Nurse Navigator, Stroke Neurology Jobs in Edison at Hackensack Meridian Health

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Stroke Neurology Nurse Navigator, in collaboration with the neurologists, APN's, and the entire healthcare team, oversees and supports the neurology patient and their significant other(s). The Stroke Neurology Nurse Navigator is a member of the healthcare team and is responsible for coordinating, communicating and facilitating the care of selected patients with primary stroke care needs. The navigator is accountable for a designated case load determined by the careful daily selection of eligible patients. They assess, plan, and facilitate, with patients/families and healthcare professionals involved in the patient's care to meet treatment goals, and arrange for the appropriate next steps. Oversees Interfacility Coordination and handoff between acute & outpatient services.

Responsibilities

A day in the life of a Nurse Navigator at Hackensack Meridian Health includes:

• Participates in the collaboration with physicians, nursing staff, and interdisciplinary team in the assessment, planning, implementation and evaluation of care for selected patients and their families. All patients who are admitted with diagnosis of stroke will be screened for potential eligibility to the Stroke Transitions of Care (TOC) program. All eligible patients will be enrolled.
• Meets directly with the patient/family to assess needs, based on assessment and prior evaluation from care coordinators/case management and develop an individualized needs assessment.
• Facilitates communication and coordination between members of the health care team and involves the patient/family in the decision making process, in order to minimize fragmentation of services, manage resources and remove barriers to the discharge plan of care.
• Develops a TOC plan, in collaboration with the patient/family, patient caregiver, patient support persons and healthcare team that will provide maximum benefit for each patient. In addition to aligning with patient quality metrics.
• Schedules the patient for stroke neurology follow up appointment and ensures the patient has a primary care provider follow up upon discharge and refers appropriately to a primary care provider if needed.
• Works collaboratively with all members of the multidisciplinary health care team and community partners for timely and appropriate transitions to the next appropriate level of care.
• Maintains current and up to date information of community resources and refers patients to those community resources which will enhance patient's life and clinical outcomes. Consults with other community agencies and committees to identify potential resources to support patients and their families. Will actively work to find community partners.
• Documents and communicates information to the Multidisciplinary Team in order to coordinate and maximize care. The Electronic Health Record will reflect the needs of the patient, any education needed based on the patient's medical history, coordination of follow-up care, and referral to community services.
• Provides patients and families with community resources and discharge care coordination options. Provides appropriate patient and family education regarding diagnosis, treatment, and self-care management and documents outcomes in the medical record.
• Provides assistance with accessibility to prescribed medications as needed on a case by case basis.
• Participates actively on appropriate workgroups, and/or meetings. Is a positive problem solver. Identifies and refers identified quality issues to the stroke and/or transition of care teams for review.
• Reassesses periodically and evaluates against care goals and the plan of care and, when indicated, the plan or goals are revised. Medical records reflect that each patient's discharge plan is re-assessed in response to changes in patient's needs and Social Determinants of Health. Follow up phone calls post discharge to ensure adherence to discharge plan and address any unforeseen barriers to post-discharge needs. Completes all other necessary duties with attention to detail and in a timely manner.
• Monitor readmission rates for Medicare and all payers, and implement needed performance improvement projects to improve scores in collaboration with the stroke team.
• Collaborates with the stroke team to help ensure that Joint Commission Comprehensive Stroke Center metrics and goals are met.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Graduate of an NLN/AACN accredited program in nursing.
• Bachelor's Degree or equivalent years of neurology experience.
• Minimum 2 years of experience as a registered nurse.
• Computer skills to include Google Docs and data entry.
• Strong organization and problem solving skills.
• Exceptional communication skills to enable communication and collaboration with physicians, patients, families, and ancillary staff.
• Excellent critical thinking skills.
• Ability to work in a fast paced team environment.
• Ability to prioritize and multitask.
• Ability to make sound, independent clinical judgements and act professionally under pressure.
• Demonstrate ability to provide age appropriate skills, cultural competency and customer service skills and health literacy.

Education, Knowledge, Skills and Abilities Preferred:

• Stroke specific experience preferred, but not required.

Licenses and Certifications Required:

• NJ State Professional Registered Nurse License.
• AHA Basic Health Care Life Support HCP Certification.
• Advanced Cardiac Life Support Certification.

Licenses and Certifications Preferred:

• Certified Neuroscience Registered Nurse.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!    

Our Network

Hackensack Meridian Health (HMH) is a Mandatory Influenza Vaccination Facility

As a courtesy to assist you in your job search, we would like to send your resume to other areas of our Hackensack Meridian Health network who may have current openings that fit your skills and experience.