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Care Navigator – Population Health
Lehigh Valley Health Network. Implement care plans addressing patients’ physical, mental, and social needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in implementing care plans, conducting clinical assessments, and managing patient transitions across healthcare settings. Proficient in electronic medical records and case management, with a strong focus on quality improvement and patient advocacy.
Highest-signal resume keywords
Bachelor's Degree In NursingRegistered Nurse (RN) License - PennsylvaniaCertified Ambulatory Care RN (CACRN)Electronic Medical Record (EMR) ExperienceCase Management Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical AssessmentsCare Plan ImplementationDisease ManagementQuality ImprovementPatient NavigationData AnalysisMedication ReviewCare CoordinationEvidence-Based Decision MakingPatient Advocacy
Soft Skills
Effective CommunicationCultural CompetenceInterpersonal SkillsPrioritizationCollaboration
Tools & Technologies
Electronic Health Record (EHR)Analytical ToolsComputer Applications
Certifications & Qualifications
Licensed Registered Nurse (RN) - PennsylvaniaCertified Ambulatory Care RN (CACRN)Certified Care Coordinator - Transition Management (CCCTM)
Industry Keywords
Case ManagementHome Health CareDisease ManagementHealthcare NavigationMultidisciplinary TeamPatient Care ActivitiesQuality MetricsCare TransitionsPost-Acute CareHealthcare Barriers
About the role
Key responsibilities & impact- Implement care plans addressing patients’ physical, mental, and social needs
- Conduct medical and pre-surgical clinical assessments
- Ensure smooth care transitions and evidence-based disease management before hospitalization and after discharge
- Identify patients missing clinical goals or quality metrics and arrange follow-up
- Review medication lists and document allergies in the EHR
- Use registries, data, and published evidence for point-of-care decision-making
- Support quality improvements, pilot participation, and research activities
- Identify care-standard variances and system problems that may cause errors, delays, complications, or increased cost
- Maintain relationships with hospitals, rehabilitation facilities, and post-acute care facilities
- Provide care navigation for specialty populations, including LVHN Specialty Institutes and BPCI-A
- Collaborate with patients and families to establish mutual goals
- Identify healthcare, transportation, financial, and psychological barriers; coordinate services and advocate for patients and families
- Work collaboratively within a multidisciplinary team to provide education and navigation across the continuum of care
Requirements
What you’ll need- Bachelor’s Degree in Nursing; experience in lieu of Bachelor's degree may be considered
- 5 years experience working as a registered nurse (RN)
- 2 years previous experience in case management, disease management, home health care, hospital, or physician office setting
- 2 years prior electronic medical record (EMR) experience
- RN - Licensed Registered Nurse_PA - State of Pennsylvania upon hire
- CACRN - Certified Ambulatory Care RN - State of Pennsylvania within 3 years or CCCTM - Cert Care Coord-Transition Mgt MSNCB - State of Pennsylvania within 3 years
- Ability to set priorities to coordinate care plan efficiently
- Effective strategies for interacting with persons from diverse backgrounds
- Ability to recognize cultural, social, economic, and behavioral factors affecting public health services
- Knowledge of computer applications and analytical tools
- Ability to lift and carry 25 lbs.; frequent sitting/standing and keyboard use; patient-care activities may include kneeling, bending, squatting, and CPR
Benefits
Comp & perks- Monday-Friday work schedule, 8:00a-4:30p
- Remote work in Pennsylvania
- Weekend rotation possible
- Equal employment opportunity protections