RN Navigator

Mosaic Community Health • Bend, OR

3d

About The Position

The RN Navigator is a registered nurse who provides clinical navigation and care
coordination for patients across Mosaic’s ambulatory continuum. Serving as a
consistent point of contact, the RN Navigator utilizes the nursing process to
deliver protocol‑driven guidance, risk‑stratified follow-up, and seamless
transitions among primary care, specialty partners, emergency departments, and
community services. The RN Navigator role is focused on high-risk patient
follow-up and complex care coordination utilizing the nursing process. This role
plays a critical part in ensuring seamless communication, timely follow-up, and
effective navigation of care for high-risk patients with complex needs. The RN
Navigator acts as a resource for urgent and complex referrals, coordinates with
both internal and external partners, and supports high-risk laboratory and
diagnostic follow-up.

Requirements

• Minimum two years of RN clinical experience in acute or ambulatory care preferred.
• Required: Associates degree
• Current, unrestricted Oregon RN License
• BLS/CPR Certification
• Valid Oregon State driver’s license
• Superior nursing process skills.
• Critical thinking and problem-solving skills.
• Excellent written, verbal, telephone and interpersonal communication skills.
• Familiarity/experience with client interaction on the telephone.
• Knowledge of community resources.
• Basic typing and computer skills and comfort with Microsoft Windows operating system.

Nice To Haves

• Care coordination experience in an ambulatory setting preferred.
• Experience working with pediatric patients preferred
• Preferred: Bachelor of Science in Nursing (BSN)
• EHR experience - EPIC experience a plus.
• Fluency in Spanish preferred.
• Involvement with quality improvement processes.
• Knowledge of health insurance plans, standard office policies and procedures as well as regulatory requirements including CLIA and OSHA standards.

Responsibilities

• Coordinate the care of complex and high-risk patients using evidence-based practice.
• Support patient care needs with external partners, to deliver seamless transitions among primary care, specialty providers, and other community services.
• Provide and support urgent and complex referral management, facilitating timely and appropriate patient care.
• Provide high-risk laboratory and diagnostic follow-up, ensuring prompt action on abnormal results and coordinating necessary interventions.
• Perform emergency department (ED) follow-up, contacting patients based on risk stratification to support safe transitions and continuity of care.
• Coordinate care needs for patients and/or caregivers in community settings (examples: ALFs, SNFs, foster homes, residential treatment facilities.)
• Provide patient and family member education on chronic disease management, acute conditions, and preventive health behaviors.
• Utilize standing orders to manage the care of patients.
• Perform patient outreach and/or follow-up as directed.
• Provide patient care within scope of nursing practice and current competencies, including telephone triage.
• Document all interactions in the EHR in a timely, thorough, and accurate manner
• Provide Population‑Specific Navigation (as assigned) – adult and pediatrics.
• Participate in QI initiatives, track navigator metrics (result turnaround, follow‑up completion, 30‑day ED return rates) and contribute to evidence‑based practice adoption.
• Maintain accurate, timely documentation aligned to nursing practice models, policies, and regulatory requirements.

Benefits

• Mosaic Community Health offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors!
• Of course, we also offer a great benefit package!

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree