Navigator RN

CommonSpirit Health; Minnesota; Sur place; USD 70 000 - 100 000; Plein temps

Résumé du poste

CommonSpirit Health is seeking a dedicated RN Navigator to coordinate care across the clinical team within a physician office setting. This role emphasizes safety, quality, and adherence to best practices while managing program oversight, registry maintenance, and care transitions.

You will perform Medicare AWVs, maintain disease registries, generate provider reports, and support grant-related initiatives. Strong teamwork and proactive patient care are essential to success in this rural health

Qualifications

• Associates degree in nursing required.
• Minnesota RN license required.
• Bachelor's degree in nursing preferred.

Responsabilités

• Coordinate RPM program using real-time data to improve outcomes.
• Maintain the disease registry and identify overdue patients.
• Generate performance reports for providers and clinic leadership.
• Support grant-related initiatives and track key metrics for success.
• Coordinate and conduct Medicare Annual Wellness Visits (AWVs) according to CMS guidelines.
• Perform pre-visit chart reviews to identify gaps in preventive care and trigger standing orders.

Connaissances

Care coordination

Data analysis

Program oversight

Quality reporting

Formation

Associate Degree in Nursing

RN license MN

Bachelor Degree in Nursing

Description du poste

Job Summary and Responsibilities

As our RN Navigator, you will work collaboratively with physicians, staff and other health care professionals to provide a medical home and care coordination across the health care continuum for all patients within the physician office setting and is an integral member of the health care team who works to ensure safety, best practice and high quality standards of care are maintained.

Every day you will be responsible for coordinating a wide range of self-management support and disease registry activities for the clinic's entire patient population.

To be successful in this role, you will provide program oversight, registry maintenance, quality reporting, grant support, Medicare wellness visits, chart reviews, care transitions and behavioral coaching.

• Manage the Remote Patient Monitoring (RPM) program, utilizing real-time data to identify trends, intervene early, and improve outcomes for chronic disease patients
• Maintain the disease registry database, ensuring data integrity and identifying patients overdue for care, labs, or specialty referrals
• Generate and analyze performance reports for providers and clinic leadership to track progress against clinical goals (e.g., BP and glucose control)
• Serve as a core member of the Rural Health Transformation Fund team, implementing grant-related initiatives and tracking key metrics for success
• Coordinate and conduct Medicare Annual Wellness Visits (AWVs), ensuring comprehensive health risk assessments, personalized prevention plans, and documentation meet CMS requirements
• Perform comprehensive pre-visit chart reviews to identify gaps in preventive health, immunizations, and chronic care, initiating standing orders where appropriate to optimize provider efficiency

Job Requirements

Required

• Associate Degree in Nursing
• Registered Nurse: MN

Preferred

• Bachelor Degree in Nursing

Where You'll Work

CHI LakeWood Health provides long-term care, family practice-clinic, 15-bed critical-access hospital, public health and assisted living services. Nestled in Baudette, MN, just minutes from Lake of the Woods and Zippel Bay State Park. Enjoy nature's playground, lake living, trails, unique shopping, and dining! We serve patients and their loved ones in Lake of the Woods County and the surrounding area. Check out the link for more info on Baudette, MN https://www.ci.baudette.mn.us/.