The Surgical Clinical Nurse Navigator is an essential part of a multidisciplinary team responsible for ensuring ambulatory and same day surgery patients at Cook County Health (CCH) are ready with all appropriate testing complete, medical release and financial authorization on file, and ensures the patient is on time for their scheduled surgery date. This position provides a concierge level customer service to ensure patients receive pertinent information and understand the complete surgical process.
The Surgical Clinical Nurse Navigator serves as a liaison to facilitate referrals into the surgery clinics for patients requiring specialty evaluation, builds relationships with patients and physicians to coordinate a plan of care including completion of the patient profile, perioperative risk tool, pre surgery tests and consultations as required, and manages the overall surgical process for the patient. May coordinate special required procedures. (MULTIPLE VACANCIES)
Provides leadership in clinical settings throughout surgical process and has operational accountability for coordinating nursing and non-nursing pre-operative and postoperative services.
In conjunction and with direction and approval of department Managers, delegates roles and responsibilities for all personnel as it relates to the surgical process.
Obtains referral from referring provider prior to scheduling surgical visits, when appropriate.
Works with managed care coordinators/ insurance liaisons to verify insurance as current prior to the initial appointment as well as again prior to surgery.
Communicates with all surgical candidates to set up appointments, provides patients with information about pre-operative requirements, advanced testing, informs patients of surgical requirement timelines, and answers any insurance-related questions about surgical procedures. Contacts insurance carriers, as needed.
In conjunction with attending surgical staff, triages and schedules surgery clinic appointments for patients requiring specialty surgical evaluation at Cook County Health (CCH) facilities.
Requests and obtains medical records to facilitate decision making during clinic visits.
Schedules, reschedules and cancels surgical procedures in Surginet, scheduling assigned service lines as needed.
Calls patients to remind and confirm them their scheduled appointment 48 hours in advance providing additional information and reminding them to bring valid identification and insurance card.
Assist with ride services as necessary to ensure the patients ability to attend appointments.
Assists with authorization for dietary and home health.
Ensures smooth, frequent communication with schedulers in Main Operating Room to address and resolve questions that may arise about particular case details.
Completes perioperative risk tool for all patients scheduled for outpatient surgery and orders appropriate labs, tests and further clinical appointments as dictated by the tool.
Completes pre and post-operative patient assessments in person and via the telephone or portal; Assesses for complications and symptoms post operatively and reports to provider for direction and follow up.
Ensures surgery cases meet medical necessity and prior approval as needed from insurance provider.
Ensures patients adhere to appointments and all preoperative testing and assists in rescheduling, if necessary. Makes it a point to follow-up on no call no shows to reschedule and limit delay in care.
Acts as a liaison between the patient, surgeon, anesthesia team, the financial pre-authorization team, the case management team, Preprocedural Testing Team and any other relevant care providers and/or staff who play a crucial role in ensuring the patient is cleared, medically and financially, no later than 96 hours prior to surgery.
Follows up on all orders for patients to make sure all appointments are scheduled in a timely manner and that all appropriate documentation is in the chart.
Works closely with surgical service to select patients whose procedures can be moved up should an opening occur in the surgical schedule, working to ensure full utilization of the operating room time available to the service.
Makes rounds with assigned staff to assess and ensure efficient clinic throughput and patient progression toward their scheduled date of surgery that minimizes surgery cancelations and delays.
Makes rounds on patients/ families post operatively to ensure that appropriate follow up care is provided and that established protocols are followed.
Provides patient education for Pre-operative and Post-operative care to patients and families Coordinates social work and insurance as appropriate to obtain approval for post-operative medications, physical and occupational therapy, and supplies as appropriate.
Shares patient medical records with referring provider to assure transparency in healthcare treatment plan.
Handles a variety of office details that involve action, including, but not limited to: retrieving and sending mail, preparation of surgical documents and packets, filing documentation into medical records, sending and receiving faxes, and creating duplicate copies of surgical forms.
Maintains and keeps education tools and materials up to date and develops new tools and materials as needed.
Performs other duties as assigned.
Licensed as a Registered Professional Nurse in the State of Illinois, required.
Bachelor of Science degree in Nursing (BSN) from an accredited college or university is required. (Must provide official transcripts at time of interview)
Five (5) years of nursing experience is required.
Three (3) years of experience working within surgical services, specifically a surgery clinic, an outpatient surgery center, or pre-surgical services (i.e., pre-procedure testing clinics or surgery scheduling), or same day surgery area is required.
Current Basic Life Support (BLS) certification is required. (Must provide proof at time of interview)
Prior experience and knowledge with medical terminology related to surgical care is required.
Prior experience and knowledge of the pre-surgical process, how it impacts day of surgery performance, and the requirements for patients to be ready on the day of surgery is required.
Prior experience supervising or managing staff in a health care environment is required.
Prior experience as a clinical navigator or surgery coordinator is preferred.
Prior experience with leading performance improvement initiatives (e.g., LEAN six sigma) is preferred.
KNOWLEDGE, SKILLS, ABILITIES AND OTHER CHARACTERISTICS
Proficient use of the electronic medical record, necessary to accomplish all aspects of this job
Excellent interpersonal, verbal and written communication skills necessary to interact with a variety of people from different socio-economic and cultural backgrounds as well as hospital employees across all levels of the organization
Strong customer service and empathy skills
Demonstrate analytical and organizational, problem-solving, critical thinking, and conflict management/resolution skills
Demonstrate attention to detail, accuracy and precision Ability to prioritize, plan, and organize projects and tasks
Ability to maintain a professional demeanor and composure when challenged
Ability to function autonomously and work within a self-directed environment, with an ability to also work with and lead teams in a multidisciplinary environment
Ability to lead performance improvement initiatives and present to relevant committees on outcomes of their work with patients including improving quality of care.
Ability to demonstrate willingness to cross train to help clinical and administrative staff in the clinics
Ability to maintain knowledge of all surgery policies and procedures and adhere to them.
Ability to assure compliance with policies and procedures, standards of performance and productivity, quality standards, environmental and infection control and other regulatory requirements.
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
* Meet the minimum qualifications for the position .
* Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
* Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Pension Plan and Deferred Compensation Program
Employee Assistance Program
Paid Holidays, Vacation, and Sick Time
100% Tuition Reimbursement for nursing-related programs
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER