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Registered Nurse Navigator Home Health Review - Population Health
CHRISTUS Health
Irving, Texas
NEW! NEW!
Physical Therapist Assistant (Inpatient)
Denver Health
Denver, Colorado
NEW! NEW!
Acute Medicine Clinical Nurse - FT Nights
BJC HealthCare
Saint Louis, Missouri
NEW! NEW!
CHRISTUS San Marcos- RN Virtual Hiring Event
CHRISTUS Health
San Marcos, Texas
NEW! NEW!
Registered Nurse - Community Living Center
Veterans Affairs, Veterans Health Administration
Grand Island, Nebraska
NEW! NEW!
Registered Nurse, Hospice / Home Care Coordinator, Per Diem, Days, Northern / Central NJ
Atlantic Health
Morristown, New Jersey
NEW! NEW!
Physician (Spinal Cord Injury and Disorders)
Veterans Affairs, Veterans Health Administration
Bronx, New York
NEW! NEW!
Acute Medicine Clinical Nurse - FT Days
BJC HealthCare
Saint Louis, Missouri
NEW! NEW!
TRANSITIONAL CASE MANAGER PRN - WEEKDAY
Cooper University Health Care
Camden, New Jersey
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No-Call Oncology | 900K+ Yr 1 | 12 Pts/Day| Lakefront Vacation Destination (MN)|JO-2503-12026
Jackson Physician Search
Minnesota
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Palliative Care Physician ? Build & Lead a New Program - Washington Missouri
Mercy
Washington, Missouri
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Acute Nurse Clinical Nurse - FT Nights
BJC HealthCare
Saint Louis, Missouri
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Care Manager - Case Management
CHRISTUS Health
Santa Fe, New Mexico
NEW! NEW!
RN, Registered Nurse - IMC MedSurgical A
CHRISTUS Health
San Marcos, Texas
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RN, Registered Nurse - Acute MedSurgical A
CHRISTUS Health
San Marcos, Texas
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RN Hospice PRN Night
Baylor Scott & White Health
Waco, Texas
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Acute Medicine Clinical Nurse - FT Nights
BJC HealthCare
Saint Louis, Missouri
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Certified Nursing Assistant (CNA) - Medical/Surgical
Foundation Health Partners
Fairbanks, Alaska
NEW! NEW!
Registered Nurse, Per Diem Days, 8am - 4pm, Wound Healing Center, Atlantic Health, Chilton Medical Center
Atlantic Health
Pompton Plains, New Jersey
NEW! NEW!
TRANSITIONAL CASE MANAGER PRN - WEEKDAY
Cooper University Health Care
Camden, New Jersey
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Home Health CNA
BJC HealthCare
Glen Carbon, Illinois
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Internist
Albany Medical Center
Albany, New York
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Distribution Operations Coordinator
BJC HealthCare
Saint Louis, Missouri
NEW! NEW!
Licensed Practical Nurse (LPN) - Medical/Surgical 2South & 3West
Foundation Health Partners
Fairbanks, Alaska
NEW! NEW!
Registered Nurse - Acute MedSurgical A
CHRISTUS Health
San Marcos, Texas
NEW! NEW!
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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…
