Nurse Navigator

University of Miami; United States; On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Medical benefits

Dental insurance

Tuition remission

Job summary

The University of Miami Health System seeks a Rheumatology Nurse Navigator to provide proactive clinical navigation for new and complex rheumatology patients, coordinating care across providers and services.

You will lead two Patient Navigators, perform chart preparation, identify barriers, educate patients, and ensure closed-loop follow-through in collaboration with APRN and physicians.

Qualifications

• Valid State of Florida RN license.
• Bachelor’s degree in a relevant field.
• Minimum 2 years of related work experience.

Responsibilities

• Performs clinical chart preparation for new rheumatology patients by reviewing referral documentation, outside medical records, labs, imaging, medications, and prior evaluations before the initial visit.
• Identifies missing records or information needed for an effective evaluation and directs staff to obtain outstanding items.
• Reviews available referral information to identify patients needing additional clinical review or coordination before visits; escalates concerns to the APRN or physician as appropriate.
• Assesses barriers to care and coordinates resources to support timely access, continuity, and completion of the treatment plan.
• Provides high-level care coordination for complex rheumatology patients requiring multidisciplinary management.
• Serves as a clinical liaison among patients, caregivers, rheumatology providers, PCPs, external specialists, hospitals, and facilities.
• Provides patient and caregiver education, reinforces treatment plans, and explains next steps and follow-up needs.
• Coordinates continuity of care for patients needing outside records or multiple healthcare resources; follows up as needed.
• Leads day-to-day workflow of two Patient Navigators; prioritizes record retrieval, outreach, follow-ups, and documentation.
• Reviews unresolved Navigator cases to determine intervention needs by Nurse Navigator, RN, or APRN/physician.

Skills

Interpersonal skills

Communication

Data analysis

MS Office

Education

Bachelor's degree in relevant field

Tools

Microsoft Office

Job description

Core Job Summary

The Rheumatology Nurse Navigator provides proactive clinical navigation and coordination for new and complex rheumatology patients throughout the care continuum. The role focuses on pre-visit clinical chart preparation, identification of barriers to care, patient education, complex multidisciplinary coordination, and closed-loop follow-through. The Nurse Navigator serves as the day-to-day workflow lead for the Patient Navigators and collaborates with physicians, the APRN, Registered Nurses, CBOR staff, pharmacies, infusion services, and internal and external healthcare partners. Clinical direction and escalation are provided by the APRN and physicians; administrative matters such as payroll, HR, and staffing remain under the Division Administrator.

Core Responsibilities

• Performs clinical chart preparation for new rheumatology patients by reviewing available referral documentation, outside medical records, laboratory results, imaging, prior specialty evaluations, medication history, and other relevant clinical information before the initial visit.
• Identifies missing records, laboratory results, imaging, prior treatment information, or other documentation needed for an effective rheumatology evaluation and directs Patient Navigators to obtain outstanding information.
• Reviews available referral and clinical information to identify patients who may require additional clinical review, expedited attention, or coordination before the scheduled visit, and escalates concerns to the APRN or physician as appropriate.
• Assesses barriers to care and coordinates appropriate resources to support timely access, continuity, and completion of the treatment plan.
• Provides high-level care coordination for complex rheumatology patients, particularly those requiring multidisciplinary or cross-specialty management.
• Serves as a clinical liaison among patients, caregivers, rheumatology providers, primary care providers, external specialists, hospitals, facilities, and other departments involved in the patient's care.
• Provides patient and caregiver education, reinforces provider-directed treatment plans, and helps patients understand next steps, testing, referrals, and follow-up needs.
• Coordinates continuity of care for patients requiring outside records, specialty services, multiple healthcare resources, or complex follow-up.
• Leads the day-to-day workflow of the two Patient Navigators, including prioritization and assignment of record retrieval, PCP/facility outreach, routine patient follow-up, and documentation needs.
• Reviews unresolved or escalated Patient Navigator cases and determines whether the issue requires Nurse Navigator intervention, Registered Nurse clinical intervention, or APRN/physician review.
• Collaborates with the RNs to ensure clinical issues identified during navigation or chart preparation are appropriately routed and resolved without transferring routine back-end nursing work to the navigation function.
• Collaborates with the APRN and physicians regarding complex clinical coordination needs and escalates clinical concerns requiring advanced-practice or physician decision-making.
• Monitors navigation worklists and outstanding action items to promote closed-loop resolution before or after the patient's appointment, as appropriate.
• Supports quality-improvement activities related to new-patient readiness, access, continuity of care, patient experience, and navigation outcomes.
• Serves as a clinical resource to Patient Navigators, CBORs, and administrative staff regarding appropriate routing of patient-care needs.
• Maintains professional knowledge through continuing education and adheres to University and unit-level policies, procedures, documentation standards, and patient confidentiality requirements.
• This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Core Qualifications

• Bachelor’s degree in relevant field
• Valid State of Florida Registered Nurse (RN) license
• Minimum 2 years of relevant work experience

Knowledge, Skills and Attitudes: Ability to maintain effective interpersonal relationships. Ability to communicate effectively in both oral and written form. Skill in collecting, organizing and analyzing data. Proficiency in computer software (i.e., Microsoft Office).

Benefits

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

About the University of Miami

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status

Full time Employee Type: Staff

Mission

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation. The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride. The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings. Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019. The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.