Outpatient Nurse Navigator, Supportive and Palliative Care, Newark, DE

ChristianaCare is currently seeking a full-time outpatient Nurse Navigator for our Supportive and Palliative Care practice in Newark, DE. Monday-Friday, day shift No weekends or holidays required Coordination of Care Assists Palliative Care staff with coordinating referrals from within and outside of Christiana Health Care. Assists with identifying potential and realized barriers to care (e.g., transportation, caregiver support, housing, language, culture, literacy, role disparity, psychosocial, employment, financial, insurance) and facilitates referrals. Triage of family/caregiver phone calls, messages determining disposition of call. Evaluate and triage consults by collaboration with the hospital team (bedside nurse, consulting providers). Supports discussions with patients and caregivers related to goals of care and end of life treatment decisions (hospice). Medicare, Medicaid, third-party payers) and their impact on staging, referrals, and patient care decision toward establishing appropriate referrals, as needed. Monitors progress in achieving defined patient specific, clinical outcomes through performance improvement activities and outcomes. Manages care flow and navigates multidisciplinary treatment needs (including communication with and coordination of tests, and imaging). literacy, language, cultural influences, comorbidities) Provide system education to nurses on nursing role in palliative care (by helping inpatient nurses understand how to interact with hospice, and be a nurse providing comfort care and advocating for basic primary palliative care for their patients) Facilitates communication among the Palliative Care team to prevent fragmented or delayed care. Acts as a liaison and advocate between the patients, families, caregivers, and health care providers to promote and optimize patient outcomes. Contributes to Palliative Care program development, implementation, and evaluation within the healthcare system and community. Maintains required credentials and participates in learning to stay current with disease specific information and issues related to memory care, insurance, ethical issues. Contributes to the knowledge base of the healthcare community and in support of the Palliative Care role through activities such as involvement in professional organizations, presentations, publications, and research. Participates in system committees such as magnet, nursing council, safety, cultural competency/diversity, patient education, professional nursing council. Works with health improvement team to implement and evaluate new processes of care and patient flow which are determined by the team utilizing pathways, guidelines, and algorithms. Masters in nursing preferred. Three or more years of combined clinical experience in clinical and/or administrative experience in case management, clinical trials, older adult, palliative/hospice care preferred. Nursing Cert - Certified Hospice and Palliative Nurse (CHPN) - Hospice & Palliative Credentialing Center within 3 years of hire. Qualified candidates should apply online and include a current resume. #