Clinical Nurse Navigator - Surgical Specialties

Good Shepherd Health Care System Hermiston, OR, US

Overview

Employer Paid Medical, Dental, and Vision Benefits!

Min $39.36 Max $63.83

Surgical Specialties Clinic

Days

40 Hours per week

Definition of Position:

This position provides comprehensive clinical and administrative support to healthcare providers, including direct patient care, electronic health record management, coordination of referrals and prior authorizations, and administrative functions essential to clinic operations. This position serves as the day-to-day navigator of clinical needs including, but not limited to: surgery scheduling, navigation between clinic and OR/cath lab, pre- and post-operative vascular education, and direct scheduling/scheduling of procedures, etc., and supervises the development, implementation and organization of the overall program collaborating with multidisciplinary teams. Coordinates the efforts between surgeons, Hospital administration, nursing leadership, clinic administration, and staff while tracking the progress of the program and identifying areas that require attention. Is responsible for all program management, report generation and review, process improvement, patient satisfaction and administrative activities of the program. The Clinic RN Navigator works under the supervision of the Clinic Nursing Supervisor or Practice Manager, collaborating as part of an integrated healthcare team to ensure efficient clinical workflow and optimal patient outcomes.

Responsibilities

Essential Job Functions:

Initiates the clinical program project plans as outlined and establishes and maintains project completion schedules.
Ensures that the program meets all applicable state and federal accreditation standards.
Introduce patients to the Health System.
Serves as a consistent contact for patient/family throughout the process of diagnosis and treatment.
Navigates patients between the clinic and OR/cath lab settings, serving as a dedicated point of contact to support efficient patient flow to surgery and reduce incoming patient phone calls and inquiries.
Completes medication list review and provides provider support, including in other areas of the surgical specialties clinic as needed.
Provides individualized information, support and education.
Coordinates appointments for consultations and physician visits.
Notify primary care and specialty care providers when patient is admitted to the hospital if applicable.
Reinforces and assesses pre- and post-operative instructions and provides further education as appropriate.
Responsible for the guidance and coordination of care for patients and their caregivers through the continuum of care.
Ensures data is collected, reviewed and analyzed monthly for display on dashboards. Develops and implements action plans accordingly based on outcomes data. Collaborates with other disciplines using an integrated approach toward achieving optimal patient outcomes.
Responsible for PI and other metrics to determine effectiveness with all levels of care providers to optimize the patient care experience. Compiles and analyses quantitative and qualitative data, including benchmark data, and shares analysis with the leadership team and senior management.
Identifies and anticipates patient and/or provider needs and develops evidence-based quality programs to meet those needs. Ensures delivery of quality services for patients.
Interacts with clinic leadership and Marketing to set up activities and education at the request of the hospital and the request of community groups and organizations
Collaborates with outreach/education coordinators for all service lines in the preparation and delivery of community and professional education programs. Assists in the development and presentation of educational programs geared toward primary care physicians, surgeons, staff and community.
Maintains a thorough knowledge and understanding of evidence based/best practice.
Revises and monitors educational materials to ensure that they are coordinated, understandable and meet the program standards.
Protect patient confidentiality by promoting professional staff communications.
The employee supports the hospital mission, vision, values, policies, and procedures.
Participates in required education for DNV programs as applicable to position. (reference program education curriculum).

Conduct comprehensive nursing assessments and vascular surgery-specific nursing visits, including pre-operative vascular workups and post-operative follow-up visits
Perform post-operative wound checks, dressing changes, and wound care management for vascular surgical sites, including graft and incision site monitoring, as applicable
Administer medications, injections, immunizations, and treatments as ordered by physicians
Assist with procedures and examinations specific to vascular surgery, including ankle-brachial index (ABI) testing, wound vac management, and pre-procedure preparation for OR and cath lab cases
Monitor vital signs and document patient responses to treatments
Recognize and respond appropriately to changes in patient condition
Perform diagnostic tests including EKGs, spirometry, glucose monitoring, and CLIA-waived laboratory tests as appropriate to scope of practice
Conduct focused nursing visits for blood pressure monitoring, suture/staple removal, injection appointments, weight checks, and routine procedures

Performs other related duties as assigned.

