Nursing Jobs in Gambrills, MD
$89,065 - $162,801 / year
About this Job: General Summary of Position The Nurse Navigator is responsible for the coordination of patient care across the continuum under the auspices of a provider's prescribed plan of care national guidelines and within the scope of nursing practice. The navigator educates/provides information and support to patients in order to guide and facilitate understanding of treatment plans prescribed by licensed independent practitioners and/or within scope of nursing practice. Oversees directs and provides holistic culturally competent and evidence-based nursing care. Monitors patient outcomes and participates in quality improvement activities. Contributes to and collaborates with health care team members to positively impact patient outcomes and patient experiences. The Nurse Navigator is recognized as a professional role model and clinical expert and promotes a professional environment that supports nursing excellence and collaborative shared decision-making. Primary Duties and Responsibilities Assessment: Obtains a baseline of information used for the development of the individualized plan of care. Plans: Works with an interdisciplinary team throughout the continuum of care to develop and manage the plan of care for the patient. Plans: Assists patient/family with scheduling ancillary testing and other services and presenting necessary history diagnostic/treatment studies and/or results etc. through the continuum of care. Plans: Assists at risk patients family and friends with risk assessment screening and education by working collaboratively with appropriate resources. Plans: Plans for continuing care such as but not limited to patient and community services community outreach resources home care palliative and hospice services as necessary. Patient Education: Provides initial and continuing education related to specific disease process associated treatment modality and agreed plan of care for patient and family. Patient Education: Available as a resource to assist in the provision of community education and outreach development. Implementation: Acts as a liaison between patients families the health care team community resources and other facilities to coordinate the provision of care. Implementation: Acts as a patient advocate to help identify and eliminate barriers to care. Implementation: Acts as a clearinghouse for incoming referral calls in an effort to streamline the delivery and coordination of care. Implementation: Ensures patients' referral process and transition into specialty services are timely and efficient anticipates patient and family needs throughout the continuum of care. Implementation: Explores and connects patients with appropriate resources health care and support services within MedStar Washington Hospital Center at other external facilities and in their communities for timely diagnosis treatment and survivorship. Takes action to support the National Patient Safety Goals nursing sensitive indicators regulatory requirements (i.e. DC Health TJC) and other identified quality metrics. Supports and promotes quality and patient safety initiatives. Collaborates with physicians and associates to monitor and analyzes departmental performance data and identifies and participates in hospital and/or unit-based performance improvement activities including but not limited to core measures nursing quality indicators and other patient care outcomes (e.g. Length of stay and patient satisfaction).*Delivers direct patient care as required. Evaluation: Monitors patient progress goal attainment and patient experience feedback to evaluate the effectiveness of care. Ensures plan of care changes are communicated to patient family and team. Possesses working knowledge of physician/health care team members' plan of care appropriate professional guidelines and standards of care. Contributes to development of internal clinical guidelines/pathways. Monitors patient outcomes and utilizes quality improvement activities and strategies that support quality patient care and optimizes outcomes in an interdisciplinary care environment and consistent with patient and family wishes. Demonstrates competencies including knowledge and behaviors to meet specific patient care requirements nursing practice standards and other regulatory or required knowledge and /or skills. Maintains current knowledge of clinical improvement strategies and outcomes management through self-study literature reviews site visits educational conferences and other forums. Maintains a working knowledge of available clinical trials that might be appropriate to the patient population. Collaborates with research coordinators and/or principle investigators to ensure adherence to research protocols. Promotes Pathway to Excellence standards through daily practice. Supports a professional atmosphere and an environment of coaching and development that supports shared decision making interdisciplinary collaboration and a high level of patient and employee satisfaction as evidenced by outcomes data. Minimal Qualifications Education Associate's degree in Nursing required Bachelor's degree in Nursing preferred For candidates hired with an Associate degree employment with MedStar Wahington Hospital Center is contingent upon enrollment into an accredited BSN program within one (1) year of employment and continuing matriculation in the program to achieve a BSN within 5 years of the program start date. Proof of enrollment to be submitted to Nurse Leader. Experience 3-4 years of progressively more responsible clinical nursing experience in specialty area required Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the District of Columbia required CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required Additional unit/specialty certifications may vary by department or business unit. Professional certification in clinical area required within one year of hire if appropriate (OCN CCRN etc). within 1 Year required Knowledge Skills and Abilities Able to work as a part of an interdisciplinary team through open frequent and skilled verbal and written communication. Must be flexible demonstrate problem solving skills proactively prioritize and demonstrates healthy coping mechanisms. This position has a hiring range of : USD $89,065.00 - USD $162,801.00 /Yr. 
