Registered Nurse Navigator Home Health Review-Health Admin
Irving, Texas
RN · Patient Case Managers & Advocates · Nurse Case Managers
Still listed, seen today · Posted Aug 11 · Not open to new grads
- Shift
- 8-hour
- Hours a week
- 40
- Unit
- Patient Case Managers & Advocates
What the listing says
Role
- Schedule
- 8-hour · 5 a week · 40 hours
- Term
- Per Diem
- Setting
- Hospital
- Accepts
- RN
- Experience
- 3+ years
Ratio not posted. Ask in the interview.
Pay
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About this role
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 Homebound Status requirements.
Read the full posting
Facilitates Case Conferences with Home Health Agencies for evaluation of patient progress toward goals and discharge plan. Ensures Home Health agency is addressing the problem list and providing appropriate follow up for patient needs. Based on CMS or other payer guidelines, patient assessment, and case conferences, makes recommendation to PCP regarding Home Health recertification or discharge from service.
Utilizes MCG Guidelines for Home Care to optimize the type, frequency, and duration of care. Creates positive relationships with Home Health agencies as well as Primary Care Clinicians and Office Staff. Ensures smooth transition of care along the continuum.
Facilitates communication between Home Health agencies and PCP practices as necessary to ensure patient's needs are addressed. Demonstrates expertise in navigating electronic medical record and other care management applications. Monitors key measures of program success and provides feedback regarding opportunities to improve.
Collaborates with team members in the discharge process, performing outreach/documentation according to CMS guidelines and the Population Health workflow. Outreach to TOC patients should focus on medication reconciliation/adherence, self-management, use of personal health records, follow-up with PCPs/Specialists, and review of indicators that a patient’s condition is worsening and how to respond. Promotes a positive work environment by displaying a caring, sensitive approach to others, as evidenced by listening, understanding, and responding to the needs of patients, colleagues, and supervisors.
Performs other duties as assigned.
Job
Requirements
Education/Skills
Bachelor’s Degree in Nursing preferred.
Experience
3-5 years of clinical experience required. 2 years of Home health experience preferred. 2-3 years of managed care and/or care management experience preferred.
Licenses, Registrations, or Certifications
RN license in the state of employment or compact is required.
Work
Schedule
5 Days - 8 Hours
Work Type
Full Time
Sourced from a public job board.
“Job Requirements: Education/Skills Bachelor’s Degree in Nursing preferred. Experience 3-5 years of clinical experience required. 2 years of Home health experience preferred. 2-3 years of managed care and/or care managem…” · from this posting
Requirements
- Bachelor’s Degree in Nursing preferred.
- 3-5 years of clinical experience required.
- 2 years of Home health experience preferred.
- 2-3 years of managed care and/or care management experience preferred.
- Licenses, Registrations, or Certifications
- RN license in the state of employment or compact is required.
- Work
Place
- City
- Irving, Texas
- Median rent
- $1,619/mo
- Local household income
- $81,830/yr
- State price level
- 3% below the national average
- Address
- 5101 N O'Connor Blvd, Irving, TX 75039, USA
rent and tenant-paid utilities
all local households, not nurse pay
Texas index 97.1, where 100 is the national average.
Irving, TX sits between Dallas and DFW Airport, offering nurses a central DFW base with short commutes to major medical centers. The Las Colinas area brings lakeside dining and office parks, while the Heritage District keeps a modest small-town feel. It's a practical pick for travel nurses who want suburban comfort with quick access to the city.
Cost figures from U.S. Bureau of Economic Analysis.
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About the employer
CHRISTUS Health is a faith-based, not-for-profit Catholic health system with operations in San Antonio, TX, and globally. Led by President and CEO Ernie Sadau, the system has earned the prestigious 'Great Place to Work' national certification in consecutive years, with…
On your path
Home Health is a specialty you move into. Agencies want acute time first, then train the home-specific work.
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- Can you walk me through base pay range and differentials?
- What should I expect for weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?