Nurse Care Navigator

Fresenius Medical Care • Kennesaw, GA • 1h ago

PURPOSE AND SCOPE:

Responsible for coordination and management of evaluation of kidney transplant patients in the pretransplant phase. TECN will work in collaboration with their TECN Scheduler to schedule, confirm and execute testing. TECN will review results of testing (see responsibilities) and compile all testing once complete to submit to transplant center. TECN will review all testing and elevate abnormal testing to designated Transplant Center physician. TECN will also collaborate with the Transplant Center team to accomplish pre transplant evaluation where appropriate. TECN will attend meetings with Transplant Center when needed and present patients at selection conference for decisioning on candidacy.

PRINCIPAL DUTIES & RESPONSIBILITIES

Clinical Review & Referral Management

Review incoming referrals to ensure they meet Transplant Center Evaluation Guidelines

Request and place orders for referral testing per protocol for acceptable candidates

Consent patients and secure consent for transplant evaluation per Transplant Center Protocol

Provide CMS transplant education per Transplant Center Policy

Health Maintenance Screening

Assistpatients in completing health maintenance screening tests not on the standard UNOS-required list

Schedule health screening tests with hospital services and external partners

Identifylocal partners (e.g., radiology centers, cardiology clinics) to perform necessary testing

Assistpatients in obtaining dental care as needed per Transplant Center policy

Develop clear algorithms for special-case scenarios (e.g., commercially insured patients requiring testing at the parent hospital)

Results Review & Anomaly Management

Review results and discuss abnormal findings with the designated Transplant Center physician or designee

Maintain a real-time tracking system for test completion, results collection, and anomaly review

Maintain a clear communication pathway with the Transplant Center MD for escalating abnormal results

Coordinate communication of abnormal results to patients per pre-agreed procedures

Track and follow up on missing or incomplete tests

Guide management of patients who repeatedly miss scheduled appointments

Scheduling & Patient Coordination

Confirm patient intent and attendance with the dialysis clinic social worker (MSW)

Communicate with the FKC MSWregardingpatients who are difficult or impossible to schedule

Escalate scheduling barriers to the attending nephrologist to assess candidacy or psychosocial obstacles

Billing & Reimbursement

Coordinate billing and reimbursement for testing with the Transplant Center Financial Coordinator

Ensure testing is billed through the Transplant Center and not directly to the patient

Distinguish initial screening testing (billable to transplant center) from follow-up testing (billable to patient insurance)

Participate in periodic audit trails of billing documentation

Stakeholder Relations & Reporting

Arrange lobby/practice days with Transplant Center personnel as appropriate

Coordinate joint population-level reviews between practices, clinics, and transplant centers

Solicit feedback from patients, referring physicians, and transplant center staff on TCN operations

Provide continuous updates to Operations Managementregardingthe clinical posture of assigned centers

Perform other related duties as assigned

PHYSICAL DEMANDS & WORKING CONDITIONS

The physical demands and work environment described here are representative of those encountered while performing the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Remote/work-from-home position

Day-to-day work involves desk and computer work, with interaction with patients, facility staff, and physicians

Travel between assigned centersrequired; travel to organizational meetings may berequired

SUPERVISION

This position has no direct supervisory responsibilities.

EDUCATION & CREDENTIALS

Graduate of an accredited School of Nursing; RN BSNrequired- advanced degree preferred

Currentappropriate statelicensure

One multistate license with the ability to practice in all compact states

EXPERIENCE & SKILLS

Minimum 5 years of experience in pre-transplant intake, patient education, ICU, or similar clinical setting

Solid understanding of the relationship between healthcare providers and regulatory agencies

Ability to analyze complex issues and propose alternative solutions

Experience in quality management, risk management, case management, and infection control

Excellent verbal and written communication and interpersonal skills

Exemplary customer service orientation

Proficiencywith Microsoft Office Suite (Word, Excel, PowerPoint); medical database softwarerequired

Proficiencywith EPIC preferred

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

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