Population Health Nurse Navigator - Ambulatory Float Pool, Full-Time, Days

Job Description

Be a part of a world-class academic healthcare system, UChicago Medicine, as a Population Health Nurse Navigator at our DCAM - Hyde Park clinic. Here you will work alongside our Ambulatory Float Pool team. This position is a 100% onsite opportunity. You will need to be based in the greater Chicagoland area.

 

UChicago Medicine is seeking a Population Health Nurse Navigator to join the Ambulatory Float Pool team, supporting multiple outpatient clinics in Hyde Park and surrounding locations. This role provides the opportunity to deliver high-quality patient care across a variety of specialties, including Cardiology, Neurology, Oncology, Primary Care, Geriatrics, Pediatrics, and more. 

Based out of the Call Center, under the direction of a faculty sponsor and in collaboration with the program support team, coordinates population health care needs for patients and potential patients in the community across the care continuum.  Acts as a clinical liaison for patients and potential patients, across medical service, clinical departments, and locations.   Assesses clinical, emotional, spiritual, psychosocial, financial, and other patient needs.  Evaluates and manages patient care gaps and assists in the integration of care across departments to address those gaps. 

Essential Job Functions:

• Acts as liaison for patients, families and their multidisciplinary clinical team to address the population health needs of our patients and the community
• Assesses clinical, emotional, spiritual, psychosocial, financial, and other patient needs.
• Facilitates resolution to patient care gaps and monitors follow up/completion by both proactively reaching out to patients and addressing direct phone calls and messages from patients.
• Educates/reinforces education with patients and families on population health measures, specific disease processes relevant to those measures, and the steps patients can take to mitigate, treat, and properly diagnose those disease processes based on the multidisciplinary care plan.
• Participates in relevant quality workgroups to assist in the development of patient education materials, clinical pathways, and workflows to improve patient compliance with population health measures.
• Triages, coordinates, and orders appropriate patient testing using established protocols and facilitates record gathering process if testing performed outside UCM.
• Serves as primary point of contact for patients discharged from the hospital to address questions and patient care needs to prevent readmission or an emergency room visit.
• Directs patients and families to available community resources and support services. Assists patients to overcome barriers to care, i.e. transportation, financial counseling, etc.
• May be responsible for direct patient care
• Performs other duties assigned.

Required Qualifications:

• Bachelor of Science in Nursing degree (BSN)

• Registered Nurse with a current Illinois license. 
• Minimum of two years clinical nursing experience with demonstrated clinical competence in patient care, teaching and management of patients. 
• Must have general computer and phone skills and be adaptable to changing working situations and work assignments.
• Excellent interpersonal skills required, with specific ability to communicate effectively with patients, family members, and physicians.

 

Preferred Qualifications:

• Masters degree in Nursing (MSN)

Position Details:

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days – 7:30 am - 4 pm
• Work Location: Onsite - DCAM Hyde Park
• Unit/Department: Ambulatory Float Pool
• CBA Code: Non-Union

Why Join Us

We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.

 

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

 

UChicago Medicine is an equal opportunity employer.  We evaluate qualified applicants without r