APP Spine Program Navigator

Job Summary and Responsibilities

As an APP Spine Program Navigator, you will serve as the primary point of contact for patients being referred into the Back Pain/Spine Program. You will be responsible for coordinating the care and services of the identified patient population across the continuum of care.

Every day, you will promote effective resource utilization and assume a leadership role with the multidisciplinary team to identify and eliminate barriers to care in order to achieve an optimal clinical outcome for the patient and their caregivers. You will employ self-direction and accountability in adhering to evidence‑based care protocols for the specified patient population. This involves meticulous patient management, empathetic communication, and proactive problem‑solving to ensure seamless, high‑quality care delivery and support for patients with spine‑related conditions and their families.

To be successful in your role, you will strategically navigate and coordinate the care and services for patients within the Back Pain/Spine Program, acting as the primary point of contact across the entire continuum of care. You will demonstrate exceptional leadership within a multidisciplinary team, proactively identifying and eliminating barriers to care, and meticulously adhering to evidence‑based protocols to optimize clinical outcomes for patients and their caregivers.

• Develops and leads performance improvement initiatives related to quality and patient, physician, and staff satisfaction
• Demonstrates leadership and commitment to excellence in patient care and service
• In collaboration with the interdisciplinary team, develops, maintains, and monitors spine practice guidelines, order sets, and clinical pathway based on evidence based medicine
• Develops and nurtures collaborative working relationships that create a sense of ownership in the spine service line with hospital department leaders, orthopedic spine surgeons, neurosurgeons, as well as other staff and specialists involved in the care continuum for spine patients
• Monitors patient care outcomes for spine services
• Maintains expert knowledge of the spine specialty field
• Promotes and supports physicians and other staff participation in collaborative practice
• Represents the spine service line in the community
• Identifies and facilitates the provision of spine education for nursing, allied health personnel, and patients/families
• Serves as a role model, teacher, coach, and mentor for the healthcare team and community
• Assists with patient and family education and patient satisfaction
• Assists with patient flow throughout the care continuum

Patient Service 60%

• Completes intake of patients upon referral into back pain program
• Conducts virtual visits upon intake and as needed
• Collaborates care with specialties such as surgery, pain management, therapy, and other treatment services on behalf of patient through referrals and active communication
• Facilitates and participates in care conferences as needed
• Acts as resource and advocate to patient, following them through continuum of care
• Function as senior clinical support person providing input into program development, information about clinical services
• Assist in development and distribution of educational materials for patients

Quality 20%

• Assess patient’s physical, psychosocial, cultural, and spiritual needs through observation, interview, review of records, and clinical data; participates in quality assessment activities, track compliance with clinical standards, patient’s response, and intervene in a timely manner to ensure best outcome
• Design and implement process improvement activities, analyzing results to improve both the performance improvement and training initiatives
• Monitors ongoing documentation of patient care and data collection
• Monitors compliance with regulatory guidelines
• Efficiently monitor concurrent and retrospective data collection by working in conjunction with program manager to ensure data entry into designated databases

People 10%

• Conduct formal and informal training to enhance team knowledge and operational efficiency
• Incorporate point‑of‑care training whenever possible and…