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The Disease Specific Navigator coordinates care for defined patient populations, focusing on education and evidence-based clinical care. This role involves collaboration with healthcare providers to improve patient outcomes and reduce readmission rates.
Requirements summary
Candidates must be a Registered Nurse or Licensed Respiratory Care Practitioner with at least five years of clinical experience in acute or ambulatory care settings. Experience with the defined patient population and skills in education and case management are preferred.
associate degreeTeamworkCommunicationTime ManagementOrganizational SkillsAssessmentProcess ImprovementEducationEmpathyData AnalysisCollaborationCritical ThinkingPatient Care Coordination
Job description
Start the day excited to make a difference…end the day knowing you did.
Come join our team.
Job Summary: The Nurse Navigator coordinates the care of, and provides education to, defined patient populations to ensure evidence-based clinical care, promote patient self-management and achieve optimal clinical outcomes.
This position participates in and supports process improvement initiatives to achieve evidence-based care and organizational goals.
The Nurse Navigator collaborates with hospital leadership and healthcare providers across the care continuum to ensure patient and program needs are met.
Essential Functions & Responsibilities Coordinates care of the inpatient to include: Identification of patient/family readmission risk factors and barriers to care Adherence to evidence-based clinical guidelines Resource utilization Development of an individualized plan of care to include appropriate referrals Development of a transitional/post-discharge plan of care to reduce risk of readmission Communication of relevant patient and plan of care information across care continuum Provides/reinforces education to patients, families and caregivers to support patient self-management and achieve optimal clinical outcomes.
Analyzes and identifies readmission trends through chart review, patient/family interview and staff engagement, and develops processes to reduce readmissions.
Collaborates with leaders, physicians, nurses, allied health professionals and support staff across the care continuum to ensure program needs are met and facilitates improvement of outcomes.
Develops and implements protocol and processes to support provision of evidence based care in defined patient population.
Develops educational material and trains Associates involved in the care of defined patient population.
Actively participates in meetings and other care initiatives that support identified patient populations, eg, Readmission, Mortality Participates in regulatory reviews, as requested, to support hospital surveys and/or certifications.
Maintains competency of current evidence-based clinical guidelines for care of defined patient population through avenues such as self-education, attendance of conferences and participation in local/national networks.
Performs other duties as assigned.
Qualifications Registered Nurse licensed to practice in the state of Virginia required.
Associates Degree in Nursing is required.
Bachelors Degree in Nursing is preferred.
Minimum of 5 years' clinical experience in the acute care setting required.
Experience with electronic health records and computer proficiency with applications such as MS Word, Excel, and Access is preferred.
Demonstrated ability to work collaboratively with physicians and other healthcare providers in a professional manner.
Strong assessment, verbal and written communication skills, and organizational/time management skills.
Must be able to work autonomously, prioritize daily tasks and caseload activities to meet patient needs and turnaround times.
Must be comfortable with process changes and able to reprioritize goals.
Must possess solid listening skills and empathetic personality and demonstrate ability to utilize intuitive skills to engage diverse patient populations.
As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. Required Physical Requirements: Constant (67-100% of workday) use of arms and hands; frequent (34-66% of workday) standing, walking, and sitting; occasional (0-33% of workday) bending, stooping, and squatting; ability to lift 35 lbs.; ability to push and pull up to 20 lbs.; auditory and visual skills to include color determination.
Mental Requirements: Possesses critical thinking and analytical skills.
Ability to multi-task.
Ability to communicate effectively and collaborate with a multi-disciplinary team.
Capacity to cope with difficult situations.
Ability to tolerate irregular hours including evenings, nights, and weekends.
Environmental Requirements and Exposure Hazards: Potential risk of exposure to radiation and toxic chemicals.
Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment. “It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.” Working at Mary Washington Healthcare Whether you are a new grad, experienced clinical professional or wanting to begin a career in healthcare, there is no better place than Mary Washington Healthcare.
As a Great Place to Work-Certified™ company we treat our Associates like family – with respect, understanding, and communication.
Safety is our top priority As a healthcare system, patient and Associate safety is our priority which is why all Associates will be required to take the following vaccines*: Annual flu vaccine *MWHC reserves the right to amend this list at any time.
