Duke Raleigh Hospital Duke Raleigh Hospital offers the latest in care and technology in a patient-friendly setting. It has been an important part of Duke Health since 1998 and has served Wake County for more than 35 years, employing more than 2,000 teammembers. The hospital provides 186 inpatient beds and a comprehensive array of services, including the Duke Raleigh Cancer Center, Duke Raleigh Orthopedic and Spine Center, cardiovascular services, neurosciences including the Duke Raleigh Skull Base and Cerebrovascular Center, advanced digestive care, disease management and prevention, wound healing, outpatient imaging, intensive and progressive care, pain clinic, same-day surgery, emergency department and community outreach and education programs. U.S.News & World Report ranked Duke Raleigh Hospital as high performing in orthopaedics and five adult procedures/conditions: chronic obstructive pulmonary disease (COPD), heart failure, kidney failure, lung cancer surgery, and stroke.

Occ Summary

The Nurse Navigator (NN) is a professional RN with service line specific clinical knowledge who offers individualized assistance across the care continuum to patients, families, and caregivers to expedite and coordinate care, and address health system barriers. The NN assumes responsibility for the coordination of patient care through interdisciplinary and multidisciplinary collaboration to achieve optimal patient outcomes with a focus on high risk patients or those with complex care needs (including multidisciplinary care). The NN has a particular focus on improving transitions in care and adherence to care. Additionally, the NN functions as a clinical advocate and educator for patients. The NN assists to build and maintain community relationships to provide expedient and reliable access to quality care. The NN identifies and alleviates stressors during transitions and barriers to care with the aim to deliver a seamless model of care that benefits patients, family members, providers, and the healthcare team.

Work Performed

Assess and facilitate coordination of multidisciplinary care across the care continuum. Provide communication, advocacy, and education in a culturally competent manner. Ability to clinically triage new patient referrals efficiently, to ensure timely access to care. Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and end of life care. Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address needs of patients. Targeted symptom assessment and management for identified patient population. Assess health literacy and educational needs of patient. Provide clinical education about diagnosis, treatment, side effects, and post- treatment care. Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery. Bridge gaps in care, and assess/troubleshoot care transitions and barriers to care. Facilitate advanced care planning and transition of active treatment to palliative or end-of-life care. Document all patient encounters in EPIC. Enhance access to therapeutic clinical trials and optimize communication with patients, families and investigators regarding therapeutic clinical trials, including patient-specific education about clinical trials. Encourage and empower patients to actively participate in decision- making about their treatment and care. Possess leadership skills including staff education, preceptorship, patient education, and participate in process improvement initiatives. Practice according to professional and legal standards. Maintain navigation services documentation according to program standards.

Knowledge, Skills and Abilities

Excellent written, oral and conversational communication skills to effectively work with diverse groups. Ability to analyze, evaluate multiple solutions and solve complex problems using well developed critical & analytical thinking skills. Excellent time management skills needed to prioritize among many competing priorities. Attention to detail needed to operate accurately and effectively. Mastery of Microsoft Office, especially Word and Excel, and use of health record for documentation and/or reporting. Ability to promote programs and services to community Extensive understanding of patient care Proficient in review of medical records and other patient care information Demonstrated skills in verbal and written communication Ability to maintain strict confidentiality Ability to promote and build teamwork and multidisciplinary care concept

Level Characteristics

N/A

Minimum Qualifications

Education

BSN required. Specialty certification and/or MSN preferred.

Experience

Three years of experience of specialty specific nursing in a hospital, clinic, or community setting. Experience in nurse navigation preferred. Completion of national nurse navigation training preferred. Metric tracking skills

Degrees, Licensures, Certifications

Must have current or compact RN licensure in the state of North Carolina. BLS required.

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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.