RN, Nurse Navigator, Memory Care Center, Wilmington, DE

Job Requisition #: JR71155

End Date: 6/28/2024

Location: Wilmington, Delaware

Position Type: Nursing

Shift: Day Shift, No Rotation

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ChristianaCare is currently seeking a Registered Nurse to work full-time as a Nurse Navigator at the Swank Memory Care Center located on the 5th floor of the Gateway Building on the Wilmington Hospital campus in Delaware.

The Swank Center for Memory Care and Geriatric Consultation at ChristianaCare is Delaware's first and most comprehensive outpatient office for patients with memory disorders and their families. The Swank Center for Memory Care and Geriatric Consultation offers these patient and their families essential support, education, and guidance from diagnosis through treatment.

Work Schedule

Monday-Friday, day shift

Principal Duties and Responsibilities:

Coordination of Care

  • Assists Swank Memory Care Center staff with coordinating referrals from within and outside of Christiana Health Care. 
  • Completes a review of the patient upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services.
  • Assists with identifying potential and realized barriers to care (e.g., transportation, caregiver support, housing, language, culture, literacy, role disparity, psychosocial, employment, financial, insurance) and facilitates referrals.
  • Schedules and/or facilitates scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care timely follow-up to promote continuity of care.
  • Triage of family/caregiver phone calls, messages determining disposition of call Coordinates response with Swank Memory clinicians based on clinical assessment and communicates treatment plan/recommendations to patient/caregiver.
  • Assesses behavioral and psychiatric symptoms of dementia/neurocognitive disorders and dialogues with Swank clinicians to determine appropriate treatment plan recommendations/changes.
  • Provides psychosocial support to and facilitates appropriate referrals for patients, families, and caregivers, especially during periods of high emotional stress and anxiety.
  • Supports discussions with patients and caregivers related to goals of care and end of life treatment decisions (palliative care, hospice).
  • Assists with the creation of education packets on dementia and the disease states for patients and families.
  • Applies basic knowledge of insurance process (e.g., Medicare, Medicaid, third-party payers) and their impact on staging, referrals, and patient care decision toward establishing appropriate referrals, as needed.
  • Monitors progress in achieving defined patient specific, clinical outcomes through performance improvement activities and outcomes.
  • Manages care flow and navigates multidisciplinary treatment needs (including communication with and coordination of tests, imaging, and infusion scheduling) of patients receiving monoclonal antibody treatments (i.e. leqembi).

Education

  • Assesses patient and family learning needs to identify barriers to education (e.g., literacy, language, cultural influences, comorbidities)
  • Utilizes "Teach Back" method for patient education
  • Collaborates with multidisciplinary team to develop patients' clinical treatment plan
  • Educates the patient/family/caregiver: diagnosis, treatment options, medication side-effect management, behavioral disturbance triage and guidance.
  • Assists patient/family with appropriate information to make an informed decision.
  • Links patient and family to clinical trials information through the research nurses.
  • Participates in the educational mission of Swank Memory Care Center- including medical trainees, peer learning initiatives.

   Communication

  • Facilitates communication among the multidisciplinary Swank and memory care team to prevent fragmented or delayed care
  • Acts as a liaison and advocate between the patients, families, caregivers and health care providers to promote and optimize patient outcomes.
  • Empowers patients and families through education and encouragement to self-advocate and communicate their needs
  • Adheres to established regulations concerning patient information and privacy

   Professional Role

  • Contributes to Swank Memory Care program development, implementation, and evaluation within the healthcare system and community.
  • Maintains required credentials and participates in learning to stay current with disease specific information and issues related to memory care, insurance, ethical issues.
  • Contributes to the knowledge base of the healthcare community and in support of the Memory care role through activities such as involvement in professional organizations, presentations, publications, and research.
  • Participates in system committees such as magnet, nursing council, safety, cultural competency/diversity, patient education, professional nursing council.
  • Is a Mentor for students and other members of the team,
  • Obtains or develops memory-related education materials for patients, staff, and community members as appropriate.
  • Collaborates and partners with local agencies and dementia groups who assist with memory patient care, support, or educational needs.
  •  Works with health improvement team to implement and evaluate new processes of care and patient flow which are determined by the team utilizing pathways, guidelines, and algorithms.
  • Supports a culture of safety, respect, and commitment to excellence and inclusivity.

Education and Experience Requirements

  • BSN required
  • Masters in Nursing preferred
  • RN license or eligible for licensure in the state of Delaware
  • Three or more years of combined clinical experience in clinical and/or administrative experience in case management, clinical trials, older adult, mental health, and/or memory care is preferred. 

Special Requirements

  • BLS

Qualified candidates should apply online and attach a copy of their current resume for consideration.

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EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Why do WE offer careers full of possibilities?

For the Love of Health.

Inclusion & Diversity

At ChristianaCare, we’re committed to treating everyone with dignity and respect. We believe in a safe, inclusive work environment that fosters collaboration between caregivers from all walks of life. We know that each unique viewpoint is vital in delivering high-quality, safe patient care to everyone who walks through our doors. Our policies, benefits, hiring practices, employee resource groups, and corporate citizenship demonstrate our commitment to inclusion and diversity throughout our system.

Why do we embrace inclusion and diversity? For the Love of Health.

Our Values

We serve together in Love and Excellence. Our unique values, Love and Excellence are bold and powerful, and they are the reason why working for ChristianaCare is special. The behaviors associated with our values guide how caregivers interact with everyone they work with and make for an exceptional work experience. We believe that when you lead with Love, Excellence is inevitable.

Benefits

ChristianaCare’s comprehensive total rewards package is one of the most competitive in the region. We are proud to offer excellent benefits that reflect the organization’s commitment to being exceptional today and even better tomorrow.

At ChristianaCare, we provide access to high-quality and affordable benefits designed to meet our caregivers where they are. You can tailor your benefits to meet your needs now and adjust them as your priorities change.

Take advantage of ChristianaCare’s wide-ranging benefit offerings from supporting optimal health through medical, prescription, dental and vision coverage to valuable wellness and work/life programs, which include paid parental leave, coverage for infertility and assisted reproductive technologies, an employer-funded short-term disability program, and more.

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