the appropriate health literacy level in a culturally sensitive manner. - Perform all Transitional Care Coordinator (TCC) and/or Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. - Assist in identifying patients who qualify for the BPCI-A program. - May perform functional assessments on a defined population of patients using clinical skills and proprietary PAC management workflow system and functionally based assessment technology tools. Provide outcome targets to the appropriate audience. - Utilize naviHealth proprietary technology and industry-standard evidence-based tools, such as nH Predict™ and InterQual, for consideration of the appropriate level of care, readmission risk, and needed interventions. - Collaborate effectively with patients’ interdisciplinary health care teams to coordinate the target length of stay and an optimal transition plan to the most appropriate PAC setting and connecting patients to community resources and additional services as appropriate. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. - Communicate with hospital case management and physicians on identified patients that do not meet criteria and assist with developing appropriate discharge setting as needed. - Participate in weekly readmission and other type rounds as needed based upon opportunities. - Attend weekly SNF Rounds and other meetings. - Participate in SNF IDT (Interdisciplinary Teams Rounds) weekly providing accurate and up to date information to the naviHealth Management team. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed including attending patient/family care conferences. - Manage assigned caseload in an efficient and effective manner utilizing good time management skills. - Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits). - Pursue and maintain multi-state licensure to meet business needs. - Initiate and maintain access to multiple Electronic Medical Record (EMR) platforms. - Adhere to organizational departmental policies and procedures. - Adhere to all local, state, and federal regulatory policies and procedures. - Promote a positive attitude and work environment. - Attend naviHealth meetings as requested. - Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist - 3 - 5 years of clinical experience required - At least 2 years of case management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel, and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended periods (1- 2 hours) - Travel requirements - Role is primarily remote/telephonic but may require travel as directed by manager   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5951
Job Locations
US-NH
Posted Date 3 weeks ago(3/31/2021 1:48 PM)
Job Summary The Cross-Market Care Coordinator works in a dual role as a Skilled Inpatient Care Coordinator (SICC) and Transitional Care Coordinator (TCC). The Cross-Market Care Coordinator plays an integral role in the patient’s journey towards better well-being by serving as the communication link between the patient and their interdisciplinary health care team in both the acute care and post-acute care (PAC) settings.   The Care Coordinator is responsible for identifying the appropriate first PAC setting in acute and utilizing nH Predict to align expectations and discharge planning efforts in PAC. In both settings, the Care Coordinator evaluates a defined population for transitional needs post-discharge to improve outcomes. The Care Coordinator engages hospital care teams, physicians, post-acute care providers, and patients and their families/caregivers while providing objective information and support throughout the care continuum focusing on safe transitions of care and improving the patient journey. A successful Cross-Market Care Coordinator demonstrates a high degree of adaptability and flexibility and is one whose skills and proficiency allow for quick integration – in part or in whole – into an existing market or client model.    Responsibilities - Perform SICC and/or TCC responsibilities telephonically as directed by leadership. - Engage and collaborate with in-market leaders as needed based on current assignment or as directed by leadership.  This could include in-market Clinical Team Managers or Provider Relations Managers. - Participate in the collaborative patient care process to assess, plan, implement, coordinate, monitor, and evaluate options and services required to meet patients’ post-acute health needs, using communication and available resources to promote quality, cost-effective outcomes. - Maintain nH Coordinate case documentation per established standards. - Provide telephonic post-discharge support to assist a defined population of patients in meeting short-term needs to prevent readmissions. This may include - collaboration with other care team members such as home health providers to avoid redundant telephonic follow up and coordinate care. - Address end of life issues including hospice and palliative care options. - Practice cultural competency with awareness and respect for diversity. - Facilitate the development of culturally sensitive individualized transitional care plans for services that including clinical, psycho-social, and environmental needs. Monitor and evaluate the effectiveness of plans and make recommendations for changes in the transitional care plan that incorporates transitional needs, as indicated. - Provide individualized evidence-based condition-specific patient education directed at self-care and reduction of