Complex Care Navigator

Yale New Haven Health
United States, Connecticut, New Haven
20 York Street (Show on map)
Mar 05, 2025
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. In collaboration with interdisciplinary team is responsible for managing the patient population with complex discharge barriers. Coordinates appropriate resources to facilitate and ensure the patients progress through the continuum of care from hospital admission to post-hospital care. Provides attention to detail required to expedite the discharge process therefore impacting patient flow; patient, family, physician and staff satisfaction; decreased length of stay and increasing operational efficiency. EEO/AA/Disability/Veteran Responsibilities 1. In collaboration with the assigned Care Manager, develops the overall plan of care/guidelines and communicates plan to members of the patient care team for select patients with complex discharge needs. 1.1 Reviews clinical records to obtain demographic and financial information and assesses physiological needs appropriate to plan of care as evidenced by documentation in patient care record. 2. In collaboration with the assigned Care Manager, provides direct/indirect care to select patients and families. 2.1 Acts as liaison between patients, families, hospital staff and community agencies to promote communication and facilitate discharge planning. 3. Professional Development 3.1 Attends educational seminars to maintain and meet expectations. Qualifications EDUCATION Minimum of a Baccalaureate degree in clinically related field. RN or MSW Required EXPERIENCE Minimum of 4 years of relevant clinical experience. LICENSURE Current RN, LMSW or LCSW required SPECIAL SKILLS Strong interpersonal and leadership skills PHYSICAL DEMAND While performing the duties of this job, the employee is regularly required to stand, walk, sit, talk and/or hear. The noise level in the environment is usually moderate. Incumbents as well as external and internal applicants who become disabled must be able to perform the essential job functions with or without the assistance of reasonable accommodation as determined on a case by case basis. YNHHS Requisition ID 142977