This position is located within Quality, Safety and Improvement Service, Phoenix VA Health Care System (PVAHCS), PHoneix AZ. PVACHS is a Level 1a major interdisciplinary teaching facility with functional service lines serving medical, surgical, mental health, and long-term care inpatients and outpatients with an Emergency Department and multiple community-based outpatient clinics (CBOC). Organizationally, the Nurse Navigator functions under the supervision of the Enterprise Risk Nurse Manager, who reports to the Chief of Quality Safety and Improvement Service. The Nurse Navigator is consultant who works with staff at all organizational levels to assist the organization meet regulatory and accreditation compliance. The Nurse Navigator uses the nursing process and evidence-based practice to collaborate with PVAHCS staff, family/caregivers, and internal and community-based services involved in providing care to the patient in developing the patient-driven holistic care plans. They are responsible for collaborating with services internal and external to the VA to facilitate transition of care that effectively meet the patients' needs. This includes but is not limited to chart review; telephone calls to patients for pre-visit preparation or post visit follow up, participation in team huddles, collaborative management of high risk patients, and making follow up telephone calls to patients discharged from the hospital as needed. The Nurse Navigator provides patient and family health education based on the patient's goals. The Nurse Navigator demonstrates leadership by serving as an advocate for patients, team player to colleagues as she/he continues to enhance their own and the team's professional growth, development and practice. Job duties include: - Coordination of the cancer patient's journey through the health care system, across disciplines and sites. - Anticipates, identifies and helps patients to overcome barriers within the VA healthcare systems. - Assists in coordination of healthcare services and referrals. - Educates and supports patients coping with cancer diagnosis throughout their illness and treatment, including survivorship. - Assists patients and families with issues relating to distrust of system or fear of treatment, including refusal of care related to lack of knowledge or anxiety. - Serves as patient advocate and direct liaison with physician and other healthcare providers, such as radiology, pathology and surgical services, including unique VA healthcare system benefits. Identifies patient issues such as travel and lodging, and link with appropriate services within the VA system and/or community resources. - Maintains awareness of patient's plan of care and communicates as necessary issues that arise, to prevent unnecessary delays in treatment, including missed appointments. - Facilitates acquisition of medical records and diagnostic testing to ensure timely delivery of services. - Expedites consults as per physician instructions in coordination with the referral team. - Active involvement in hematology/oncology clinics, participates in new consults with physicians and education as indicated for diagnostic procedures and treatment plan. - Serves as a liaison to bone marrow transplant program, coordinates necessary testing, assessment and transfer of information to appropriate facility, includes patient education regarding process. - Coordinates combined modality treatments with appropriate facilities, including radiation therapy and fee-basis surgical services. - Participates in education events and tumor conferences. Work Schedule: Monday to Friday 7:30am to 4:00pm Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.