Patient Navigator - UCSF Care at Home

• Provide expert nursing care and support to homebound patients, ensuring their comfort and well-being.
• Collaborate with physicians and nurse practitioners to develop and implement care plans tailored to each patient's needs.
• Monitor and manage patients' symptoms, administering medications and providing necessary treatments.
• Educate patients and their caregivers on self-care, medication management, and disease prevention.
• Facilitate smooth transitions from hospital to home, coordinating with healthcare providers and ensuring continuity of care.
• Maintain accurate and detailed patient records, ensuring compliance with regulatory standards.
• Conduct regular home visits to assess patients' progress, identify any emerging health concerns, and adjust care plans accordingly.
• Liaise with community resources and social services to address patients' non-medical needs, promoting holistic care.
• Participate in quality improvement initiatives and contribute to the continuous development of the Care at Home program.
• Uphold the highest standards of nursing practice, maintaining professional conduct and ethical principles.

Required Qualifications:

• Three years recent experience as a Registered nurse caring for ill adults and older adults
• Active RN licensure in State of California
• Active American Heart Association CPR Certification
• BSN
• Strong knowledge of Patient Rights & Responsibilities, Joint Commission standards, and Centers for Medicare / Medicaid regulations. Knowledge of Medical Terminology. Strong knowledge of data collection, compilation, and analytical techniques
• Strong skills to comprehend and assess patient's grievances to quickly locate appropriate resource for assistance. In-depth knowledge of the organization and how to get issues resolved
• Knowledge of medical terminology
• Demonstrates communication and problem-solving skills necessary in patient/family and healthcare team interactions
• Demonstrates knowledge of the principals of growth and development over the life-span and incorporates this knowledge into plans of care and/or goals of care
• Excellent written and verbal communication skills
• Skills to work independently in a fast-paced, demanding environment with minimal supervision
• Ability to manage and oversee multiple tasks simultaneously, including high daily call volume
• The flexibility to orient and work at all UCSF locations

Preferred Qualifications:

• Certification in Geriatrics, Palliative Care or Case Management in Nursing
• Experience in inpatient, outpatient or homecare settings
• Experience with telephone triage
• Experience developing workflow procedures and implementing systems to improve operations
• Interest and/or experience working with older adults who may have cognitive difficulties
• Proficiency with EPIC APeX applications
• Proficiency with healthcare insurance and billing
• Bilingual/Multilingual capability
• Proficiency with Windows-based software including Microsoft word, Excel, Outlook. Knowledge of computer systems and software used in functional area

License/Certification:

• Active RN licensure in State of California
• Active American Heart Association CPR Certification