The Director of Care Navigation will oversee the day-to-day business operations of the Forrest Health RN Navigator program and the operations of Forrest Health patient navigation. This role serves as the primary lead for directing the networking between clinical providers, patients, case management, social work, post acute services, and community partners for the purpose of navigating patients to appropriate post discharge and post acute services within the regional command center/care connection center. Key responsibilities include oversight for clinical care of patients with follow up care or chronic illnesses that may be a predictor of readmission to the emergency room or inpatient care.
Performance expectations:
Operations & Logistics
- Scheduling: Design, optimize, and maintain clinical shift schedules well in advance to guarantee 24/7 RN Navigation coverage.
- Workflow Management: Collaborate with hospital departments (e.g., case management, nursing leadership, medical staff) to remove operational barriers to post acute care services.
- Liaison: Serve as the central communication hub between transfer center, admission and discharge teams, and post acute services.
Financial Management
- Budgeting: Participate in the creation and maintenance of departmental budgets, supply utilization, and review productivity.
Human Resources & Team Management
- Partner with recruitment to oversee the orientation process for the new RN navigator program, and advanced practice providers (APPs), and other healthcare team members.
- Staff Development: Manage recruitment efforts, conduct performance reviews, and organize regular team meetings.
Credentialing & Compliance
- Partner with credentialing to assure clinical providers and RN staff maintain active state licenses, hospital privileges, and payer enrollments prior to patient care.
- Partner with billing, coding, and compliance to assure documentation and billing standards are met and that clinicians meet mandatory training requirements (e.g., HIPAA, OSHA).
Qualifications:
Education/Skills
Bachelor's degree in Healthcare Administration, Business Administration, or a related field. A Master's degree (MHA, MBA) is often preferred for large, complex hospitalist groups. Must be licensed as a Registered Nurse in the state of Mississippi.
Work Experience:
Typically, 3 to 5 years of healthcare operations or medical practice management experience, with specific background in chronic illnesses, palliative care, or RN navigation being a major asset.
Skills:
Understanding of Electronic Health Record (EHR) systems and the connection to compliance, billing, and coding, as well as HR Information Systems (HRIS).
Mental Demands:
Ability to perform under stress. Perform above level management skills. Excellent organizational and communication skills, positive and professional image. Skills to analyze reports, payment systems, and statistical data as applicable. Ability to work collaboratively across the continuum of care with entities and disciplines.
