Ortho Total Joint - Nurse Navigator RN
About The Position
The Orthopedic Joint Replacement Nurse Navigator RN coordinates and supports the full continuum of care for patients enrolled in the Joint Replacement Destination Center. The clinically focused role supports patient recovery, education, and outcomes from pre-operative planning through post-discharge follow-up, working closely with surgeons, inpatient nursing, therapy services, case management, and post-acute providers to promote safe, efficient, high-quality recovery. The position also coordinates elective orthopedic surgeries and monitors patient readiness and outcomes. It supports program goals, accreditations, and applicable CMS requirements, including the Patient-Reported Outcome Performance Measure (PRO-PM) program as part of the CJR-X Model.
Requirements
- Current Oregon registered nurse license.
- American Heart Association (AHA) BLS for Healthcare Providers.
- Bachelor's degree in Nursing.
- At least two years of relevant orthopedic nursing experience.
- Effective communication skills, including the ability to read, write legibly, and converse effectively in English.
- Ability to collaborate, prioritize, organize, exercise sound judgment and critical thinking, and manage multiple responsibilities in changing and stressful situations.
Nice To Haves
- Certification in the field of Orthopedics.
- Joint replacement, care coordination, or nurse navigation experience.
- Accreditation and/or program development experience.
Responsibilities
- Guide joint replacement patients and families through pre-operative education, surgical preparation, hospitalization, discharge planning, and post-operative recovery.
- Provide multidisciplinary education on expectations, same-day discharge, pain management, mobility, wound care, and recovery milestones.
- Serve as the primary clinical point of contact for joint replacement patients throughout their episode of care.
- Coordinate same-day discharge expectations with surgeons, inpatient leaders, nurses, and other stakeholders.
- Coordinate elective orthopedic surgeries, monitor the OR schedule with the OR scheduler, evaluate readiness for surgery, and manage an urgent wait list.
- Review patient readiness using validated tools.
- Identify clinical risks, including BMI, diabetes management, mobility limitations, and social barriers, and collaborate with providers to mitigate them before surgery.
- Coordinate durable medical equipment, therapy needs, and post-acute services.
- Coordinate discharge education and prepare patients and caregivers for transition home or to post-acute care.
- Conduct structured post-discharge follow-up by phone or approved digital platforms.
- Identify complications or recovery barriers and escalate concerns to the surgical team or provider as appropriate.
- Track joint replacement outcomes, including patient satisfaction, complications, readmissions, and functional recovery.
- Coordinate and maintain the Patient-Reported Outcome Performance Measure (PRO-PM) program as part of the CJR-X Model.
- Create annual goals and objectives that support patients, surgeons, accreditations, and applicable CMS programs; track relevant outcomes and communicate them regularly to orthopedic and OR teams.
- Collaborate effectively with medical departments and services, demonstrate positive leadership, and communicate and build teams effectively.
- Prioritize and organize multiple responsibilities, exercise good judgment and critical thinking, and work effectively under stress and changing requirements.
- Maintain regular, consistent, and punctual attendance.
Benefits
- Competitive pay.
- A wide array of benefits.
- Growth opportunities.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
