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Senior Nurse Navigator

Company: PruittHealth
Location: Tallahassee
Posted on: January 12, 2021

Job Description:

DescriptionJOB PURPOSE:Nurse Liaison will function as a facilitator to hospitals and community services in need of referring to our organization. Assists in the evaluation of patients to ensure that they are appropriate for admission to the home health or hospice agency. Provides clinical expertise to our home health and hospice agencies by evaluating their ability to meet the patient's clinical needs. In addition, this individual is a sales professional who focuses on the development of early and appropriate referrals by creating and sustaining business partnerships with facilities and hospitals.KEY RESPONSIBILITIES:1.--Fluent with all regulatory agencies,reimbursement systems and levels of care.2.--Must be knowledgeable of privateinsurance, Medicare and Medicaid coverage criteria, rules and regulations andreimbursement methodologies. 3.--Taking responsibility for a regionalterritory of hospitals and community services in order to facilitate theplacement of patients within the Pruitt Health continuum.4.--Duties include taking call fordischarge planners in need of assistance, providing on site clinicalassessments, completing necessary discharge paperwork, communicating referralneeds within our continuum and facilitating admissions into the Pruitt Healthnetwork.5.--Must provide excellent customerservice to all referral sources and network of providers.6.--Represents organization in variouscommunity efforts and education seminars7.--Develops business relationships bymaking effective sales contacts and presentations.8.--Builds relationships with thePruittHealth Home Health/Hospice staff teams to ensure the establishment of effectivecommunication with referral sources and the staff teams.9.--Communicates well withpatients/residents/clients and family members providing warm and friendlygreeting and an approachable attitude to families, visitors,patients/residents/clients and responds to expressed concerns while displayinga helpful, caring demeanor. Answersquestions when appropriate in a professional manner.10.--Reviews clinical, sales, andprofessional journals.11.--Reviews internal information, policies,publications, bulletins, etc.12.--Identifies territory assumptions whichmay influence the achievement of business goals.13.--Identifies key referring physicians.14.--Identifies key referring personnel inhospital, nursing homes, and other community facilities.15.--Communicates written plan to VicePresident of Program Development and Community Relations DevelopmentCoordinator. Monitor, evaluate and adjust the plan as needed.16.--Completes call reports and documentsdaily activities17.--Develops plan for accounts managementwith input from staff teams.18.--Supports and participate in promotionalactivities.19.--Identifies existing relationships withcompetitive home health and hospice organizations, hospitals, nursing homes andphysicians.20.--Develops, implements and evaluatesquarterly and annual territory plans, strategies and actions to achievenegotiated goals.21.--Identifies case management, HMO, PPO,insurance companies and other payer referral sources.22.--Determines vulnerabilities ofcompetitive relationships and set targets.23.--Joins and participates in appropriateorganizations and associations.24.--Documents and reports complaints and service-relatedissues.KNOWLEDGE, SKILLS, ABILITIES:1.--Ability to develop clinical knowledgebase to support sales activities.2.--Ability to effectively communicateboth verbally and in writing with the different disciplines in the health carefield.3.--Ability to identify and develop newreferral sources.4.--Ability to manage a territory, toconduct sales calls and presentations, and to generate referrals by buildinglong term business relationships.5.--Ability to prioritize, manage time,and maximize productivity.6.--Assesses training needs withCommunity Relations Development Coordinator and develop a written plan toenhance knowledge and skills.7.--Implements, modifies and evaluatesthe written plan for self-development.8.--Ability to implement strategies andactions which include effective sales calls, presentations, and use ofcollateral materials.9.--Participates in center/agency surveys(Licensure/JCAHO) and any subsequently required reports.10.--Attends and participates in continuingeducational programs to keep abreast of changes in your field as well as tomaintain current license/certification as required.11.--Attends and participates in mandatoryin-services.12.--Honors patients/residents' rights tofair and equitable treatment, self-determination, individuality, privacy,property and civil rights, including the right to wage complaints.13.--Complies with corporate complianceprogram.14.--Reports job-related functions/tasks thatinvolve occupational hazards including exposure to blood and body fluids andothers as necessary.15.--Follows established safety regulations,to include fire protection and prevention, smoking regulations, infectioncontrol, etc.16.--Follows established safety procedureswhen performing tasks and/or working with equipment.QualificationsMINIMUM EDUCATION REQUIRED:Two (2) years of college or business school and/or equivalent combination of experience and training.MINIMUM EXPERIENCE REQUIRED:Two (2) years' experience in home health and/or hospice. Healthcare sales/marketing, or any equivalent combination of experience and training which provides the required knowledge, skills, and abilities is preferred.MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:Current RN license. RN or LPN graduates with current license. ADDITIONAL QUALIFICATIONS: (Preferred qualifications)Bachelor's Degree preferred.Job: NursingPrimary Location: Florida-TallahasseeSchedule: Full-timeShift: 1st ShiftJob Posting: Dec 1, 2020, 4:45:51 PM

Keywords: PruittHealth, Tallahassee , Senior Nurse Navigator, Other , Tallahassee, Florida

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