RN Clinical Services Navigator

UVA Health Northern Virginia & Culpeper•Haymarket, VA

23h•$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 navigator collaborates with physicians, case managers, and other healthcare professionals to coordinate care and follow-up appointments. They work with case managers on medically or psychosocially complex cases, serve as a resource for care coordination, and maintain current knowledge of community resources, post-acute care, and ambulatory options. In this role, the navigator supports patients through surgical pathways, including education about ERAS protocols, recovery expectations, discharge planning, health promotion, mobility, and illness prevention. The navigator reviews records, assesses readiness and barriers, provides pre- and post-operative phone contact, coordinates services and follow-up, and tracks progress across the care continuum. The position also contributes to quality and safety work, pathway monitoring, interdisciplinary collaboration, and process improvement. Additional duties may be assigned. This is a full-time position with a Monday-through-Friday schedule from 8:00 a.m. to 4:30 p.m. The role may require travel between campus buildings, remote facilities, and out of town as needed, and may require safety equipment such as a HEPA mask. The listed base compensation range is $37.99–$54.63 per hour; individual compensation depends on qualifications, work experience, and/or education. Applicable incentive programs may also be available to eligible positions.

Requirements

Current RN licensure is required.
Effective communication skills for patient education and discussion of case management, financial, and clinical issues with case managers, physicians, outside agencies and facilities, nurses, and other community healthcare professionals.
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.
Proficient communicative, auditory, and visual skills, attention to detail, and ability to write legibly.

Nice To Haves

A four-year bachelor's degree is preferred.
Two years of experience is preferred.
Five years of clinical experience and knowledge in the care of a disease-specific population are preferred.
Certification in a specialized area is preferred.
National specialty certification is required, or must be obtained within two years, if applicable to the position.

Responsibilities

Facilitate care coordination from acute care to ambulatory settings and coordinate follow-up appointments.
Collaborate with physicians, case managers, and other healthcare team members, including on medically or psychosocially complex cases.
Provide patient and family education 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 support opportunities across the care continuum.
Connect patients and families with appropriate community resources and support services.
Maintain ongoing pre- and post-operative phone contact with patients 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, identifying trends and opportunities for improvement.
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 surgical readiness and recovery by reviewing records, identifying barriers, and escalating concerns to providers or case management.
Track and document patient progress across the continuum in alignment with clinical pathways and program metrics.
Coordinate services and follow-up appointments and ensure patients understand next steps in their care.
Maintain up-to-date knowledge of hospital services, community resources, post-acute care, and ambulatory options.
Perform additional duties as assigned.