Registered Nurse Navigator Home Health Review - Population Health
RN
Posted Jun 19 · Not open to new grads
- Shift
- Days
- Unit
- Home Health
What the listing says
Role
- Schedule
- Days · 5 a week
- Term
- Permanent
- Setting
- Home Health
- Accepts
- RN
- Experience
- 3+ years
Ratio not posted. Ask in the interview.
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Registered Nurse Navigator Home Health Review - Population Health
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Registered Nurse Navigator Home Health Review - Population Health
CHRISTUS Health
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Details
Posted: 18-May-26 Location: Irving, Texas
Categories
Operations
Internal Number: 332399
Description
Summary
The RN Navigator Home Health Review plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient?s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers.
Responsibilities
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance.
- Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements.
- Facilitates Case Conferences with post-acute agencies to evaluate patient progress toward goals and discharge plans.
- Ensures post-acute agencies address the problem list and provide appropriate follow-up for patient needs.
- Based on CMS or other payer guidelines, patient assessments, and case conferences, makes recommendations to PCPs regarding Home Health recertification or discharge from service.
- Utilizes MCG Guidelines for post-acute services and Home Care to optimize the type, frequency, and duration of care provided to patients.
- Creates positive relationships with post-acute agencies, Primary Care Clinicians, and Office Staff to foster collaboration and effective care delivery.
- Ensures smooth transitions of care along the continuum, facilitating communication between Home Health agencies and PCP practices as necessary to address patient needs.
- Demonstrates expertise in navigating electronic medical records and other care management applications.
- Monitors key measures of program success and provides feedback regarding opportunities for improvement.
- Collaborate with team members in the discharge process, performing outreach and documentation according to CMS guidelines and the Population Health workflow.
- Promotes a positive work environment by displaying a caring, sensitive approach to others, listening, understanding, and responding to the needs of patients, colleagues, and supervisors.
- Performs other duties as…
Sourced from a public job board.
“Job Requirements: Education/Skills * Bachelor?s Degree in Nursing preferred. Experience * 3 years of clinical experience required. * 2 years of Home Health experience preferred. * 3 years of managed care and/or care man…” · from this posting
Requirements
- RN
- Bachelor?s Degree in Nursing preferred.
- 3 years of clinical experience required.
- 2 years of Home Health experience preferred.
- 3 years of managed care and/or care management experience preferred.
Place
- City
- Irving, TX
- Median rent
- $1,619/mo
- Local household income
- $81,830/yr
- State price level
- 3% below the national average
- Address
- Irving, TX, 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
The Association for Home & Hospice Care of North Carolina (AHHC) is a nonprofit trade association established in 1972, not a direct clinical employer of nurses. It represents over 750 provider agencies and business partners across North Carolina, including home…
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?