Electronic Health Record Management & Communication

Monitor and triage Epic InBasket messages in accordance with clinic protocols
Provide telephone triage for patient calls regarding urgent/emergent care and clinical questions
Document all patient interactions, assessments, and interventions accurately in Epic
Manage referrals and coordinate care between specialties
Respond to patient portal messages and telephone calls within established timeframes
Assist with prior authorization requests and coordinate with referral staff as needed
Process prescription refill requests and coordinate with providers as needed

Patient Education & Support

Provide comprehensive patient and family education on disease processes, medications, and treatment plans
Develop and deliver vascular surgery-specific education materials and instructions, including guidance on vascular disease processes and procedures
Counsel patients on post-operative care, medication compliance, and lifestyle modifications specific to vascular surgery, including wound care, activity restrictions, and risk factor management
Support patients in understanding diagnostic procedures and test preparations
Facilitate patient understanding of treatment options and discharge instructions

Team Collaboration & Clinical Support

The employee supports the hospital mission, vision, values, policies, and procedures.

Work closely with physicians, nurse practitioners, and physician assistants to ensure coordinated care
Participate in multidisciplinary team meetings and care planning conferences
Mentor and provide guidance to medical assistants and other support staff
Communicate effectively with ancillary departments and external healthcare providers
Collaborate effectively with medical assistants, rooming patients when clinic flow requires additional support
Assist with examination room preparation and ensure adequate inventory of medical supplies
Support front office operations including appointment scheduling and phone coverage as needed

Quality & Compliance

Adhere to all clinic policies, procedures, and safety protocols
Maintain compliance with regulatory requirements including OSHA, HIPAA, and DNV standards
Participate in quality improvement initiatives and clinical outcome measurements
Ensure proper infection control practices and sterilization procedures as indicated

Contribute to maintaining a safe and therapeutic environment for patients and staff
Participates in required education for DNV programs as applicable to position (reference program education curriculum).

General Support

Performs other related duties as assigned.
Position requires flexibility to work evenings, weekends, and holidays as patient care needs and clinic operations dictate
May be assigned to work across various medical specialties within the Good Shepherd Medical Group

Qualifications

Qualifications:

Education

Required: Graduate of an accredited school of professional nursing.

Preferred: BSN

Licenses/ certifications/ registrations

Required: Current, unrestricted Oregon Registered Nurse license. Current BLS certification.

Preferred: ACLS (Advanced Cardiac Life Support) certification, Specialty certification relevant to assigned clinic area (e.g., RVT for Vascular Surgery, CGRN for Gastroenterology).

Experience

Required: The ability to work with a culturally diverse population.

Preferred: Bilingual and/or English Spanish speaking. Minium 2 years of clinical nursing experience. Experience with Epic electronic health record system. Knowledge of evidence-based practice and quality improvement methodologies

Other

Knowledge of computers, phones, and other office equipment.
Knowledge in clinical equipment including but not limited to: EKG, vital sign monitoring devices, glucometer, scales, various lab testing equipment, etc.
Strong assessment and critical thinking skills
Excellent verbal and written communication abilities
Proficiency in patient education and health promotion
Ability to work independently and prioritize multiple tasks effectively

Physical Requirements:

The physical and sensory functions described below are essential to the successful performance of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions. The position requires sufficient auditory ability to detect and respond to various sounds, including patient alarms and verbal communication. Clear and effective communication is essential, as is the ability to interact with patients, families, and healthcare team members. Visual acuity is necessary for observing patient conditions, reading documentation and monitors, and distinguishing colors for clinical purposes, such as identifying medications or safety indicators. Tactile perception is also important for assessing physical characteristics such as temperature, size, shape, or texture during patient care. Motor coordination is required for reaching, grasping, handling, and performing fine motor tasks necessary for the use of medical equipment and procedures. The position also involves occasional stooping, kneeling, crouching, or crawling when assisting patients or accessing equipment. Walking and standing are typically continuous throughout the shift. The role requires the ability to lift to 50 pounds independently and involves frequent pushing, pulling, carrying, or repositioning of objects or patients weighing up to 25 pounds. There may also be occasional lifting or transferring of individuals weighing over 100 pounds, with the expectation that appropriate lifting techniques, mechanical aids, or team assistance will be used to ensure safety. May to sit for long periods of time.

Working Conditions:

This position is performed primarily in an indoor healthcare environment, such as a hospital, clinic, or long-term care facility. While the work setting is protected from outdoor weather conditions, it may be subject to variable indoor temperatures. The role involves frequent exposure to infectious and contagious diseases, hazardous materials, and medical equipment, with the expectation that all staff follow appropriate safety protocols and utilize personal protective equipment (PPE) as required.

The health care environment can be fast-paced and unpredictable, requiring the ability to respond quickly to changing circumstances, including high-pressure or emergency situations. The work setting also involves multiple simultaneous demands and varying levels of noise due to medical equipment, staff activity, and patient needs.

