Care Navigator – Population Health

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Lehigh Valley Health Network

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• Implement care plans addressing patients’ physical, mental, and social needs • Conduct medical and pre-surgical clinical assessments • Ensure smooth care transitions and evidence-based disease management before hospitalization and after discharge • Identify patients missing clinical goals or quality metrics and arrange follow-up • Review medication lists and document allergies in the EHR • Use registries, data, and published evidence for point-of-care decision-making • Support quality improvements, pilot participation, and research activities • Identify care-standard variances and system problems that may cause errors, delays, complications, or increased cost • Maintain relationships with hospitals, rehabilitation facilities, and post-acute care facilities • Provide care navigation for specialty populations, including LVHN Specialty Institutes and BPCI-A • Collaborate with patients and families to establish mutual goals • Identify healthcare, transportation, financial, and psychological barriers; coordinate services and advocate for patients and families • Work collaboratively within a multidisciplinary team to provide education and navigation across the continuum of care

🎯 Requirements

• Bachelor’s Degree in Nursing; experience in lieu of Bachelor's degree may be considered • 5 years experience working as a registered nurse (RN) • 2 years previous experience in case management, disease management, home health care, hospital, or physician office setting • 2 years prior electronic medical record (EMR) experience • RN - Licensed Registered Nurse_PA - State of Pennsylvania upon hire • CACRN - Certified Ambulatory Care RN - State of Pennsylvania within 3 years or CCCTM - Cert Care Coord-Transition Mgt MSNCB - State of Pennsylvania within 3 years • Ability to set priorities to coordinate care plan efficiently • Effective strategies for interacting with persons from diverse backgrounds • Ability to recognize cultural, social, economic, and behavioral factors affecting public health services • Knowledge of computer applications and analytical tools • Ability to lift and carry 25 lbs.; frequent sitting/standing and keyboard use; patient-care activities may include kneeling, bending, squatting, and CPR

🏖️ Benefits

• Monday-Friday work schedule, 8:00a-4:30p • Remote work in Pennsylvania • Weekend rotation possible • Equal employment opportunity protections