Population Health Nurse Navigator

The Ohio State University; Columbus (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

The Population Health Nurse Navigator at The Ohio State University serves as a care coordination expert within a multidisciplinary team. You will advocate for patients, coordinate navigation across value-based care programs, and connect patients and families with necessary services to improve outcomes and access.

You will manage high-risk populations, support follow-up and primary care connections, and help divert avoidable hospital utilization through community resources and home-based care

Qualifications

• Bachelor’s Level Degree in Nursing from a CCNE or ACEN accredited program required.
• Current Ohio RN licensure.
• Minimum of three years of recent clinical experience preferred; five years in primary care, case management, or post-acute settings highly desirable.

Responsibilities

• Coordinate patient-centered care and education across the healthcare continuum.
• Advocate for patients and navigate value-based care, CICIP-funded programs, and home-based/post-acute models.
• Facilitate timely follow-up and primary care connections; support chronic and behavioral health needs.
• Divert avoidable inpatient/ED utilization by linking to outpatient, community, and home-based services.

Skills

Clinical judgment

Communication

Collaboration

Independence

Preceptorship

Education

BSN

Ohio RN licensure

Job description

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Job Title:Population Health Nurse NavigatorDepartment:Shared Services | Population Health Administration

The Population Health Nurse Navigator functions as a member of the multidisciplinary team to provide patient-centered care coordination, education, advocacy, and navigation for patients enrolled in value-based care, CICIP-funded programs and other home-based and post-acute care models.

The role focuses on improving outcomes by coordinating safe and effective transitions across the healthcare continuum and supporting patients in accessing appropriate medical, behavioral health, community, and home-based services.

The Nurse Navigator serves as an advocate, navigator, collaborator, educator, and care management expert by identifying and addressing barriers to care, promoting self-management and prevention, coordinating services, supporting medication adherence, and connecting patients and caregivers with appropriate resources.

The role partners with patients, families, providers, and multidisciplinary teams to ensure patients receive the support, resources, and coordination needed to navigate the healthcare system and achieve their health goals.

Key responsibilities include managing complex and high-risk patient populations, facilitating timely follow-up and primary care connections, supporting chronic and behavioral health needs, coordinating transitions of care, and connecting patients with community resources to address social and non-medical needs. The Nurse Navigator works to divert preventable inpatient and Emergency Department utilization to appropriate outpatient, community, and home-based settings, with the goals of improving patient outcomes and experience, reducing avoidable healthcare utilization and costs, and increasing delivery of recommended preventive services.

Minimum Education Required

Bachelor’s Level Degree in Nursing from a CCNE (Commission on Collegiate Nursing Education) or Accreditation Commission for Education in Nursing (ACEN) accredited nursing program required.

Required Qualifications

A Bachelor of Science in Nursing (BSN) required, current Ohio RN licensure. A minimum of three years of recent clinical experience is preferred, with five years and experience in primary care, case management, or post-acute settings (home health, SNF, or LTACH) highly desirable. Candidates should have knowledge of evidence-based practice, disease-specific processes, healthcare technology, payer protocols, and the healthcare continuum. The role requires strong clinical judgment, problem-solving, communication, interpersonal, and collaboration skills, with the ability to work independently and navigate complex patient needs. Supervisory or preceptor experience is highly desired.

Additional Information

Location:Ackerman Rd, 660 (0242)Position Type:RegularScheduled Hours:40 Shift:First Shift

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

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The university is an equal opportunity employer, including veterans and disability.