Registered Nurse Navigator Home Health Review - Population Health

Christus Health · Irving, Texas, United States

Location
Irving
Job Type
Full-time
Posted
June 29, 2026

Job Description

Summary:


The RN Navigator Home Health Review plays a crucial role in monitoring post-acute patients to ensure they continue to meet the CMS criteria for services. As a key member of the patient’s care team, the RN Navigator acts as a patient advocate, providing proactive outreach to post-acute facilities to review patient needs. The Nurse makes recommendations to primary care providers regarding ongoing services and facilitates communication and coordination of care with clinic providers. 

Responsibilities:

  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Stays updated on current CMS and other payer guidelines for post-acute Home Health services to ensure compliance.
  • Receives and evaluates post-acute Home Health 485 forms (Plan of Care) based on Medical Necessity guidelines and Homebound Status requirements.
  • Facilitates Case Conferences with post-acute agencies...
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