Patient Care Navigator RN

Saint Luke's Physician Group•Kansas City, MO

About The Position

Patient Navigation & Care Coordination Serve as the primary point of contact for ACHD patients, assisting with appointments, referrals, and follow-up care. Coordinate multidisciplinary care including cardiology, cardiac surgery, maternal-fetal medicine, electrophysiology, social work, and other specialty services. Facilitate smooth transitions from pediatric to adult congenital care. Ensure continuity of care by tracking diagnostic testing, procedure scheduling, and post-visit follow-up. Identify patient needs and barriers, collaborating with the team to develop individualized care plans. Patient Education & Support Provide condition-specific education and resources to patients and families to promote understanding and self-management. Educate patients on long-term follow-up care, lifestyle recommendations, and the importance of routine ACHD surveillance. Support patients emotionally by promoting coping strategies and connecting them to appropriate support services. Program Support & Communication Communicate consistently with physicians, advanced practice providers, nursing staff, and testing departments to ensure efficient patient flow. Assist in data collection for quality improvement, registries, and accreditation requirements (AHA/ACC ACHD Program standards). Participate in ACHD team meetings, case conferences, and program development initiatives. Collaborate with community partners, referring providers, and regional hospitals to enhance access to ACHD care. Documentation & Compliance Maintain accurate documentation of patient interactions, care plans, and navigation activities within the electronic health record (EHR). Ensure all navigation practices comply with institutional policies, accreditation standards, and regulatory guidelines

Requirements

Strong understanding of congenital heart disease and adult cardiac care principles.
Excellent communication, patient advocacy, and interpersonal skills.
Ability to work independently while functioning as part of a collaborative, multidisciplinary team.
Strong organizational skills with the ability to manage complex care pathways.
Proficiency with electronic health records and clinical documentation.
2–4 years clinical experience in cardiology, congenital cardiac care, critical care, or a related specialty required.
Basic Life Support - American Heart Association or Red Cross
Registered Nurse - Various
Bachelor's Degree required or 5+ years experience in lieu of a degree.

Nice To Haves

Experience with ACHD or pediatric congenital heart disease strongly preferred.
Care coordination or patient navigation experience is a plus.

Responsibilities

Serve as the primary point of contact for ACHD patients, assisting with appointments, referrals, and follow-up care.
Coordinate multidisciplinary care including cardiology, cardiac surgery, maternal-fetal medicine, electrophysiology, social work, and other specialty services.
Facilitate smooth transitions from pediatric to adult congenital care.
Ensure continuity of care by tracking diagnostic testing, procedure scheduling, and post-visit follow-up.
Identify patient needs and barriers, collaborating with the team to develop individualized care plans.
Provide condition-specific education and resources to patients and families to promote understanding and self-management.
Educate patients on long-term follow-up care, lifestyle recommendations, and the importance of routine ACHD surveillance.
Support patients emotionally by promoting coping strategies and connecting them to appropriate support services.
Communicate consistently with physicians, advanced practice providers, nursing staff, and testing departments to ensure efficient patient flow.
Assist in data collection for quality improvement, registries, and accreditation requirements (AHA/ACC ACHD Program standards).
Participate in ACHD team meetings, case conferences, and program development initiatives.
Collaborate with community partners, referring providers, and regional hospitals to enhance access to ACHD care.
Maintain accurate documentation of patient interactions, care plans, and navigation activities within the electronic health record (EHR).
Ensure all navigation practices comply with institutional policies, accreditation standards, and regulatory guidelines