Nurse Navigator

Qualifications

License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration.

Preferred

• 1. Masters Degree in Nursing.
• Experience/Skills:
• Required: 1. Minimum of 5 years nursing experience. 2. Excellent teaching, consultation, and customer service skills. 3. Excellent critical thinking skills. 4. Demonstrates leadership experience. 5. Excellent verbal and written communications skills. 6. Computer literate with knowledge of Microsoft Office products.

Preferred

• 1. Skilled with utilization of EMR and other software. 2. Experience with Project Management. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III.
• Physical
• Demands and
• Environmental
• Conditions: Work is considered sedentary. Position requires work indoors in a patient care and office environment.
• Addendum
• FOR
• NURSE
• Navigator
• CANCER
• CENTER
• ROLE
• Position
• Summary: Same.
• Major
• Responsibilities:
• Same
• Differences in
• Qualifications:
• License/Certification/Education:
• Required: 1. Breast Nurse Navigators require accreditation through NAPBC.

Preferred

• 1. Oncology Certification preferred unless a Breast Nurse Navigator.
• Experience/Skills:
• Required: 1. Minimum of 5 years oncology experience in specific disease site (breast, lung, GI, etc) and post-surgical nursing. ADDENDUM FOR NURSE NAVIGATOR PALLIATIVE CARE ROLE

Position Summary

Same. Major Responsibilities: Same Differences in

Qualifications

License/Certification/Education: Preferred: 1. Palliative Care Certification. Experience/Skills: Preferred: 1. Previous Palliative Care experience. ADDENDUM FOR NURSE NAVIGATOR ORTHOPEDIC CARE ROLE

Position Summary

Same. Major Responsibilities – Differences if an APP is hired: 1. Responds to patient/family/provider issues and concerns in timely manner, including but not limited to writing prescriptions, interactions with post-acute care providers, obtaining imaging studies to identify possible complications, rounding on patient floors, and responding to tasks and triaging patient care or provider issues etc. 2. Develops relationships with post-acute care providers, including SNF, home health, inpatient rehab. Monitors patients' length of stay, condition, and is the point of contact for patient, family, and providers to assist in ED and readmission avoidance. 3. Assists in the development of clinical pathways and consistency of the care provided by our providers. Differences in Qualifications for All Staff: Experience/Skills: Preferred: 1. 2 years of previous Orthopedic care experience. 2. Previous experience with risk-based episodes of care. ADDENDUM FOR NURSE NAVIGATOR ENDOSCOPY (BUNDLE) CARE ROLE

Position Summary

Same. Major Responsibilities – Differences if an APP is hired: 1. Responds to patient/family/provider issues and concerns in timely manner, including but not limited to writing prescriptions, interactions with post-acute care providers, obtaining imaging studies to identify possible complications, rounding on patient floors, and responding to tasks and triaging patient care or provider issues etc. 2. Develops relationships with post-acute care providers, including SNF, home health, inpatient rehab. Monitors patients' length of stay, condition, and is the point of contact for patient, family and providers to assist in ED and readmission avoidance. 3. Assists in the development of clinical pathways and consistency of the care provided by our providers. Differences in Qualifications for All Staff: Experience/Skills: Preferred: 1. 2 years of previous Endoscopy care experience. 2. Previous experience with risk-based episodes of care. ADDENDUM FOR NURSE NAVIGATOR NEUROLOGY CLINIC ROLE

Position Summary

Same. Major Responsibilities: Same. Differences in

Qualifications

License/Certification/Education: Preferred: 1. Certification in Neurosciences. 2. Ambulatory Nurse or other ANCC certification. Experience/Skills: Preferred: 1. Experience in acute care and/or other Neurological disease specific conditions. ADDENDUM FOR NURSE NAVIGATOR STROKE ROLE

Position Summary

Same. Major Responsibilities: Same. Differences in

Qualifications

License/Certification/Education: Required: 1. Must have a minimum of eight hours of education per year on cerebrovascular disease and stroke. 2. Must obtain NIHSS and mRS certification within one month after start date. 3. Must obtain SCRN certification within 18 months after start date. Experience/Skills: Preferred: 1. Experience in acute care and/or other Neurological disease specific conditions. 2. Ambulatory Nurse or other ANCC certification. ADDENDUM FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ROLE

Position Summary

Same. Major Responsibilities: Same. Differences in Qualifications License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration.

Preferred

• 1. Master’s degree.
• Experience/Skills:
• Required: 1. Experience working with patients with COPD and asthma diagnoses, educating them in disease management, self-education in medication management and lifestyle changes. 2. Experience helping patients navigate the health care system in managing anxiety and depression related to chronic pulmonary disease.

Preferred

• 1. Experience triaging patients with pulmonary exacerbations (across post-acute care settings) with PCPs and pulmonologists to avoid ED visits and hospitalizations or readmissions. 2. Familiarity with Better Breathers Clubs to support COPD patients post discharge from hospital or post-acute SNF or inpatient rehab facility to help with ongoing education and emotional support in the community. Familiarity with smoking cessation programs and group support options, net-working opportunities for patients living with chronic lung disease. 3. Familiarity helping adults better manage their asthma by using programs such as
• Breathe
• Well,
• Live
• Well: The Guide to Managing Asthma at Home and Work as a tool to educate and empower patients to take control of their asthma. ADDENDUM
• FOR
• PRIMARY
• CARE
• FIRST
• AND
• Post-Acute
• CARE
• ROLE
• Position
• Summary: Same. Major Responsibilities Same.
• Differences in
• Qualifications
• License/Certification/Education:
• Required: 1. Bachelor’s degree in Nursing. 2. Current Massachusetts Registered Nurse licensure and registration.

