Clinical Services Navigator RN - Gainesville Imaging

UVA Health Northern Virginia & Culpeper•Gainesville, VA

4d•Onsite

About The Position

We are ushering in a new era of healthcare where achieving good health is just the beginning. At UVA Community Health, part of the world-class UVA Health academic health system, we are committed to caring for the whole person by building meaningful connections with our patients in the local setting of UVA Health’s community hospitals, outpatient locations, and provider offices. By combining our team’s talent and expertise, the breadth of capabilities across the entire UVA Health system, and our dedication to community wellness, we are bringing expert care close to home. As a member of the UVA Community Health team, individuals contribute to patient care decisions, support advanced medical technologies, and experience the satisfaction of making a difference in people’s lives every day. Role: Breast Nurse Navigator at Gainesville Imaging Center

Requirements

RN required.
Demonstrates effective communication skills to provide patient education.
Demonstrates effective communication skills to discuss case management, financial, clinical issues with hospital-based case managers, physicians, outside agencies and facilities, nurses, and other healthcare professionals in the community.
Autonomous, self-starter with the ability to make independent decisions.
Organized with effective time management skills.
Detail oriented with ability to facilitate change and affect positive results.
Proficient in computer/web-based tools.
Constant standing, frequently walking, and bending/stooping.
Proficient communicative, auditory, and visual skills.
Attention to detail and ability to write legibly.
Ability to lift/push/pull 100 lbs. For any weight over 35 lbs., use Safe Handling Equipment.
May require the use of safety equipment, such as HEPA mask, for infection prevention.
On call responsibilities as directed.
Ability to travel between campus buildings, remote facilities, and out of town as needed.

Nice To Haves

4 Year/Bachelor's Degree preferred.
2 years of experience preferred.
5 years of clinical experience with knowledge in the care of disease specific population preferred.
Certified in specialized area preferred.
National specialty certification required, or obtained within 2 years, if applicable to position.

Responsibilities

Facilitate care coordination from acute to ambulatory and is a valued member of the healthcare team.
Collaborate with Physicians, Case Managers, and other members of the healthcare team to facilitate coordination of care and follow-up appointments to the ambulatory setting.
Collaborate with Case Managers for guidance with medically and/or psychosocially complex cases.
Serve as a resource for care coordination.
Maintain current knowledge of available community resources, post-acute care and ambulatory options.
Provide patient and family education regarding the surgical pathway, 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.
Recommend and connect patients/families to appropriate community resources and support services.
Provide ongoing patient phone contact pre- and post-operatively to ensure understanding, readiness, and continuity of care.
Collaborate with interdisciplinary teams to achieve desired quality outcomes (e.g., reduced LOS, readmission prevention, infection reduction, and same-day discharge targets).
Monitor patient outcomes and pathway adherence to identify trends and opportunities for improvement.
Apply principles of safety and infection prevention in all patient interactions.
Participate in quality initiatives, audits, and process improvement activities to support departmental and organizational goals.
Demonstrate strong interpersonal and communication skills in interactions with patients, families, and colleagues.
Function as a central point of contact for patients, ensuring consistent messaging across the care team.
Collaborate effectively with physicians, nursing, PT/OT, anesthesia, and case management to coordinate care and discharge planning.
Participate in interdisciplinary rounds, staff meetings, and care conferences to support shared goals.
Identify opportunities for process improvement and communicate feedback from staff and patients to leadership.
Demonstrate knowledge of orthopedic care pathways, including ERAS protocols, pain management principles, and discharge criteria.
Assess patient readiness for surgery and recovery by reviewing records, identifying barriers, and escalating concerns appropriately to providers or case management.
Track and document patient progress across the continuum to ensure alignment with clinical pathways and program metrics.
Support transitions of care by scheduling follow-up appointments, coordinating services, and ensuring patients understand next steps in their care journey.
Maintain up-to-date knowledge of hospital services, community resources, post-acute care, and ambulatory options to support patient needs.
May be asked to perform additional duties as assigned.