As an Inpatient BPCI Navigator, you will visit patient rooms to explain the Bundled Payment Care Improvement (BPCI) program and what to expect. You will attend rounds and work closely with the case management team to determine the appropriate next site of care as well as post-discharge needs. You will also help coordinate hand-off to the appropriate outpatient navigator.
The Particulars:
This is a full-time, Mon-Fri position, with 1 day off per pay period. (Total of 72 hours per pay period). No weekends or holidays! You will get to be part of a small, cohesive team and enjoy autonomy in your role. This position also offers the benefit of direct patient interaction without bedside nursing responsibilities.
GENERAL REQUIREMENTS
Education/Experience:
- Must have bachelor's degree in nursing OR in a health related field. Masters degree in nursing preferred.
- 3 – 5 years Case Management experience preferred, hospital or community based.
Licensure/Certifications:
- Must have RN license, as defined by primary work state (Idaho or Oregon), issued prior to hire date.
- Must provide licensure or proof of application in their secondary state within six months of hire
- required
- Must have active driving privileges. If, during the course of employment, driving privileges change or colleague receives a driving citation, the colleague is required to notify their supervisor and/or HR.
The Day to Day:
- Knows, understands, incorporates, and demonstrates the Organization's Mission, Vision, and Values in behaviors, practices, and decisions.
- Completes required Remedy U and Episode Connect training.
- Maintains an accurate in-house census of BPCI patients utilizing Episode Connect.
- Establishes partnerships with site Experience of Care champions in order to align BPCI efforts with patient satisfactions outcomes.
- In coordination with hospital based Case Management team, orchestrates in-person or virtual multidisciplinary rounds to gather and document all necessary clinical information from physical therapy, nursing, etc. to determine the best possible plan for the patient.
- Communicates with each patient's Principle Accountable Practitioner (PAP) to facilitate patient's family meetings, and confirm the discharge plan.
- In collaboration with the Patient Care Team, identifies all clinical and social concerns of the patients. Ensures documentation in appropriate systems.
- Coordinates and tracks all patients' discharge dispositions and destinations via communication with the Post-Acute Care (PAC) patient care team.
- Attends BPCI work group meetings to report on success of program initiatives and processes.
- Utilizes real-time data and Remedy generated reports to track key performance indicators and identify areas of concern.
- Must be comfortable operating in a collaborative, shared leadership role.
- Exceptional interpersonal and relationship building skills required to effectively collaborate with multiple stakeholders to obtain management, staff, and physician involvement and accountability in achieving specific outcomes.
- Ability to simultaneously address and prioritize multiple projects, demands and issues. Ability to be flexible and adaptable to changing processes and schedule requirements.
- Must possess excellent verbal and communication skills, presentation skills, advanced analytical skills, be well organized, and maintain a highly professional manner.
- Demonstrates high degree of self-motivation, assertiveness and goal-attaining capabilities.
- Effective negotiation, persuasive and business planning skills.
- Demonstrated ability to acknowledge and analyze formal and informal assessments of health care markets, locally and across the country, and the impact/potential impact on the organization.
- Possesses knowledge of budget processes, quality improvement, report distribution, The Joint Commission standards, state and federal regulations, six sigma and LEAN methodologies.
- Proficient in common software applications (e.g., Word, Excel, PowerPoint).
- Oversees handoff of patient to the post-acute facility, agency and PAP and maintains contact (either phone or in-person) for 90 day episode utilizing a risk assessment to determine when interventions are needed.
About Saint Alphonsus
Colleagues of Saint Alphonsus Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout SAHS and Trinity Health. Visit www.saintalphonsus.org/careers to learn more about the benefits, culture and career development opportunities available to you at Saint Alphonsus Health System.
Saint Alphonsus and Trinity Health are equal opportunity employers and prohibit discrimination against any individual with regard to race, color, religion, gender, marital status, national origin, age, disability, sexual orientation, or any other characteristic protected by law
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Job Type: Full-time
Benefits:
- 403(b)
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Pet insurance
- Referral program
- Retirement plan
- Vision insurance
Schedule:
Education:
Work Location: One location