Nurse Navigator – Pulmonary Medicine – University of Miami Miller School of Medicine – Miami, FL

The Pulmonary Medicine Department has an exciting opportunity for a Nurse Navigator. The Nurse Navigator:

• Triages new patient appointments to the appropriate provider(s) and assures timely scheduling of initial appointments.
• Reviews outside medical records for appropriate scheduling.
• Assess barriers to care and refers to support services, local, and national organizations when needed.
• Educates on the treatment plan for patients based on diagnosis.
• Supports patients throughout the care continuum.
• Counsels individuals and patients on positive health practices.
• Collaborates with a multidisciplinary team of experts to outline best treatment for patients.
• Performs holistic evaluation of specialty population, making use of enhanced proven techniques and procedures to achieve better results.
• Implements the improvement of patient care, and healthcare policies and resources.
• Mentors other healthcare professionals by functioning as a preceptor or coordinating preceptors for visiting professionals, students, new graduates, and orienteers.
• Maintains professional knowledge by affiliating with professional and technical organizations, and participating in applicable continuing education programs, conferences, seminars, and workshops.
• Manage and resolve clinical inquiries from patients (UChart or phone messages).
• In collaboration with attending physician and established protocols, order labs, initiate prescription
• refills and durable medical equipment orders.
• Prepare documentation from medical records to document medical necessity, acquire authorization
• for medications, procedures and infusions, and to support patient’s disability or FMLA requests.
• Initiate appeals on medication or treatment denials including peer-to-peer as necessary
• Answer calls from patients, vendors, payors, staff, and other healthcare professionals.
• Convey and educate patients on laboratory test results.
• Help to explain treatment recommendations to patients and caregivers and appropriately answer
• questions.
• Provide clinical expertise and support for the Division of Pulmonary, Critical Care, and Sleep Medicine.
• Assist with other tasks as needed.
• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

Education:

Bachelor’s degree in Nursing Required

Certification and Licensing:

Valid State of Florida Registered Nurse (RN) license, BLS certification required

Experience:

Minimum 2 years of relevant work experience

Job Type: Full-time

Pay: $71,000.00 – $106,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Paid time off
• Vision insurance

Physical Setting:

• Acute care
• Clinic
• Outpatient

Schedule:

Education:

• Bachelor’s (Preferred)

Experience:

• Nursing: 2 years (Preferred)

License/Certification:

• RN License (Required)

Work Location: One location