Clinical RN Navigator – Multi-Specialty Clinic

Central Health•Austin, TX

3d•Hybrid

About The Position

The Nurse Navigator supports patients as they navigate complex healthcare environments to optimize care and outcomes. The role works autonomously and in collaboration with other healthcare team members, helping patients access care, address barriers, schedule outpatient and surgical procedures, and track interventions and outcomes. The Nurse Navigator also serves as a resource for staff and models the organization’s vision, mission, and values to support a positive patient experience and clinical outcomes. This is a hybrid position. The employee may work both at an approved offsite location and onsite at a primary location or multiple locations based on business needs.

Requirements

Graduation from an accredited school of nursing.
At least 2 years of nursing experience in an ambulatory clinic and/or hospital setting.
Unrestricted Registered Nurse license in the State of Texas; license must be maintained.
Basic Life Support (BLS) certification obtained through an approved American Heart Association or Red Cross program; certification must be maintained.
Knowledge of Joint Commission standards, HIPAA regulations, and the Quadruple Aim.
Strong relationship-building and customer and patient care skills.
Strong knowledge and competency in nursing practice and documentation requirements.
Ability to facilitate patient access across the healthcare continuum.
Strong problem-solving skills.
Excellent verbal and written communication skills.
Ability to collaborate with internal and external medical staff, partners, and organizations.
Commitment to quality, efficiency, and effectiveness.
Proficiency with Microsoft Office software tools in a systems environment.

Responsibilities

Collaborate with the patient’s care team—including primary care, specialists, home care, hospital staff, and others involved in care—to optimize clinical outcomes.
Review patients’ clinical progress and coordinate communications with referring, consulting, and primary care physicians.
Coordinate scheduling of appointments, outpatient diagnostics, and surgical procedures.
Track outcomes of referrals and treatments.
Communicate with primary care providers and other team members to support continuity of care within and outside the Central Health enterprise.
Participate in daily patient care huddles and weekly clinic staff informational huddles; in some cases, ensure huddles take place.
Advocate for patients and provide direction and support to patients and families.
Educate patients and family members about diagnoses, treatments, procedures, and medications.
Use AIDET during patient interactions to enhance the patient experience.
Use Motivational Interviewing or other behavior-change techniques to coach patients and assist with self-management.
Conduct transitions-of-care activities with medical home care management or Central Health case management teams for patients with complex health, social determinants of health, or behavioral health needs, or frequent hospital utilization.
Support provider teams with in-basket management, medication refills, and timely patient triage following established protocols.
Assist with developing departmental protocols, policies, and procedures.
Participate in continuous quality improvement projects to improve service quality for patients, families, and the healthcare system.
In collaboration with the Nurse Manager, maintain awareness of key performance indicators and metrics and coordinate interventions to prevent avoidable emergency room visits, hospital admissions, and readmissions.
Attend staff meetings and education offerings in person or via teleconference or online as required.
Support organizational initiatives that promote and maintain a positive workplace culture.
Perform other duties as assigned.