Population Health Nurse Navigator (RN)

The Ohio State University Wexner Medical Center; Columbus (OH); On-site; USD 70,000 - 95,000; Full time

Job summary

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 and post-acute care models.

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

Qualifications

• Bachelor's level nursing degree required.
• Two years of clinical experience preferred, with emphasis on primary care, case management, or post-acute settings.

Responsibilities

• Managing complex and high-risk patient populations and facilitating timely follow-up.
• Supporting chronic and behavioral health needs and coordinating transitions of care.
• Connecting patients with community resources to address social and non-medical needs.

Education

Bachelor's Degree in Nursing

Job description

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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.

Thank you for your interest in working at Ohio State.

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.