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Care Navigator (RN) FT Days in Shawnee Mission, KS at Adventist Health System

Date Posted: 11/18/2018

Job Snapshot

  • Job Schedule
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Function
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    Shawnee Mission Medical Center

Job Description


Work Hours/Shifts

FT / Days

Shawnee Mission Health

SMH has provided faith-based, whole person care to the Kansas City community since 1962. SMH is more than just a hospital campus. We’re a network of health care facilities working to exceed expectations by delivering quality care with compassion and supporting an exceptional staff of more than 700 physicians representing 50 medical specialties.

Our mission of Improving Health Through Christian Service is achieved each and every day through the dedication and commitment of our associates, physicians and volunteers. We strive to be a regional beacon of wellness, hope and healing attracting customers seeking unsurpassed clinical quality and compassionate care for the whole person, following the example of Christ's healing ministry.

The largest health care provider in Johnson County, Kansas, the SMH network includes Shawnee Mission Medical Center, SMH – Overland Park and SMH – Prairie Star. The 54-acre campus at SMMC is comprised of the main hospital, a community health education building, six physician office buildings and an associate child care center. The Emergency Department at SMMC is the busiest in Johnson County. We deliver more babies each year at the Shawnee Mission Birth Center than any other hospital in the metropolitan area and our Center for Women’s Health is nationally recognized. We have 10 Shawnee Mission Primary Care locations with more than 70 Board-certified doctors who specialize in family medicine, internal medicine and pediatrics as well as Centra Care Shawnee Mission Urgent Care and Spira Care locations.


General Summary:

The Care Navigator will identify and work with high utilizers of the care in a variety of care setting, e.g. the emergency department.  The Coordinators may initially meet the patient at the time of during an episode of care and will provide community case management services based on program criteria. This program is based on a holistic bio psychosocial model and will assess various domains of health as a means to improving the patient’s health status and psychosocial functioning. Case Management consists of education, resource referral and support. Community Care Coordinators provide education to patients on disease management, appropriate pain management and navigation of the healthcare system. Guidance, direction and support are given to address needs. Communication with providers and other healthcare stakeholders is ongoing. The Care Navigator will work as part of an interdisciplinary Community Care Program Team.  The core members of the team will be the Care Navigators , the Program Director, the ED Physicians, Primary Care Physicians,  and other disciplines as indicated by the needs of the patient.  These can include nursing, pharmacy, case managers, transition coaches, discharge planners, clinical coordinators and other ancillary services.

You will be responsible for:

•       Demonstrate and convey a favorable image of the Medical Center.

•       Attend in service programs of continuing education and review current literature as a means to evaluate and enhance current treatment practices.

•       Adjust and enhance clinical expertise to meet changing healthcare needs.

•       Admit mistakes openly and seeks ways to correct the problem.  Create a safe environment for honest and open communication.

•       Seek appropriate consultation.

•       Incorporate and maintain a professional practice pattern that includes assessment of psychosocial functioning, adaptation to illness, post hospital planning, psychosocial assessment/evaluation and facilitates referrals to community agencies, financial planning and provision of information and resource knowledge.

•       Apply appropriate criteria to identify patients who are at high risk for readmission or for high  care utilization.

•       Display a high level of flexibility, adaptability and organization skills in response to the caseload and to effectively prioritize cases.

•       Conduct patient and family education, utilizing Teach Back method.

•       Identify and advocate of client needs lacking in community systems.

•       Function as a treatment team member, interpreting social, psychological, emotional and family system problems and strengths to other members of the treatment team.

•       Incorporates patient, physician, customer needs and concerns into decision-making and organizational action.

•        Form collaborative working relationships with key community agencies.  Partner with other community resources to leverage range of service provided to the client and client system.

•       Prioritize clinical problems, formulate treatment goals and construct treatment plan, revising as needed, based on continuous evaluation and assessment of progress.

•        Provide an in-depth comprehensive psychosocial assessment of the patient and their support system as needed. Identify and intervene regarding specific age and developmental issues for middle age and older adults.

•        Acquires working knowledge of motivational interviewing and working with resistant clients.

•        Document direct service in patient’s medical record after each significant contact and at closure of case, according to Shawnee Mission Health and regulatory standards.

•        Evaluate practice upon completion of case intervention, determining whether intervention was adherent to contract and whether client achieved expected outcome.

•        Demonstrate ability to quickly appraise crisis situation and select appropriate intervention(s).

•        Mediate highly complex situations and develop treatment plans with minimal supervision.

•        Participate in community outreach and marketing through: public speaking, in-services, workshops, conferences and community presentations.

•        Participate in various hospital and department committees, including Performance Improvement (PI) activities.

•        Function as a field practicum instructor for University students as appropriate.

•        Educate interdisciplinary team how to make appropriate referrals regarding patients needing community care coordination services.

•        Produce expected quantity of services as determined by worker time/caseload allocation plans.

•        Accept special projects as assigned.

•        Provide and record ongoing data on caseload for purposes of program evaluation.

•        Identify and visit patient in during episodes of care e.g. emergency room visits.  Make follow up visits to the patient at location of post discharge transfer if appropriate.

•        Identify gaps in service that prevent the patient from achieving increased stability in daily living.

What will you need?
  • Bachelor’s Degree in Nursing
  • 1 to 2 Years of Position-Related Experience
  • RN Clinical Experience
  • Kansas Registered Nurse License

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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