RN Care Navigator: Patient-Centered Care

Johnson Health Center; Lynchburg (VA); On-site; USD 65,000 - 95,000; Full time

Job summary

Johnson Health Center is seeking a Care Manager who collaborates with patients, families, and the care team to promote a patient-centered model of care. The CM assesses, plans, coordinates, and evaluates needs to create an actionable care plan focused on preventing disease progression and reducing ED visits.

The role emphasizes health literacy, self-management, and care coordination across services, with a focus on maintaining patient stability and engagement in their health journey.

Qualifications

• Licensed RN or LPN in Virginia in good standing.
• Experience in care management or care coordination.
• Ability to educate patients and promote self-management.

Responsibilities

• Identify high-risk patients and coordinate care plans.
• Educate patients to empower self-management and health literacy.
• Coordinate with care team to implement and monitor care plans.
• Monitor and support transitions of care post-discharge.
• Provide patient education and scheduling guidance.

Skills

Care coordination

Patient education

Communication with care team

Health literacy advocacy

Education

RN or LPN licensed in Virginia

CCM certification (preferred)

Job description

Johnson Health Center is seeking a Care Manager who collaborates with patients, families, and the care team to promote a patient-centered model of care. The CM assesses, plans, coordinates, and evaluates needs to create an actionable care plan focused on preventing disease progression and reducing ED visits.

The role emphasizes health literacy, self-management, and care coordination across services, with a focus on maintaining patient stability and engagement in their health journey.