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Wellspan Health
Disease Management Coordinator - Day
Career Insights for Patient Advocate / Navigator
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What they do
A Patient Advocate or Navigator provides direct assistance to patients at a health care or long term care facility. Guides patients in understanding their options and making important decisions about their treatment plans and medical costs; provides emotional support; and serves as a liaison with health care providers.
$53,411 / year median in Pennsylvania
+15% projected growth
Job Description
Full-time Day Shift No weekends or holidays 80 hours bi-weekly General Summary Develops, implements and manages the Disease Management Program at assigned entity. WellSpan Good Samaritan Hospital For more than 125 years, WellSpan Good Samaritan Hospital has provided leading-edge inpatient, outpatient, and emergent care to the Lebanon County community. One of eight premier hospitals in the WellSpan system, WellSpan Good Samaritan Hospital features an award-winning cardiac and vascular center, a certified Primary Stroke Center, and a wound care and hyperbaric medicine center, while providing a supportive continuum of care through our extensive WellSpan primary, specialty, ambulatory, and behavioral health care locations within the community. WellSpan Good Samaritan Hospital is supported by the nearby WellSpan Sechler Family Cancer Center, Lebanon's first and only integrated cancer center. WellSpan Good Samaritan Hospital was one of several WellSpan Health hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23. WellSpan Good Samaritan Hospital serves as the cornerstone of care for a total population of nearly 142,000 residents living in the rural and urban mix of Lebanon County. A full-service, acute-care hospital, with a 163 licensed bed capacity, admitting approximately 7,000 patients annually. We offer open heart procedures, comprehensive cardiac care, total joint replacements, private labor and delivery birthing suites, robotic surgery, and emergency care. Duties and Responsibilities Identifies sepsis patients during their acute care stay and manages their care according to evidence based standards of care. Services as a liaison between the patients, families and healthcare team during hospitalization and the post-discharge period. Communicates to hospitalists and other hospital staff regarding abnormal findings in evaluation of patients and assesses readiness for discharge and risk for readmission. Administers follow up phone calls to all hospitalized Sepsis patients and addresses all problems that require attention to improve patient perception of care. Coordinates transitions of care to the appropriate post-acute services. Coordinates the sepsis program and initiatives locally, participates actively in implementation of changes recommended by the system CET. Participates in the development, maintenance, implementation and evaluation of written care protocols based on evidence including physician orders, clinical pathways for expected length of stay and clinical practice guidelines. Ensures data is collected, reviewed and analyzed monthly. Develops and implements action plans accordingly based on outcomes data. Collaborates with other disciplines using an integrated approach toward achieving optimal patient outcomes. Evaluates the impact of Social Determinants of Care on patient outcomes. Develops and implements the patient education process for all hospitalized Sepsis patients with emphasis on symptom recognition, risk factor modification and structured Care Coordination. Revises and monitors educational materials to ensure that they are coordinated, understandable and meet the program standards. Serves on/leads a Sepsis committee at the entity level and participates on the system CET. Prepares agenda and progress reports for the team that discusses readmission, length of stay and bundle compliance, identifies outcome measures that have not been met. Develops, implements and evaluates action plans for improvement with the team. Develops, coordinates and participates in community awareness programs about Sepsis Awareness and Management annually. Participates in Community based education for other outside groups to enhance patient care beyond the acute care facility. Role models critical thinking by demonstrating active and proactive problem solving. Coordinates staff education and maintains clinical competencies related to sepsis patient care.