Population Health Nurse Navigator

The Ohio State University; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

The Ohio State University is seeking a Population Health Nurse Navigator to join the Shared Services | Population Health Administration. This role focuses on patient-centered care coordination, education, advocacy, and navigation for patients in value-based care and post-acute programs, aiming to improve outcomes across the healthcare continuum.

Responsibilities include managing high-risk populations, facilitating follow-ups, supporting behavioral health needs, coordinating transitions, and

Qualifications

• Current Ohio RN licensure.
• Minimum of two years of recent clinical experience; five years in primary care, case management, or post-acute settings (home health, SNF, LTACH) highly desirable.
• Supervisory or preceptor experience is highly desired.

Responsibilities

• Coordinate care transitions across the healthcare continuum to improve outcomes.
• Educate, advocate, and navigate for patients enrolled in value-based care and post-acute programs.
• Support medication adherence and connect patients with appropriate community resources and services.
• Facilitate timely follow-up with primary care and manage high-risk patient populations.
• Divert preventable inpatient and Emergency Department utilization to outpatient or home-based settings.

Education

Bachelors Degree in Nursing

Job description

Job Title:

Population Health Nurse Navigator

Department:

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.

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.

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
Current Ohio RN licensure. A minimum of two years of recent clinical experience is required, with five years and experience in primary care, case management, or post-acute settings (home health, SNF, or LTACH) highly desirable. Supervisory or preceptor experience is highly desired.

Location:

Ackerman Rd, 600 (2435)

Position Type:

Regular

Scheduled 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. _

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