Dementia Nurse Navigator - RN Opportunity

Private Practice Specializing in Geriatric Care; Virginia (MN); On-site; USD 75,000 - 95,000; Full time

Job summary

Private Practice Specializing in Geriatric Care is seeking a Dementia Nurse Navigator to join our interdisciplinary team. This RN role focuses on dementia care in the home and clinic, building strong relationships with families and coordinating care across providers.

Responsibilities include home safety assessments, MoCA testing coordination, caregiver support calls, care plan updates, documentation in Athena, and connecting families with community resources.

Qualifications

• Virginia RN license required.
• Minimum 2 years dementia care/geriatrics experience.
• CDP certification preferred.
• Knowledge of dementia behaviors and caregiver stress.
• Experience conducting cognitive assessments preferred.
• Strong communication, organization and documentation skills; Athena a plus.

Responsibilities

• Conduct home safety assessments and provide practical recommendations.
• Coordinate MoCA cognitive assessments or alternatives.
• Lead monthly caregiver support calls using GUIDE guidelines.
• Participate in IDT meetings and update care plans.
• Complete annual assessments and follow-up on safety concerns.
• Educate families on dementia progression, safety and symptom management.
• Document accurately in Athena and coordinate community resources.
• Assist families accessing in-home supports and respite options.
• Complete medication reconciliation and discuss Advance Care Planning.

Skills

Cognitive assessments

Care coordination

Home visits

Documentation

Interdisciplinary teamwork

Communication skills

Independent work

Education

Virginia RN license

Tools

Athena EHR

Job description

Job Description

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

• In-office work and home visits required
• Flexible scheduling within program needs
• Supportive, collaborative team culture with training provided

Qualifications

• Virginia RN license
• Minimum 2 years of experience in dementia care, geriatrics, home health, hospice, or primary care
• Certified Dementia Professional (CDP), preferred
• 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.