Dementia Nurse Navigator

Lange Recruiting; Richmond (VA); Hybrid; USD 85,000 - 105,000; Full time

Job summary

At Home Harmony is seeking a Dementia Nurse Navigator to join our interdisciplinary team and support families living with dementia. The role focuses on home visits, assessments, caregiver support, and care planning within a hybrid work model.

Ideal candidates are RNs with dementia care experience, strong communication skills, and proficiency with Athena EHR. Training and certification are provided as part of our program.

Qualifications

• Active Virginia RN license.
• Minimum 2 years in dementia care, geriatrics, home health, hospice, or primary care.
• Knowledge of dementia behaviors and caregiver stress.
• Experience conducting cognitive assessments (preferred).
• Strong communication, organization, and documentation skills.

Responsibilities

• Conduct home safety assessments, identify risks, and provide practical recommendations.
• Perform MoCA cognitive assessments or coordinate alternative testing.
• Lead monthly caregiver support calls using GUIDE-compliant questions.
• Participate in interdisciplinary team (IDT) meetings and update care plans.
• Complete annual assessments with timely follow-up on safety or care changes.
• Educate caregivers on dementia progression, communication, safety, and symptom management.
• Provide accurate and timely documentation in Athena.
• Assist families in accessing community resources, adult day programs, respite, and in-home supports.
• Complete medication reconciliation and identify when Advance Care Planning discussions are needed.

Skills

RN

Dementia care

Caregiver support

Documentation

EHRs

Independent work

Education

RN licensure (Virginia)

Tools

Athena EHR

Job description

At Home Harmony is redefining how seniors and their caregivers experience dementia support. Our innovative GUIDE Program brings compassionate, comprehensive dementia care directly into the home -empowering families, easing caregiver burden, and improving quality of life.

We are seeking a dedicated and skilled Dementia Nurse Navigator to join our growing interdisciplinary team. This role is ideal for an RN who is passionate about dementia care, enjoys building meaningful relationships with families, and thrives in a dynamic, mission-driven environment.

What You’ll Do

As a Dementia Nurse Navigator, you will serve as a trusted partner to individuals living with dementia and their caregivers. Key responsibilities include:

• Conduct home safety assessments, identify risks, and provide practical recommendations.
• Perform MoCA cognitive assessments or coordinate alternative testing.
• Lead monthly caregiver support calls using GUIDE-compliant questions.
• Participate in interdisciplinary team (IDT) meetings and contribute to care plan updates.
• Complete annual assessments and ensure timely follow-up on safety concerns or care plan changes.
• Educate caregivers on dementia progression, communication strategies, safety, and symptom management.
• Provide accurate and timely documentation in Athena.
• Assist families in accessing community resources, adult day programs, respite options, and in-home supports.
• Complete medication reconciliation and identify when Advance Care Planning discussions are needed.

Work Environment

• Hybrid role: in-office, remote, and home visits required
• Flexible scheduling within program needs
• Supportive, collaborative team culture with training provided

Qualifications

• Active Virginia RN license
• Minimum 2 years of experience in dementia care, geriatrics, home health, hospice, or primary care
• Knowledge of dementia behaviors, caregiver stress, and safety strategies (Dementia certifications preferred)
• Experience conducting cognitive assessments (preferred)
• Strong communication, organization, and documentation skills
• Comfortable working independently and managing a dynamic caseload
• Proficiency with EHRs; Athena experience is a plus
• Previous experience working with individuals living with dementia (additional training and certification provided)

Join a team that is transforming dementia care -one family at a time.

If you are compassionate, detail-oriented, and ready to make a meaningful impact, we would love to hear from you.