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Inpatient Discharge RN Navigator - Oncology & BMT - Full Time - Jeff Hwy

Ochsner Health

New Orleans - New Orleans Region - Louisiana, USonsite

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About this role

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate.  We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. 

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters.  Come make a difference at Ochsner Health and discover your future today! 

The Oncology & BMT Discharge Nurse Navigator serves as a clinical expert, patient advocate, educator, and care coordinator for hospitalized oncology and blood and marrow transplant (BMT) patients transitioning from the inpatient setting to the next phase of care. The navigator provides individualized support throughout the discharge process, ensuring safe transitions, continuity of care, and timely access to outpatient services. Working collaboratively with patients, caregivers, physicians, nursing staff, care management, and multidisciplinary team members, the navigator facilitates discharge planning, addresses barriers to care, coordinates follow-up services, and promotes a seamless patient experience while reducing preventable readmissions and avoidable delays in care. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.   Education Required - Graduate of an accredited school of nursing. Preferred - Associate's or Bachelor’s degree in nursing. 

Work Experience Required - 2 years of nursing experience. Preferred - Experience in Oncology, hematology/BMT, inpatient oncology, infusion, care coordination, navigation, discharge planning, transitional care, or population health

Certifications Required - Current registered nurse (RN) license in state of practice. Basic Life Support (BLS) from the American Heart Association. Preferred - Certification in clinical specialty area.

Knowledge Skills and Abilities (KSAs) • Proficiency in using computers, software, and web-based applications.

• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.

• Excellent conflict resolution skills.

• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability) and travel throughout and between facilities.

Job Duties • Serves as the primary discharge navigator, educator, and patient advocate for hospitalized oncology and BMT patients transitioning across the continuum of care. • Develops therapeutic relationships with patients and caregivers, conducts nursing assessments, identifies barriers to discharge, and provides individualized education regarding hospitalization, discharge instructions, medications, symptom management, follow-up care, and available supportive services. • Coordinates multidisciplinary discharge planning among physicians, nursing staff, pharmacy, social work, case management, rehabilitation services, home health agencies, infusion centers, transplant teams, and community resources. • Facilitates timely discharge planning activities and identifies potential barriers that may delay discharge or negatively impact recovery following hospitalization. • Assists with scheduling follow-up appointments, specialty consultations, treatment visits, laboratory testing, imaging studies, infusion appointments, and post-discharge services as appropriate. • Triages patient concerns and collaborates with providers to address treatment-related issues, symptom management needs, discharge concerns, and care plan changes. • Reinforces education regarding cancer treatment, transplant care, medications, infection prevention, symptom monitoring, emergency precautions, and escalation pathways. • Maintains accurate and timely documentation within the electronic medical record, including assessments, interventions, barriers, discharge readiness activities, patient education, and outcomes. • Collaborates with physicians and multidisciplinary teams through discharge planning meetings, transition-of-care activities, and ongoing care coordination to ensure optimal patient outcomes. • Facilitates referrals to supportive care services including social work, nutrition, psycho-oncology, rehabilitation, palliative care, financial counseling, survivorship resources, and community programs. • Participates in quality improvement initiatives focused on discharge efficiency, transitions of care, patient experience, and reduction of preventable readmissions. • Supports continuity of care between inpatient and outpatient oncology, BMT, and supportive care teams. • Participates in accreditation activities, educational initiatives, professional development opportunities, and department projects. • Practices in accordance with Oncology Nursing Society (ONS) Oncology Nurse Navigator Core Competencies and Association of Oncology Nurse Navigators (AONN+) Navigation Standards.

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

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