Overview

To guide patient’s with a Post-Acute Home Care needs through the referral process.

Responsibilities

• Provide guidance to patients/caregivers with a Post-Acute Home Care needs.
• Assist in the referral process from acute to home care.
• Work with home health and durable medical providers to ensure patient’s post-acute care needs are meet
• Ensure timely coordination of post-acute care services.

Qualifications

Education:  

• A nurse or social worker, who is trained to provide individualized assistance for post-acute care needs OR a non-professional who has successful completion of a recognized patient navigation training program.
• Documentation of a requisite knowledge and skill from previous education and experience to provide patient navigation.

Minimum Work

Experience: At least 3 years in Healthcare field

Required Skills, Knowledge, and Abilities:  

• This position requires the ability to disseminate information
• Knowledge of home health coverage criteria
• Knowledge of post-acute equipment coverage criteria
• To follow through and carry out  plans of action
• Good verbal skills
• Outstanding Customer Service to patients, families, community, and physicians
• Knowledge of hospital/clinic/imaging procedures
• Have basic computer knowledge and experience with word, excel, email etc.
• Provide education, support, and coordination to assist patients with home care referrals.
• Connect patients and families to resources and support services.
• Promote communication between the patient and health care providers.
• Enhance the patient’s quality of life, sense of autonomy, and self-determination for managing his/her own health.
• Reinforce physician-patient relationship.
• Maintain records for reporting purposes in accordance with the ARH Quality policy and procedure guides.
• Work with multi-disciplinary teams to establish action plans for patients; assure action plans are carried out.
• Any other duties as assigned in regards to patients with a post-acute home care need.