exacerbations. Education is delivered at the appropriate health literacy level in a culturally sensitive manner. - Perform all Transitional Care Coordinator (TCC) and/or Skilled Inpatient Care Coordinator (SICC) specific functions as assigned. - Assist in identifying patients who qualify for the BPCI-A program. - May perform functional assessments on a defined population of patients using clinical skills and proprietary PAC management workflow system and functionally based assessment technology tools. Provide outcome targets to the appropriate audience. - Utilize naviHealth proprietary technology and industry-standard evidence-based tools, such as nH Predict™ and InterQual, for consideration of the appropriate level of care, readmission risk, and needed interventions. - Collaborate effectively with patients’ interdisciplinary health care teams to coordinate the target length of stay and an optimal transition plan to the most appropriate PAC setting and connecting patients to community resources and additional services as appropriate. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners, referral coordinators, etc. - Communicate with hospital case management and physicians on identified patients that do not meet criteria and assist with developing appropriate discharge setting as needed. - Participate in weekly readmission and other type rounds as needed based upon opportunities. - Attend weekly SNF Rounds and other meetings. - Participate in SNF IDT (Interdisciplinary Teams Rounds) weekly providing accurate and up to date information to the naviHealth Management team. - Engage with patients, families, or caregivers either telephonically or on-site weekly and as needed including attending patient/family care conferences. - Manage assigned caseload in an efficient and effective manner utilizing good time management skills. - Keep current on federal and state regulatory policies related to utilization management and care coordination (CMS guidelines, Health Plan policies, and benefits). - Pursue and maintain multi-state licensure to meet business needs. - Initiate and maintain access to multiple Electronic Medical Record (EMR) platforms. - Adhere to organizational departmental policies and procedures. - Adhere to all local, state, and federal regulatory policies and procedures. - Promote a positive attitude and work environment. - Attend naviHealth meetings as requested. - Hold patients’ protected health information confidential as required by applicable laws, regulations, or agency/institution procedures. - Perform other duties and responsibilities as required, assigned, or requested.   Qualifications - Active, unrestricted registered clinical license required – Registered Nurse, Physical Therapist, or Occupational Therapist - 3 - 5 years of clinical experience required - At least 2 years of case management experience preferred - Patient education background, rehabilitation, and/or home health nursing experience a plus - Experience working with geriatric population preferred - Exceptional verbal and written interpersonal and communication skills - Strong problem solving, conflict resolution, and negotiating skills - Proficient with Microsoft Office applications including Word, Excel, and PowerPoint - Independent problem identification/resolution and decision-making skills - Detail-oriented - Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously - Team player Work Conditions and Physical Requirements - Ability to establish a home office workspace - Ability to manipulate laptop computer (or similar hardware) between office and site settings - Ability to view screen and enter data into a laptop computer (or similar hardware) within a standard period of time - Ability to communicate with clients and team members including use of cellular phone or comparable communication device - Ability to remain stationary for extended periods (1- 2 hours) - Travel requirements - Role is primarily remote/telephonic but may require travel as directed by manager   About naviHealth naviHealth is improving the healthcare experience for seniors to live more fulfilling lives. For nearly a decade, naviHealth has been a trusted partner for the nation’s top health plans, health systems, and at-risk physician groups navigating the shift from volume to value. Powered by a predictive technology and decision support platform that provides clinicians and care teams with evidence-based protocols, naviHealth’s high-touch, proven care model fully supports patients from pre-acute through to the home. With naviHealth, patients can enjoy more days at home, and healthcare providers and health plans can significantly reduce costs specific to unnecessary care and readmissions. For more information about naviHealth, visit www.navihealth.com.   Our Purpose Improving the healthcare experience for seniors to live a more fulfilling life   Our Values Rooted in respect Guided by purpose Devoted to service Energized by impact   The above statements are intended to describe the general nature and level of work performed by colleagues assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications. naviHealth reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.   naviHealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other protected status under applicable laws and will not be discriminated against on the basis of disability.
Job ID
2021-5950
Job Locations
US-VT

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