Nurse Navigator – Refugee Health Program

Reference #: 1011181
SHIFT:Day (United States of America)

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A Brief Overview
Childrens Hospital of Philadelphia is seeking a Nurse Navigator for their Refugee Health Program.

The Nurse Navigator for CHOPs Refugee Health Program supports research, quality improvement, clinical, and other programmatic activities related to CHOPs role as the medical home for medically complex refugee and humanitarian entrant patients who predominantly speak languages other than English. This includes families who speak 30 languages other than English, families who are pre-literate, and families without prior familiarity with the US health system.

With supervision from the Refugee Health Program staff, they are responsible for IRB submissions, medical record review, data reporting/monitoring, and care management. They play a core role in scholarly, quality improvement initiatives: Specifically, they assist patients in navigating the health system, attend navigation-related meetings, and document information (generally in REDCap) for navigation program improvement. For a subset of Refugee Health Program patients, they will serve as a liaison between primary care providers (PCPs), outpatient specialty care providers and inpatient care teams, as well as payers, medical equipment suppliers, home care providers, subacute and chronic care facilities, community resources (e.g., schools, Early Intervention, refugee agencies), and relevant government agencies (e.g., PA Dept of Health).

Additionally, they will collaborate with Refugee Health Program leadership to draft grants and proposals relevant to the above services. They will work effectively with in person, video, and phone interpreters. Proficiency in more than 1 language is preferred but not required, as is experience working in multicultural settings.

This role serves as the primary clinical contact for patients and families seeking certain specialized services at The Childrens Hospital of Philadelphia that require an additional focus on care coordination.

This role is charged with assisting new patients in understanding their care plan, coordinating communication between multiple care team members across the care continuum; participating in family meetings; providing patient/family education, and providing care coordination including scheduling appointments and telephone triage.

The role may also assist with development of outreach and research activities for their department.
Triages/ manages incoming new and established patient calls/email requests.
Assists with the collection and review process for all potential patients.
Works in collaboration with the clinical staff (Medical team, Physical therapy, Social Work, etc.), Out of Area Specialist, Business Offices, to ensure all aspects of the patient and family care coordination results in an ideal patient experience.

What you will do
1. Patient Navigator Responsibilities
Coordinate care with referring clinicians and referral patients to simplify access and enhance communication and the patient/family experience at CHOP.
Coordinate a plan of care for referral patients and be the person of contact with their referring health care provider to simplify access, enhance communication and the patient/ family experience
Coordinate a plan of care for new patient referral and serve as primary contact for referral source (referring health care provider and patient)
Collaborate with all appropriate CHOP departments to strengthen relationships and facilitate the referral process
2. Case Management and Care Coordination
Assure all pertinent records and studies are available for review; this includes prior testing, imaging and rehabilitation therapies
Provide the patient/family and the referring physician with updates and pertinent medical information
Patient Scheduling functions: assists schedulers and coordinators in scheduling appointments, both new and follow up, radiology tests, etc.
3. Strategic Planning / Outreach
Develop and Implement strategies to increase utilization of CHOPs specialized programs and health care providers within the department where applicable
Identify and evaluate new markets, to include statistical analysis of potential markets, estimates of growth, identification of client needs, and competitive analysis
Identify, design and implement new strategies that will increase service utilization. Maintain a thorough knowledge of the market and assist in the development of marketing strategies
Develop, refine and update referral tools such as patient family education, educational videos and Web Site.
Develop and maintain relationships with local School Re-entry Programs, as well as school nurses and other school officials where applicable
Network with patients / families through developing a social media support group strategy, organizing support groups, leveraging national and local organizations, and encouraging word of mouth marketing
4. Data Management
Develop and maintain physician/referral contact database
Capture, track and develop reporting mechanisms on key indicators
Help to develop and maintain specialized care registries
Help to maintain EMR templates and update as necessary
Participate in the triage and possible enrollment of patients into research studies
5. Additional duties as deemed necessary.
Education Qualifications
Bachelors Degree Nursing. Employees hired and placed in position previous to 7/28/23 are only required to have technical diploma. Required
Masters Degree Preferred
Experience Qualifications
At least two (2) years of nursing experience Required
At least four (4) years of nursing experience Preferred or
Previous experience in pediatrics Preferred
Skills and Abilities
Intermediate proficiency with office software (Microsoft Office) including word processing, and spreadsheet software (Word, Excel) (Required proficiency)
Basic knowledge of database programs and data management concepts (Required proficiency)
Excellent verbal and written communications skills (Required proficiency)
Excellent customer service skills (Required proficiency)
Strong interpersonal skills (Required proficiency)
Strong time management skills (Required proficiency)
Strong organizational skills (Required proficiency)
Ability to maintain confidentiality and professionalism (Required proficiency)
Ability to work independently with minimal supervision (Required proficiency)
Ability to gather, analyze and make recommendations/decisions based on data (Required proficiency)