Navigator RN

Job Summary and Responsibilities

You will serve as a vital member of our healthcare team, working collaboratively with physicians and staff to provide a comprehensive "medical home" and seamless care coordination across the healthcare continuum.

To thrive in this role, you must be a proactive collaborator deeply committed to safety and clinical excellence; you should be a natural bridge-builder who excels at working across multidisciplinary teams to ensure that our organizational mission, vision, and philosophy are reflected in every interaction.

Disease Registry & Quality Oversight

• Maintain the accuracy and currency of the disease registry database.
• Monitor patient compliance by identifying individuals overdue for visits, labs, or referrals and coordinating necessary follow-up care.
• Analyze clinical metrics (e.g., blood pressure, glucose levels) to identify patients not meeting goals and initiate follow-up interventions per established protocols.
• Generate comprehensive quality performance reports at the patient, physician, and clinic levels.

Pre-Visit Planning & Clinical Preparation

• Conduct thorough pre-visit chart reviews to identify required preventative health maintenance, immunizations, and chronic disease interventions.
• Execute clinical interventions prior to provider appointments when authorized by standing orders.
• Prepare and initiate office visit forms and pre-visit documentation to streamline provider workflows and improve care communication.

Patient Education & Self-Management Support

• Collaborate with patients and families to establish actionable short- and long-term chronic disease self-management goals.
• Assess and address medication adherence barriers for patients who are not meeting clinical outcome targets.
• Utilize the 5A’s framework to partner with patients in developing sustainable health behavior change plans.

Professional Development & Administrative Standards

• Contribute to the continuous improvement of clinical practices by integrating evidence-based guidelines and standardized protocols.
• Ensure all clinical documentation is recorded accurately, concisely, and in a timely manner using required formats.
• Participate in scheduled staff meetings to support ongoing information sharing and professional development activities.

Required Job Requirements

• Associate of Nursing Associate Degree in Nursing (ADN)
• Minimum of four (4) years experience as a RN
• Registered Nurse issued by the state of Minnesota
• Basic Life Support (BLS) from the American Heart Association (AHA)
• Preferred Bachelors of Science Degree in Nursing (BSN)