Preferred

• 1. Master’s degree.
• Experience/Skills:
• Required: 1. Experience working with Medicare or attributed PCF / UMMACO beneficiaries with a mix of behavioral health conditions and multiple chronic conditions, assisting with medication review and reconciliation as they transition from one care setting to the next, educating them in disease management, self-education in medication management, recommending referrals to SUD/OUD addiction coaching or bridging clinic as needed 2. Experience helping patients navigate the health care system to obtain appropriate behavioral health services, psychiatric consults, access to therapy, guidance in managing anxiety and depression related to chronic disease (e.g. CHF, CKD), provide guidance in end-of-life care, recommend referrals to palliative care and hospice based on eligibility and suitability
• Preferred: 1. Experience triaging patients with multiple BH / SUD and medical co-morbidities across acute and post-acute care settings with PCPs and specialists (e.g. cardiologists, nephrologists, endocrinologists, urologists, neurologists, psychiatrists, therapists) to avoid ED visits and hospitalizations or readmissions 2. Provides education, information, and referral to specialized intervention programs, including but not limited to substance abuse detoxification, psychiatry consults, cardiac and pulmonary rehabilitation and wellness and prevention services. Advocates and works to resolve problems of patient access to these services. Follows up with patients to complete and evaluate social service referrals, working with medical and mental health providers as well as community service agencies to develop alternate plans when indicated 3. Establishes and maintains effective working relationships with community resources and agencies (HHAs, Hospices, community-based palliative care programs, mental health clinics, other CBOs) through telephone, electronic and/or direct contact. ADDENDUM FOR NURSE NAVIGATOR TB/HARM REDUCTION ROLE – OP NORTH AREA

Position Summary

Same. Major Responsibilities Same Differences in Qualifications License/Certification/Education: Preferred: 1. Experience in community settings treating TB, HIV, or Sexual Transmitted infections. Experience/Skills: Required: 1. Same. ADDENDUM FOR NURSE NAVIGATOR IN NUCLEAR MEDICINE AREA

Position Summary

Guides patients through the healthcare system for Nuclear Theranostics within Nuclear Medicine. Provides guidance for treatment, support, and follow up, by assisting with access issues, developing relationships with service providers and tracking interventions and outcomes. Promotes a positive work environment which emphasizes respect to our customers, patients, patients’ families, providers, caregivers, and other departments. Serves as a clinical expert in the care of these patients. Major Responsibilities 1. Point of contact for Theranostics. Responsible for coordination of care with other specialties such as Radiation Therapy, Radiation Oncology, and Cancer Center. 2. Facilitates the entry of patients into the diagnostic and/or treatment system and coordinates their care including family involvement. Follows the patients throughout the continuum of health care services across multiple departments, as it pertains to the theranostic treatment plan. 3. Responsible for Prior Authorization of treatment plan and associated imaging. 4. Orders radiopharmaceutical directly through supplier and communicate any changes as appropriate. 5. Maintain radiation safety training/awareness and triage phone calls regarding concern for exposure/contamination. 6. Support a training program for caretakers (internal and external) who need to be aware of these patients in our community. Differences in Qualifications License/Certification/Education: Same Experience/Skills: Required: Same.

Preferred

1. Previous experience in a Nurse Navigator position. 2. Previous clinical experience in Oncology. 3. Knowledge of radiology/radiation safety. ADDENDUM FOR NURSE NAVIGATOR IN HEART FAILURE DISEASE MANAGEMENT AND STRUCTURAL HEART PROGRAM

Position Summary

The Nurse Navigator is a member of a team that specializes in managing advanced heart failure/structural heart patients and the role is to support the medical team in providing highly specialized care. Works with inpatient Heart Failure and Structural Heart Team to identify patients and includes coordination of patient care across the continuum of care including: inpatient, outpatient, LTC, hospice, palliative care, and home care. Major Responsibilities – Same except for these additions: 1. Responsible for remote monitoring surveillance (HeartLogic and CardioMEMS) as necessary. 2. Develops and maintains patient database accurately, and able to interpret and analyze data to spot trends in care. 3. Provides education to staff and affiliated providers about Heart Failure Disease Management and Structural Heart Program. Differences in

Qualifications

Experience/Skills: Required: 1. Minimum of 3 years of Cardiology RN experience. 2. Ability to work in a strong team environment. 3. Excellent assessment and documentation skills. Proficient and accurate in documentation.

Preferred

1. Previous experience with Epic. ADDENDUM FOR NURSE NAVIGATOR IN INTERVENTIONAL RADIOLOGY

Position Summary

Same. Major Responsibilities, other than responsibilities listed in main part of JD. 1. Assist with optimization of patient’s pre-procedure including medication review/holds, chart review, pre-procedure clearance, and post-procedure navigation. Differences in Qualifications License/Certification/Education: None Experience/Skills: Required: 1. Minimum one year experience in surgical/procedural service line (eg. IR, vascular surgery). ADDENDUM FOR NURSE NAVIGATOR RADIOLOGY BREAST CENTER

Position Summary

Functions as an extension of the Radiologists within the Mammography division by assisting with process tasks, regulatory data entry and monitoring, and other duties to assist with Provider workflow. Major

Responsibilities

1. Assist with advanced imaging pre appointment coordination and patient Medical Record evaluation to determine appropriateness for procedure. Differences in Qualifications: Experience/Skills: Preferred: 1. Previous experience in a Nurse Navigator position. . 2. Radiology background. 3. Experience with Breast Imaging or Breast Oncology Care. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible. At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or “caregiver” fills an important role for our patients and their families every day. Who is a caregiver? It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.