$69,720 - $103,771.25 / year
It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Job Profile Summary Role: The RN, Case Manager is responsible for assessing and identifying patient/family needs, utilizing the nursing process, coordinating the Plan of Care with the Interdisciplinary Team (IDT), and providing clinical, palliative and supportive care to the patient/family unit in order to keep the participant in their home environment as long as possible. Job Description Qualifications: • Current license as RN in the state where the employee will be working • Minimum of one (1) year nursing experience; hospice or hospital experience preferred - Employees working at PACE, certification of completion of Alzheimer's Disease and Related Dementias Training through the Florida Department of Elder Affairs • Previous experience working with an EMR/EHR (Electronic Medical/Health Record) system • Mobile Driver - Valid driver’s license and automobile insurance per Company policy • Reliable transportation to meet visit schedule • Ability to use equipment with visual and auditory mechanisms • Ability to effectively communicate in English (verbal and written) • Ability to visit Participant in their homes to assessments • Ability to perform the essential functions and physical requirements (including, but not limited to: lifting patients and/or equipment, bending, pushing/pulling, kneeling) of the job with or without reasonable accommodation • Active BLS for healthcare professionals from the American Heart Association or Red Cross. Some locations may require: Provides reassurance on the phone to patients and families. Assists in finding solutions to their questions and/or recognizes the need for an in person visit. Coordinates in person visit when needed/or requested. Utilizes appropriate support/expert resources or personnel to resolve complex or difficult situations. Documents patient/family contact information in the EMR and communicates with the Interdisciplinary Team (IDT). Completes initial and semi-annual assessment for all Company services including, but not limited to: Explains services to patients/families and addresses questions regarding patient needs, fears, physical limitations, while putting the patient/family at ease; presents services in an empathetic and compassionate manner Provides information to Physicians and other IDT members and initiates Plan of Care to address patient’s immediate needs Initiates skilled nursing interventions to enhance prevention, prevent complications, alleviate symptoms and maximize physical and emotional comfort Obtains Physician orders Completes documentation per Company policy Acts as the Company representative at assigned facilities while facilitating referrals to all service lines; works closely with referring hospitals, physicians, facilities, patients, families, and the general public. Communicates frequently with other members of the IDT. Provides all necessary clinical communication timely using SBAR. Discusses any potential needs with after-hours staff. Develops strong relationships with case managers, physicians, etc. at facilities. Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of all employees: • Represent the Company professionally at all times through care delivered and/or services provided to all clients. • Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse. • Comply with Company policies, procedures and standard practices. • Observe the Company's health, safety and security practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and skill level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Provides and manages direct care to patients and families as part of Interdisciplinary Team (IDT), incorporating psychosocial, spiritual, cultural, physical and biological components, and appropriate nursing intervention and follow-up. • Coordinates the Plan of Care, ensuring that an individualized Plan of Care is developed that accurately reflects the patient’s evolving needs. • Educates patient, family, caregivers and other health professionals about disease process and decline, prevention, palliative interventions, care giving, dying process and safety practices. - Participant visit frequency dependent on risk score/needs to be determined - Home visits to assess home safety, medication compliance, nutritional compliance, DME compliance- ability to live safely in the community. • Reports changes in the patient’s condition to appropriate members of the IDT or other health professionals. • Participates with the IDT to evaluate hospice referrals/admissions for level of care appropriateness. - Attends daily IDT collaboration meetings • Presents concise and pertinent oral and written reports to IDT; respects and encourages input from all disciplines. • Communicates accurately and completely to physicians, staff members, patients, families, and supervisors; utilizes positive approaches when working with others. • Supervises patient care provided by Community Health Workers and Home Health Aides as requested. • During times of emergencies (i.e. Hurricanes, etc.), the RN, Case Manager may be required to report to work at a location designated by the company, to ensure continuity of services. This may include reporting to work ahead of your scheduled date/time due to planned lock down of unit, and staying overnight(s) based on duration of emergency. • Performs other duties as assigned. Physical Demands for Post Offer/Pre-Placement (The demands described below are representative of those that must be met by an individual to perform the essential functions of the job, with or without reasonable accommodation.): While performing the duties of this job, the following abilities are required: see; hear; talk; walk; use hands to finger, handle or feel. Frequently required to: stand; sit; reach with hands/arms; lift; bend; balance. Occasionally required to: pull; push; stoop/crouch; kneel; climb stairs. Compensation Pay Range: $69,720.00 - $103,771.25 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/ . 