Nurse Navigator - Population Health

About the role

Responsible for triaging incoming patient referrals, assessing needs, giving appropriate clinical dispositions, and facilitating referrals to WVU Medicine primary care and specialty care providers. This position educates patients when appropriate regarding immediate care advice and preventive behaviors, accompanies patients to appointments, and coordinates travel, accommodations, and itinerary.

Responsibilities

• Assess and facilitate coordination of multidisciplinary care across the care continuum.
• Provide communication, advocacy, and education in a culturally competent manner.
• Clinically triage new patient referrals efficiently to ensure timely access to care.
• Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and/or end-of-life care.
• Facilitate referrals within clinics by scheduling and coordinating clinic appointments, e-visits, or telehealth visits with a provider.
• Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address patient needs.
• Assess health literacy and educational needs of patients; provide clinical education about diagnosis, treatment, side effects, and post-treatment care.
• Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery.
• Bridge gaps in care and assess/troubleshoot care transitions and barriers to care.
• Document all conversations with patients to maintain a comprehensive medical record.
• Provide communication with referring providers and primary care providers.
• Provide direction/guidance to Patient Navigators.
• Participate in all service line team meetings.

Requirements

• Current unencumbered licensure with the WV Board of Registered Professional Nurses, or appropriate state board where services will be provided, as a registered professional nurse OR current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
• Three (3) years of registered nursing experience.

Preferred Qualifications

• Bachelor of Science in Nursing Degree (BSN).
• Obtain certification in Basic Life Support within 30 days of hire date.
• Care coordination experience.
• Outpatient/clinic experience.

Skills

• Ability to handle and maintain confidential information.
• Ability to work in a fast-paced and rapidly changing environment.
• Excellent oral and written communication skills.
• Strong organizational and motivational skills.

Physical Requirements

• Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, and grasping throughout the work shift.
• Ability to sit for extended periods of time.

Working Environment

• Standard office environment.
• Multiple clinic offices and ancillary testing departments.

Schedule

Primarily dayshift 7:00 AM – 7:00 PM with weekend and night rotations. Fully remote.

Scheduled weekly hours: 36.