6 ambulatory nurse navigator jobs found in Fort Wayne, IN

Req #: 184309 Summary Summary Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient’s advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts comprehensive...

Req #: 184310 Summary Summary Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient’s advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts...

Req #: 184311 Summary Summary Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient’s advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts...

Req #: 183510 Summary Summary Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient’s advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts...

Req #: 183705 Summary Summary Primarily responsible to promote the overall health and welfare of identified patients by fostering collaboration at the office level and across the health system. Serves as the patient’s advocate to assess, manage and monitor their individualized primary and social needs. Builds and maintains strong relationships with the patients, families and caregivers to develop and update personalized health goals to engage and empower patients and improve health outcomes. Role Responsibilities: Provides care coordination to patients. Understands and appropriately identifies and manages patient populations with unmet primary or social needs, high risk for readmission and uncontrolled chronic conditions utilizing EMR, registries and reporting. Coordinates continuity of patient care and transitional care management services with patients and families following hospital admissions, discharge and ED visits. Conducts...

Req #: 182758 Summary Summary Utilizing the standards of professional clinical practice, the PPG Ambulatory Care RN Lead provides high-quality, evidence-based care across the lifespan to enhance patient safety, reduce adverse events, and improve patient satisfaction. Also supports and promotes optimal health status and helps to manage cost of care within continually expanding, diverse, and complex patient populations. Interacts with patients during face-to-face encounters or through digital communication, establishing long-term relationships. Applies the ANA Code of Ethics for Nurses to their own professional practice. Supports the practice through participation in peer interviews, co-worker training, performance assessments, and serves as the primary clinical resource to other co-workers. Responsible for working collaboratively with leadership, providers, co-workers and members of the extended care team (Nurse Navigator, Licensed Clinical...