Nurse Navigator (RN) - Nephrology

Advocate Health; Winston-Salem (NC); On-site; USD 75,000 - 95,000; Full time

Job summary

Advocate Health in Winston-Salem, NC is seeking a seasoned registered nurse to provide continuity of care across care settings. You will complete nursing assessments, develop interdisciplinary care plans, and educate patients and families while coordinating with a multidisciplinary team to ensure smooth transitions.

The role emphasizes patient education, advocacy, and leadership in quality improvement, with focus on age-appropriate care and collaboration with physicians and other professionals

Qualifications

• Bachelor's Degree in Nursing is required.
• Typically requires 5 years of nursing experience including assessments, care plan development, and patient education.
• Knowledge of quality and acute patient care needs; ability to address physical, emotional, psychosocial and spiritual needs.
• Excellent analytical and interpersonal communication skills to collaborate with families, patients, physicians and payers.
• Ability to work well with physicians and other professionals in a collaborative manner.

Responsibilities

• Provide continuity of care by ensuring smooth transitions between care settings and coordinating with the multidisciplinary team.
• Complete nursing assessments to identify individualized patient needs and develop interdisciplinary care plans.
• Educate patients and families, address psychosocial needs, advocate, and ensure continuity of care throughout diagnosis, treatment and follow-up.
• Provide expert clinical guidance to the team in designing teaching plans and discharge planning including wellness and health maintenance within designated specialty.
• Coordinate timely, evidence-based care across the continuum to achieve best patient outcomes.
• Develop or select patient education materials and deliver education/outreach to patients, Advocate staff, and community.
• Assist leadership in developing program vision, goals and objectives and support quality programs with outcomes.

Skills

Interpersonal communication

Analytical skills

Nursing knowledge

Care coordination

Education

Bachelor's Degree in Nursing

Job description

Major Responsibilites:

• Provides continuity of care by ensuring smooth transitions between care settings. Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
• Completes a nursing assessment to identify the patient's individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care.
• Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care. Navigates patients and family members throughout the diagnosis, treatment and follow-up of the patient throughout the continuum of care.
• Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty.
• Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes.
• Evaluates, selects or designs patient education materials on specific disease site programs. Provides education and outreach programs to patients, Advocate staff and to members of the community.
• Assist leadership in developing program vision, goals and objectives. Assists in the development, implementation and maintenance of quality programs that include best practice patient care outcomes including quality of life, and enhanced patient loyalty.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served.
• Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
• Age-specific information is developed further in the departmental job standards.

Licensure, Registration, and/or Certification Required:

• Registered Nurse license issued by the state in which the team member practices, and

Education Required:

• Bachelor's Degree in Nursing.

Experience Required:

• Typically requires 5 years of experience in nursing that includes performing nursing assessments, care plan development, and educating patients.

Knowledge, Skills & Abilities Required:

• Working knowledge of the components of quality and acute patient care needs.
• Maintains clinical expertise to effectively manage physical, emotional, psychosocial and spiritual needs of patients throughout the care continuum.
• Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians, and third-party payers.
• Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.

Physical Requirements and Working Conditions:

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.