Full time, Full Time
CHRISTUS Health
Irving, TX, USA
28694706
Description Summary:
The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services. They are a member of the patient’s care team and act as a patient advocate, providing proactive outreach to CHRISTUS Health value-based payer patients. The RN Navigator makes recommendations to primary care providers regarding ongoing services. The RN Navigator facilitates communication and coordinates care with physicians, the providers’ clinic, hospital facilities, family, caregivers, and other community healthcare providers. The Associate will support transitions of care as needed.
Responsibilities:
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Stays abreast of current CMS and other payer guidelines for Home Health services. Receives and evaluates Home Health 485 form (Plan of Care) based on Medical Necessity guidelines and...