40 Hours USD $39.36/Yr. USD $63.83/Yr. 01-9998 Specialty Clinics Day

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Responsibilities: * Perform all aspects of the Clinical Nurse job description when providing direct patient care during scheduled bed side care shifts * People Leadership: * - Participates in the interview and selection process of new team members * - Administers periodic evaluations for new staff members * - Administers annual PEAC's/merit increases * - Provides performance feedback to staff, including the documentation and counseling of performance issues * - Maintains positive staff relations through Evidence Based Leadership and Just Culture * - Completes scouting reports and weekly rounding on staff * - Ensures that staff are kept abreast of changes within the unit, department, division, and organization * - Provides mentoring to staff and developmental opportunities to help team members achieve their career goals * - Administers disciplinary action to staff members when necessary, up to and including terminations, with support of manager and/or director and human resources * - Provides appropriate recognition to staff members * - Develops and implements Action Plans as a result of the feedback received from the annual Employee Opinion Survey * - Accountable to ensure that staff are meeting patient care needs, standards of safety, effectiveness, patient rights and guest relations * - Ensures that staff are delivering care with a team-orientation, an emphasis on good customer relations, sound clinical judgement and appropriate decision making abilities that take into consideration evidence based practice. * - Ensures that staff are responsible and accountable for prescribing, delegating and coordinating patient care. Uses clinical judgment based on nursing skills acquired through formal and informal experiential knowledge and evidence based guidelines to globally assess the patient's situation and through critical thinking and clinical decision making, develop an appropriate plan of care for the patient, with the aim of promoting comfort and healing and prevent any unnecessary suffering. * Operational Leadership: * - Responsible for new hire scheduling with their assigned preceptors during orientation period * - Processes Lawson personnel actions for staff * - Balances staff schedules to ensure adequate coverage and skill mix on every shift * - Monitors trends with attendance and addresses any dependability issues with team members * - Approves PTO requests for team members * - Monitors FMLA/STD/LOA for team members * - Reviews Omnicell reports * - Develops and maintains positive physician relations * - Responsible for ensuring direct reports timecards are accurate and complete prior to bi-weekly payroll signoff and holds staff accountable for repetitive discrepancies in their timecards * Regulatory & Quality Compliance: * - Ensures clean sweeps/unit-based audits are conducted * - Ensures readiness for disease specific certification audits (where applicable) * - Ensures regulatory readiness * - Conducts unit environmental rounds * - Monitors the expiration of staff licenses & certifications * - Ensures employee related paperwork is sent to HR for filing in a timely manner * - Ensures that Patient Health Information (PHI) is protected and secured at all times * - Adhere to all infection prevention initiatives (i.e., hand hygiene, proper disposal of waste) * Staffing: * - Assumes the Charge Nurse role (frequency varies by department) * - Takes on patient load shift (frequency varies by department) * Miscellaneous: * - Maintains knowledge of unit-specific super users and ensures they remain qualified and proficient as a super user * - Conduct family rounding (as it is rolled out to specific unit) * - Attend leadership meetings * - Complete projects and assignments as assigned * - Participates in committees as assigned * - Ensures that staff are providing education and facilitating learning for patients, families and patient care teams in a way that demonstrates a sensitivity to recognize, appreciate, and incorporate differences related to diversity * - Collaborates with physicians, families and staff to assist in developing and implementing an appropriate plan of care in a way that promotes/encourages each person's contributions towards achieving the best patient outcomes * - Advocates for the patient and staff, represents the concerns of the patient/family and staff members and identifies and assists in resolving any ethical and clinical concerns * - Maintains a body of knowledge and tools that allow them to manage whatever environmental and system resources exist for the patient/family and/or staff members, within or across healthcare and non-healthcare systems * - Continuously inquires about the condition of the patient through the ongoing process of questioning and evaluating the situation and directs treatment changes, if necessary, through collaboration with the healthcare team, inclusive of the patient and family. How You’ll Be Successful: WORK EXPERIENCE * At least 2 years clinical experience Required * leadership experience Prefrerred EDUCATION * Four-year Bachelor's degree in Nursing BSN Required LICENSES AND CERTIFICATIONS * Current license to practice professional nursing in the State of Texas Required * Basic Life Support for Healthcare Providers as required by CP 1.20 Life Support Course Requirements Required A Place Where You Belong We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children’s Health a place where everyone can contribute. Holistic Benefits – How We’ll Care for You: · Employee portion of medical plan premiums are covered after 3 years. · 4%-10% employee savings plan match based on tenure · Paid Parental Leave (up to 12 weeks) · Caregiver Leave · Adoption and surrogacy reimbursement As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.