• Job Description

  Req#: JR158217

  Hours :

  Shift Start Time:

  8 AM

  Shift End Time:

  5 PM

  AWS Hours Requirement:

  8/40 - 8 Hour Shift

  Additional Shift Information:

  Weekend Requirements:

  As Needed

  On-Call Required:

  No

  Hourly Pay Range (Minimum - Midpoint - Maximum):

  $55.920 - $72.150 - $88.380

  
  

  The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

  
  

  
  What You Will Do
  This position serves as a single contact and initial resource for each patient. Responsible for coordination of multiple appointments for each patient while ensuring efficient and cost-effective use of available health care resources. The patient navigator coordinates and schedules services with other health care professionals and participates in the multidisciplinary approach for patients and caregivers to provide resources and assistance to Sharp Rees-Stealy patients.
  
  Required Qualifications

  • California Registered Nurse (RN) -REQUIRED
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) -REQUIRED

  
  Preferred Qualifications

  • Bachelor's degree in nursing
  • 1 Year of RN experience

  
  Other Qualification Requirements

  • Patient Navigator certificate preferred.

  
  Essential Functions

  • Assess treatment plan
    
    Assesses the patient's physical and psychosocial status, diagnosis, and treatment plan to ensure appropriateness.
    Sets patient-centered goals in collaboration with the healthcare team and makes plan modification when necessary.
    Identifies patient risk factors/status and refers to appropriate resources for management.
    In collaboration with health team members, implements, monitors and revises tools, protocols, clinical pathways, guidelines and outcome data to develop a research based multidisciplinary care process.
    Intervenes when variances occur in a patient's individualized treatment plan.
    Assesses the patient and family needs for education and information of healthcare resources and insurance.
    Collaborates with interdisciplinary team to coordinate patient appointments.
    Facilitates performance improvements by evaluation patient care processes that may include standards, protocols, pathways, policies and procedures, and documentation to ensure efficiency, safety and quality.
    Coordinates and collaborates on at least three (3) quality/cost containment project every year.
  • Collaboration and communication
    
    Consistently demonstrates effectiveness in coordinating the provision of services with clear, concise and timely communication.
    Responds to voice mail, email, tasks, and referrals promptly.
    Handles conflict in a professional and ethical manner. Identifies and diffuses stressors/conflict situations to the satisfaction of parties involved.
    Recognizes and supports the skills and qualities of others. Willingly exchanges appropriate professional information with co-workers and other patient care navigators.
    Contributes to collaborative practice through active listening, maintenance of customer/colleague confidentiality, and non-judgmental problem solving.
  • Quality assurance
    Works collaboratively to ensure that patient outcomes are achieved within established time frames using appropriate data.
    Tracks and analyzes outcome performance data; identifies significant outcomes and assesses current clinical practice in relation to research based best practice.
    Maintains documentation of care management assessment, intervention, follow up and evaluation of care pertinent to utilization and financial information.
  • Utilization management
    Maintains correct knowledge and understanding of health plan information.
    Identifies opportunities for working with physicians and influences practice patterns to positively affect utilization of resources. Interfaces with multidisciplinary team to develop methods to achieve practice changes in various aspects of care.
    Assures appropriate use of patient care resources and monitors their financial impact of the service line.
    Complies with payer guidelines on utilization review process to promote optimal reimbursement.

  
  Knowledge, Skills, and Abilities

  • Understanding of performance improvement and research methodologies.
  • Knowledge of utilization review criteria and health care finances.
  • Excellent telephone and communication skills with the ability to interact with all customers.
  • Assertive and articulate in difficult situations; skilled in conflict management and resolution.
  • Self-directed, autonomous, and able to set and achieve priorities.
  • Knowledge and skill of Excel, PowerPoint, Word and Outlook preferred.

  Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

• About the company

  Sharp HealthCare is a not-for-profit regional health care group located in San Diego.

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