RN Clinical Services Navigator

UVA Community Health•Haymarket, VA

19h•$38 - $55

About The Position

The Clinical Services Navigator RN facilitates care coordination from acute care to ambulatory settings and serves as a valued member of the healthcare team. The role collaborates with physicians, case managers, and other healthcare professionals to coordinate care and follow-up appointments, and works with case managers on medically or psychosocially complex cases. The navigator serves as a care-coordination resource and maintains current knowledge of community resources, post-acute care, and ambulatory options. The position provides patient and family education about surgical pathways, ERAS protocols, recovery expectations, and discharge planning. It includes ongoing pre- and post-operative phone contact, review of records to identify needs and barriers, coordination of follow-up care and services, and tracking of patient progress across the care continuum. The navigator also collaborates on quality and safety goals, participates in audits and improvement activities, and serves as a central point of contact for patients and the care team. This is a full-time position with a Monday through Friday schedule, 8:00 a.m. to 4:30 p.m. The role may require on-call responsibilities as directed, travel between campus buildings and remote facilities, and use of safety equipment such as a HEPA mask for infection prevention. The position has medium-to-heavy physical demands, including constant standing, frequent walking, bending or stooping, and the ability to lift, push, or pull up to 100 pounds; Safe Handling Equipment must be used for weights over 35 pounds. The base compensation range is $37.99 to $54.63 per hour. Individual compensation depends on qualifications, work experience, and/or education. The stated range does not include applicable incentive compensation programs.

Requirements

Current RN licensure is required.
National specialty certification is required, or must be obtained within two years if applicable to the position.
Effective communication skills for patient education and for discussing case-management, financial, and clinical issues with healthcare professionals and outside agencies or facilities.
Ability to work autonomously, take initiative, and make independent decisions.
Organization and effective time-management skills.
Attention to detail and ability to facilitate change and achieve positive results.
Proficiency with computer- and web-based tools.
Ability to meet the stated physical demands, including constant standing, frequent walking, bending or stooping, and lifting, pushing, or pulling up to 100 pounds; Safe Handling Equipment is required for weights over 35 pounds.

Nice To Haves

Four-year bachelor's degree preferred.
Two years of experience preferred.
Five years of clinical experience with knowledge of care for a disease-specific population preferred.
Certification in a specialized area preferred.

Responsibilities

Facilitate care coordination from acute care to ambulatory settings.
Coordinate care and follow-up appointments with physicians, case managers, and other healthcare team members.
Collaborate with case managers on medically and/or psychosocially complex cases.
Serve as a resource for care coordination and maintain knowledge of community resources, post-acute care, and ambulatory options.
Educate patients and families about surgical pathways, ERAS protocols, recovery expectations, and discharge planning.
Reinforce health promotion, mobility, and illness-prevention strategies in collaboration with the care team.
Review patient records to identify needs, barriers, and opportunities for support across the care continuum.
Connect patients and families with appropriate community resources and support services.
Contact patients by phone before and after surgery to support understanding, readiness, and continuity of care.
Collaborate with interdisciplinary teams to support quality outcomes, including reduced length of stay, readmission prevention, infection reduction, and same-day discharge targets.
Monitor patient outcomes and pathway adherence to identify trends and improvement opportunities.
Apply safety and infection-prevention principles in patient interactions.
Participate in quality initiatives, audits, and process-improvement activities.
Serve as a central point of contact for patients and support consistent communication across the care team.
Collaborate with physicians, nursing, PT/OT, anesthesia, and case management on care coordination and discharge planning.
Participate in interdisciplinary rounds, staff meetings, and care conferences.
Communicate process-improvement opportunities and feedback from staff and patients to leadership.
Assess readiness for surgery and recovery by reviewing records, identifying barriers, and escalating concerns to providers or case management.
Track and document patient progress across the care continuum in alignment with clinical pathways and program metrics.
Schedule follow-up appointments, coordinate services, and ensure patients understand next steps in their care.
Perform additional duties as assigned.