Clinical Nurse-Ambulatory Navigator

Overview

Location: Bloomington Hospital – Onsite

Position: Clinical Nurse - Ambulatory Navigator

Shift: M-F, either 4 x 10 hours or 5 x 8 hours; no holidays, occasional Sat or Sun for community events, but will get time off during the week to make up for the weekend hours.

The Clinical Nurse - Ambulatory Navigator coordinates the care needs of assigned patients and develops comprehensive plans to manage care delivery across the patient care continuum. Partners with patients and their primary physicians to develop customized care plans based on individual needs and preferences. Collaborate with physicians, nurses, health professionals, social workers, and others to ensure appropriate tests and treatments are delivered in a timely fashion. Acts as an advocate for the patient, balancing care needs and financial considerations to ensure efficient and effective treatments.

________________________________________

Position Overview:

The Clinical Nurse - Ambulatory Navigator plays a vital role in coordinating patient care, developing personalized care plans, and collaborating with interdisciplinary teams to optimize treatment delivery. The role emphasizes patient advocacy, care management, and efficient resource utilization, ensuring a seamless continuum of care tailored to each patient's unique needs.

________________________________________

Oncology Navigation-Essential Job Functions:

Care Coordination:
- Navigates oncology patients across the continuum of care beginning with the diagnosis of cancer to survivorship, by streamlining and coordinating patient appointments, specialist referrals, diagnostic imaging, and treatments across multiple providers and facilities.
Patient Assessment & Triage:
- Perform comprehensive clinical assessments to identify physical, emotional, and financial barriers to care. Anticipate and mitigate obstacles to help the patient adhere to their treatment plan.
- Collaborates with the multi-disciplinary team to ensure continuity of care from one provider to the next. Tracks the patient closely and ensures that care is smoothly coordinated among disciplines using established tracking system.
- Completes the Survivorship Plan of care when the patient completes therapy, facilitates discussion with the patient and mailing/scanning of the Plan of Care.
- Communicates with physicians and other members of the interdisciplinary team, within IU Health, as well as with outside providers.
- Coordinates scheduling of appointments with multidisciplinary teams to ensure timely referral and transition into specialty services.
Education & Advocacy:
- Develops a familiarity in the chemotherapy protocols to support patients during chemotherapy treatment.
- Educate patients and families on specific cancer diagnoses, treatment options, potential side effects, and survivorship. Translate complex clinical data into easily understandable information to promote shared decision-making.
- Provides information on maintaining optimal health and prevention of Cancer Recurrence including instruction on the importance of regular visit to their provider for exams, clinical follow up and imaging as recommended by their provider, maintaining proper nutrition and exercise.
Resource Connection:
- Connect patients with critical support services, including financial counselors, nutritional counseling, social work, transportation assistance, and support groups.
Interdisciplinary Collaboration:
- Participate actively in multidisciplinary tumor boards and care conferences, and navigation team meetings. Communicate recommendations back to the patient and integrate them into the overall care path.
- Participates in community outreach programs.
Clinical Trials Promotion:
- Collaborate with physicians and research teams to screen patients for clinical trial eligibility, facilitating enrollment and tracking as appropriate.
Documentation & Tracking:
- Maintain accurate and detailed documentation of patient interactions, interventions, and navigation pathways within the Electronic Health Record (EHR) system.
- Track program metrics to evaluate navigation outcomes and programmatic efficacy, including National Accreditation Standards.
Core Competencies and Skills
- Clinical Expertise: Deep understanding of cancer pathologies, staging, treatment modalities (chemotherapy, radiation, immunotherapy), and symptom management.
- Communication: Exceptional interpersonal, active listening, and therapeutic communication skills. Ability to deliver complex or distressing news with extreme empathy and clarity.
- Problem Solving & Autonomy: Strong critical thinking skills with the ability to self-direct, prioritize high-stress workflows, and creatively solve logistical healthcare barriers.
- Tech Savviness: Proficiency with Electronic Health Records (EHR) and standard office/communication platforms.
- Adheres to Oncology Navigation Standards of Professional Practice
- Adheres to key Touchpoints for Navigation based on disease site
- Certifications Needed:
  - Obtains either Chemotherapy/Biotherapy certification or attends ONS Fundamentals Course
  - Obtains LION (Leadership in Oncology Navigation) certification within 3 months of hire
  - Obtains OCN (Oncology Certified Nurse) within 3 years of hire
  - Recommend ONN-CG (Oncology Nurse Navigator-Certified Generalist) certification within 5 years of hire.

________________________________________

Qualifications & Requirements:

• Education:

- Associates of Nursing (ASN) required.

- Bachelor of Nursing (BSN) preferred.

• Licensure & Certifications:

- Active Registered Nurse (RN) license in Indiana or Nurse Licensure Compact (NLC) RN license.

- Basic Life Support (BLS) certification through the American Heart Association (AHA).

- Additional advanced life support certifications may be required per department policies.

- Specialty certifications may be required depending on department/provision of care.

• Experience & Knowledge:

- 3-5 years of clinical work experience preferred.

- Knowledge of personal computers, word processing, and database software.

- Understanding of medical terminology, medical record requirements, regulations, and policies.

- 3-5 years of Oncology experience Strongly Preferred, OCN preferred

________________________________________

Why Join IU Health?

