Outpatient Nurse Navigator - ACO

Outpatient Nurse Navigator

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- ACO Location: On-site, Coldwater, MI A Care Management Role Designed to Work At Insight, we've built our ACO care management program with one goal: Give nurses the time and structure to impact patient outcomes.

This is not a high-volume, task-driven role.

Our RN Care Managers support a manageable panel of Manage a Defined High-Risk Patient Panel Proactively manage a panel of Identify early warning signs and intervene before escalation Reduce unnecessary ED visits and hospitalizations Close gaps in care and improve follow-up compliance Use Data to Drive Action Leverage risk stratification tools and EMR insights Prioritize outreach based on patient risk and need Track and improve quality and outcome metrics Engage Patients & Families Provide coaching using motivational interviewing and education Help patients navigate complex healthcare needs Address barriers including transportation, medications, and social determinants Partner with Providers Collaborate closely with primary care and specialists Align care plans and communicate patient needs effectively Support value-based care initiatives and performance goals What Makes This Role Different Manageable panel size ( Reduced ED visits and hospitalizations Improved chronic disease management High patient engagement and adherence Strong provider collaboration and trust Measurable improvement in quality metrics Who You Are You're proactive, organized, and relationship-driven.

Required: Active RN license (Michigan) 3-5+ years of clinical experience Experience in care coordination, ambulatory care, or chronic disease management Strong communication and critical thinking skills Preferred: Experience in ACO, population health, or value-based care Case management experience Familiarity with quality metrics (HEDIS, CMS, etc.) Certification (CCM, ACM, or similar) Why This Role Matters: This is where healthcare is going.

You'll help patients: Stay out of the hospital Better manage chronic conditions Navigate the system with confidence And you'll do it in a role that is structured to allow you to succeed. xrczosw

About Insight Insight is committed to improving care beyond the hospital through strong outpatient and population health programs that prioritize outcomes, access, and patient experience.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or other status protected by applicable law.

Insight is an Equal Opportunity Employer Workplace