Nurse Navigator - Ortho/MSK

Duke Careers•Durham, NC

6d•Onsite

About The Position

The Nurse Navigator (NN) is a professional RN with service line specific clinical knowledge who offers individualized assistance across the care continuum to patients, families, and caregivers to expedite and coordinate care, and address health system barriers. The NN assumes responsibility for the coordination of patient care through interdisciplinary and multidisciplinary collaboration to achieve optimal patient outcomes with a focus on high risk patients or those with complex care needs (including multidisciplinary care). The NN has a particular focus on improving transitions in care and adherence to care. Additionally, the NN functions as a clinical advocate and educator for patients. The NN assists to build and maintain community relationships to provide expedient and reliable access to quality care. The NN identifies and alleviates stressors during transitions and barriers to care with the aim to deliver a seamless model of care that benefits patients, family members, providers, and the healthcare team.

Requirements

BSN required.
Must have current or compact RN licensure in the state of North Carolina.
BLS required.
Three years of experience of specialty specific nursing in a hospital, clinic, or community setting.
Metric tracking skills

Nice To Haves

Specialty certification and/or MSN preferred.
Experience in nurse navigation preferred.
Completion of national nurse navigation training preferred.

Responsibilities

Assess and facilitate coordination of multidisciplinary care across the care continuum.
Provide communication, advocacy, and education in a culturally competent manner.
Clinically triage new patient referrals efficiently, to ensure timely access to care.
Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and end of life care.
Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address needs of patients.
Targeted symptom assessment and management for identified patient population.
Assess health literacy and educational needs of patient.
Provide clinical education about diagnosis, treatment, side effects, and post- treatment care.
Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery.
Bridge gaps in care, and assess/troubleshoot care transitions and barriers to care.
Facilitate advanced care planning and transition of active treatment to palliative or end-of-life care.
Document all patient encounters in EPIC.
Enhance access to therapeutic clinical trials and optimize communication with patients, families and investigators regarding therapeutic clinical trials, including patient-specific education about clinical trials.
Encourage and empower patients to actively participate in decision-making about their treatment and care.
Possess leadership skills including staff education, preceptorship, patient education, and participate in process improvement initiatives.
Practice according to professional and legal standards.
Maintain navigation services documentation according to program standards.