The Clinical Nurse Navigator I is a registered nurse responsible for the seamless coordination of care across the continuum for patients with complex, integration sensitive diagnoses. Serves as a patient advocate who coordinates care in conjunction with the physicians from time of diagnosis or admission through discharge or up to end of life. Educates patient and family/significant others on the health care experience; implements, coordinates, monitors and evaluates care options, services and resources. Links family/patient to appropriate resources as needed. Proactive in finding ways to enhance the patient experience clinically and in service. Provides an exceptional patient experience. Assists in quality improvement initiatives by gathering, tracking, and researching quality metrics. Monitors outcomes, e.g. patient satisfaction, compliance with treatment regimen and loyalty. Interacts with department Nurses, may orient and train incoming Clinical Nurses and Patient Care Assistants. Performs other duties as assigned. Specializations include: Oncology: May work with the Research team to identify and navigate patients into clinical trials. Metabolic and Bariatric Surgery (MBS): Primary liaison between hospital and MBS proceduralists, adhering to MBSAQIP Standards, attending required meetings, coordinating MBS Leadership Committee, program development and accreditation, developing staff/patient education, clinical pathways and protocols, monitoring patient outcomes and providing feedback for quality improvement initiatives. Community Health: Works with low income, uninsured and underinsured patients, providing case management and coordination of services in the community by identifying medical, psycho-social and economic conditions to ensure appropriate treatment and services are obtained. Develops health-related educational programs and delivers lectures or performs demonstrations. Provides health and wellness coaching, if certified. Women’s COE: Provides individualized support and guidance to expectant mothers and their families throughout the perinatal journey. Coordinates care, educates patients on pregnancy and childbirth, and assists with navigating/communicating with all team members involved in the patients’ journey. Serves as a trusted resource, advocate, and liaison between patients and healthcare providers, ensuring comprehensive and personalized care. Plans and runs multidisciplinary meetings and puts together care conferences. Brain Health Outreach Program (BHOP): Performs cognitive screenings, facilitates access to dementia services, develops dementia education for community and physician audiences, acts as internal and community-facing dementia liaison and collaborator, and assists in development of CBH volunteer program.
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Job Type
Full-time
Career Level
Entry Level