Nurse Navigator (Registered Nurse)

Rochester Regional Health is seeking a Nurse Navigator to join our Healthcare & Medical Services team. In this role, you will guide patients and families through the care continuum, coordinate appointments and referrals, provide education, and support care transitions. You will collaborate closely with physicians, nurses, and support staff to optimize outcomes and patient experience. Rochester Regional Health offers a dynamic, inclusive culture that values diversity, teamwork, and professional growth, giving you the opportunity to advance your skills while making a meaningful impact on community health.

Responsibilities
• Serve as a primary point of contact for patients and families throughout the care continuum
• Conduct comprehensive assessments of clinical, educational, psychosocial, and logistical needs
• Develop and coordinate individualized care plans in collaboration with the interdisciplinary team
• Facilitate timely scheduling of consultations, diagnostic tests, and treatments
• Identify and address barriers to care such as transportation, insurance, and communication challenges
• Provide clear, culturally sensitive patient and family education on diagnoses, treatments, medications, and self-care
• Advocate for patient preferences and support shared decision-making with providers
• Monitor patient progress, recognize changes in condition, and escalate concerns appropriately
• Promote adherence to evidence-based guidelines, follow-up appointments, and treatment plans
• Document all patient encounters and coordination activities accurately in the electronic health record
• Track and contribute to improvement of metrics such as time to treatment and patient satisfaction
• Collaborate closely with physicians, advanced practice providers, social workers, and other team members
• Participate in quality improvement, practice councils, and initiatives to enhance care coordination
• Utilize telehealth and digital communication tools when appropriate to support patient navigation
• Support organizational initiatives around diversity, inclusion, and culturally competent care
• Engage in ongoing professional development and pursue relevant specialty certifications

Required Skills
• Clinical assessment and critical thinking
• Care coordination and case management
• Patient and family education
• Knowledge of chronic disease and/or oncology care pathways (or relevant specialty pathways)
• Understanding of diagnostic tests, procedures, and treatment modalities
• Electronic medical record (EMR) documentation and navigation
• Interdisciplinary collaboration and teamwork
• Patient advocacy and shared decision-making facilitation
• Cultural competence and trauma-informed communication
• Time management and prioritization in a high-volume setting
• Data tracking and basic quality improvement methods
• Understanding of insurance authorization and basic utilization management
• Motivational interviewing and counseling techniques
• Telehealth and remote patient communication tools
• Conflict resolution and de-escalation