3 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...