• Competitive compensation and comprehensive benefits

• Opportunities for professional growth and leadership development

• Supportive environment committed to clinical excellence and staff empowerment

• Work in a dynamic, patient-centered setting with a focus on safety and quality

To learn more about our benefits, visit: careers.iuhealth.org/pages/benefits-designed-for-you

Share this job

Related Jobs

Full-time

2 weeks ago

Registered Nurse (RN)

Owen Valley Rehabilitation and Healthcare Center Bloomfield, IN

SUMMARY: The RN is responsible for providing direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL DUTIES AND RESPONSIBILITIES: Direct the day-to-day functions of the nursing assistants. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Make written & oral reports/recommendations concerning the activities of the shift as required. Admit, transfer and discharge residents as required. Provide leadership to nursing personnel assigned to your unit/shift. Complete & file required recordkeeping forms/charts upon the resident’s admission, transfer and/or discharge. Receive & transcribe telephone orders from physicians & record on the Physician’s Order Form. Chart nurse’s notes in an informative & descriptive manner that reflects the care provided to the resident, as well as the resident’s response to the care. Fill out and complete accident/incident reports & submit to Director as required. Perform routine charting duties as required & in accordance with established charting & documentation policies & procedures. Prepare & administer medications as ordered by the physician. Develop & maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. Receive/give the nursing report upon reporting in and ending shift duty hours. Make rounds with physicians as necessary. Administer professional services such as: catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, etc., as required. Monitor your assigned personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure that all nursing care is provided in privacy and that nursing service personnel knock before entering the resident’s room. Provide IV & IV site care as needed. Performs other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required. Registered Nurse with a current unencumbered state license. Must be able to read, write, speak, and understand the English language. Must be able to make independent decisions when circumstances warrant such action. Must be knowledgeable of nursing & medical practices & procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Current CPR Certification is required. Experience in Long Term Care is preferred. PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Be able to move intermittently throughout the workday. Must be able to cope with the mental & emotional stress of the position. Must meet the general health requirements set forth by the policies of this facility, which include a medical & physical examination. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations.

Outpatient

Full-time

3 weeks ago

Outpatient Registered Nurse - RN

Fresenius Medical Care Bedford, IN

Willing to train! Fresenius offers a competitive compensation and benefits package including wellness plans and health insurance, matching 401(k), flexible schedules, and paid time off. PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Full-time

2 weeks ago

Registered Nurse - Emergency Department (FT/Days)

IU Health Bedford, IN

Overview Shift: FT/Days; Every 3rd weekend; Holiday rotation Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! We are seeking an individual with a minimum of one year of RN experience for this role. This is a referral eligible position. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. The Bedford Emergency Room is a full-service emergency department serving our community. Our team consists of board-certified Emergency Physicians, Nurse Practitioners, highly trained and certified emergency nurses, Paramedics and Technicians. We are equipped and ready to care for all medical and traumatic emergencies for all age groups. This unit provides 24-hour provision of patient care services to populations ranging from infant to elderly. The Emergency Department is problem focused , addressing the most urgent and relevant clinical needs of patients during their emergency visit. The ED averages 23,000+ patient visits per year and is staffed by IU Health Southern Indiana Physicians Emergency Medicine providers. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Qualifications Requires an Associates of Nursing (ASN); Bachelors of Nursing (BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires that the RN has graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Med-Surg

Full-time

1 month ago

Registered Nurse - Adult Med Surg (FT/Nights)

IU Health Bedford, IN

Overview Schedule: Full Time Nights, 5pm-5:30am, every third weekend, holiday rotation Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! This position requires 1+ years of clinical RN experience. This is a referral eligible position! Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! At IU Health, you will develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. Our Medical Surgical unit contains 25 Semi-Private Beds, and cares for a variety of conditions for all adult patients. They administer medications, monitor vital signs, change dressings, and educate patients about their procedures. They also coordinate patient care plans with other healthcare professionals and evaluate medical information. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Qualifications : Requires an Associates of Nursing (ASN); Bachelors of Nursing (BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires that the RN has graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education.

Part-time

2 weeks ago

Registered Nurse - Emergency Department (PT/Days)

IU Health Bedford, IN

Overview Shift: PT/Days; Every 3rd weekend; Holiday rotation Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! We are seeking an individual with a minimum of one year of RN experience for this role. This is a referral eligible position. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: www.iuhealth.org/ApplyRN . This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! Indiana University Health is looking for passionate, experienced nurses to join our team and collaborate with top medical professionals. At IU Health, you will learn and develop your career in significant ways, advancing healthcare and delivering the highest level of patient care. Being an IU Health nurse means building a professional nursing career designed by a culture that accepts your outstanding strengths and supports your personal and professional goals. If you are seeking an organization where you can develop clinical expertise, explore diverse career opportunities, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today. The Bedford Emergency Room is a full-service emergency department serving our community. Our team consists of board-certified Emergency Physicians, Nurse Practitioners, highly trained and certified emergency nurses, Paramedics and Technicians. We are equipped and ready to care for all medical and traumatic emergencies for all age groups. This unit provides 24-hour provision of patient care services to populations ranging from infant to elderly. The Emergency Department is problem focused , addressing the most urgent and relevant clinical needs of patients during their emergency visit. The ED averages 23,000+ patient visits per year and is staffed by IU Health Southern Indiana Physicians Emergency Medicine providers. Why Join IU Health? As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer: Increased pay scale for bedside nurses A supportive and collaborative work environment that is patient centered. Competitive benefits. 401(K) retirement savings with employer match. Employer paid medical leave. Tuition reimbursement. Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program. Employee Assistance Program – Counseling at no cost to you Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn. Qualifications Requires an Associates of Nursing (ASN); Bachelors of Nursing (BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. Requires that the RN has graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). Requires Basic Life Support certification through the AHA. Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. Our culture of compassion allows for a holistic delivery of care that is individualized based on our patients’ and their families’ needs. At IU Health, every team member is a caregiver. This care does not stop with our patients, it also extends to one another and our community through service projects, health initiatives and wellness education. We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.