Clinical Services Navigator RN

UVA Health•Gainesville, VA

5d•$38 - $55

About The Position

The Clinical Services Navigator facilitates care coordination from acute to ambulatory settings as a 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 care-coordination resource, and maintain knowledge of community resources, post-acute care, and ambulatory options. The position supports patients throughout the surgical pathway, including education about ERAS protocols, recovery expectations, and discharge planning. It involves reviewing records, identifying care needs and barriers, maintaining patient contact before and after surgery, coordinating transitions and follow-up services, and working with interdisciplinary teams to support quality and safety goals. The role may include additional duties as assigned. This is a Monday–Friday position with no weekends or holidays. Travel to the Culpeper location is required two days per week. On-call responsibilities may be assigned, and travel between campus buildings, remote facilities, and out of town may be needed. The role may require use of 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.

Requirements

Registered Nurse (RN) licensure required.
Demonstrated effective communication skills for patient education and discussion of case-management, financial, and clinical issues with healthcare professionals and outside agencies.
Ability to work autonomously, take initiative, and make independent decisions.
Organizational 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: constant standing, frequent walking, bending/stooping, communicative, auditory, and visual skills, attention to detail, legible writing, and ability to lift, push, or pull up to 100 pounds. Safe-handling equipment is required for weights over 35 pounds.
Ability to travel between campus buildings, remote facilities, and out of town as needed.
Ability to fulfill on-call responsibilities as directed.

Nice To Haves

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.
National specialty certification required, or to be obtained within two years, if applicable to the position.

Responsibilities

Coordinate care from acute to ambulatory settings and arrange 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 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 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 to identify trends and improvement opportunities.
Apply safety and infection-prevention principles in patient interactions.
Participate in quality initiatives, audits, process improvement activities, interdisciplinary rounds, staff meetings, and care conferences.
Serve as a central point of contact for patients and promote consistent communication across the care team.
Coordinate care and discharge planning with physicians, nursing, PT/OT, anesthesia, and case management.
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 as appropriate.
Track and document patient progress across the continuum and support alignment with clinical pathways and program metrics.
Schedule follow-up appointments, coordinate services, and ensure patients understand next steps in their care.
Maintain current knowledge of hospital services, community resources, post-acute care, and ambulatory options.
Perform additional duties as assigned.