Nurse Care Navigator (Remote)

* Must have ICU and/or critical care nursing experience.


* Kidney transplant experience, highly preferred, but not required.

PURPOSE AND SCOPE:

Responsible for coordination and management of evaluation of kidney transplant patients in the pre-transplant phase.

TECN will work in collaboration with their TECN Scheduler to schedule, confirm and execute testing.

TECN will review results of testing (see responsibilities) and compile all testing once complete to submit to transplant center.

TECN will review all testing and elevate abnormal testing to designated Transplant Center physician.

TECN will also collaborate with the Transplant Center team to accomplish pre transplant evaluation where appropriate.

TECN will attend meetings with Transplant Center when needed and present patients at selection conference for decisioning on

candidacy.

PRINCIPAL DUTIES AND RESPONSIBILITIES:


* Clinical review of Incoming Referrals & Start Referral Testing per Protocol


* Team meetings with transplant center clinician leaders to confirm permission to order testing prior to being seen 1:1 by clinician.


* Confirm Pre-Evaluation Work-Up Tests Requested by Transplant Center


* Includes securing “signature” from transplant center MD on orders for testing.


* Contact patient and secure “consent for transplant evaluation” (needed to bill the transplant center for testing and services)


* Work out with transplant center: Should patient/family education session by transplant center about risks/benefits of transplantation and orientation to the evaluation process happen prior to securing consent to referral.


* Order missing health screening tests (Txp Neph signature)


* These are orders for testing that is not on the “standard list” of UNOS-required labs and/or not explicitly outlined in transplant center evaluation testing guidelines.


* Schedule health screening tests (hospital services/external partners)


* Need to identify local partners (e.g.

local radiology centers, local cardiology clinics) who can undertake necessary testing:


* Ostensibly, CXR, mammogram, CT abd/pelvis to assess vasculature can all be done in same place at the same time.


* ECG, transthoracic echo, and/or stress echo, and/or biochemical-provoked stress test can all be done in same cardiology testing center at the same time.


* Pap smear – q 3 years by current screening requirements.


* Colonoscopy versus Cologuard is a point of discussion with transplant center clinical leadership.

Assist patient in scheduling if necessary.


* Dental – Assist patients in obtaining dental Need to work out specific dentist resources particularly for traditional Medicare or dual-eligible patients.


* There may be “special case” scenarios for patients with specific insurance.

E.g.

some commercially insured patients may require testing to be done at the transplant center parent hospital.

Need to develop a clear algorithm with ...