Infectious Disease Transition Services; IDTS RN Navigator

Description

As the Infectious Disease Transition Services (IDTS) RN Navigator, you will be responsibilbe and accountable for patients receiving outpatient parenteral therapy (OPAT) or complex oral antimicrobial therapy, referred primarily by Infectious Disease physicians from inpatient services, emergency departments, and ambulatory clinics. You will coordinate care across the continuum for patients transitioning from acute and ambulatory settings to home infusion, infusion centers, or post-acute care environments.

You will be instrumental in facilitating safe transitions of care and, whenever clinically appropriate, supporting patients to remain at home for antibiotic infusion therapy. You will also provide comprehensive care coordination, continuity, laboratory monitoring follow-up, patient assessment, education, and support for patients and their families throughout the duration of therapy.

Serving as the primary point of contact for patients, you will closely coordinate with Infectious Disease physicians, pharmacy services, home infusion providers, home health nursing, infusion centers, long term care facilities and laboratories. In collaboration with Infectious Disease physicians and pharmacists, you will support antimicrobial stewardship, ensure appropriate therapy selection and monitoring, and promote safe, effective medication management.

You will partner with hospital discharge teams and ambulatory providers to ensure timely initiation of therapy, adherence to treatment plans, and ongoing monitoring for adverse drug events, vascular access complications, and abnormal laboratory results. Through proactive care coordination and early intervention, you help reduce hospital length of stay, prevent readmissions, and optimize patient outcomes while enabling care in the most appropriate setting.

The RN Navigator provides care using the nursing process in accordance with standards of professional nursing practice and performs in the professional role as described by the American Nurses Association (ANA), engaging in activities related to ethics, education, evidence-based practice and research, quality improvement, leadership, collaboration, professional practice evaluation, resource utilization, environmental health, and patient advocacy.

Salary Range: $95, Annual

Requirements:

• Active CA RN License
• BSN or MSN Degree
• 3 years related experience with infectious disease and/or medical-surgical nursing
• Ability to complete a Nursing physical assessment.
• Skill in developing a plan of care including setting goals, monitoring, and documenting progress and ability to implement interventions that are pertinent to goals established in the plan of care
• Ability to evaluate the effective of interventions toward the attainment of established goals and to recognize the need to reassess or reset goal parameters.
• Demonstrated leadership through effective task delegation, teamwork promotion, and coordination across multidisciplinary care teams.
• Strong interpersonal, organizational, and communication skills to build cooperative relationships with physicians, patients, families, and staff from diverse backgrounds.
• Skilled in patient and family education, including explaining procedures, clinical issues, and care plans with clarity and compassion.
• Expertise in triaging high-volume patient calls, gathering and relaying accurate information, and communicating diplomatically both verbally and in writing.
• Working knowledge of medical and infectious disease terminology to guide, triage, and support patients across specialty teams while responding quickly to clinical needs.
• Ability to monitor patient compliance, identify care gaps, coordinate referrals to support services, and conduct targeted outreach to high-risk patient populations.
• Strong planning, prioritization, and independent problem‑solving abilities to manage shifting priorities, multiple projects, and complex clinical workflows.
• Proficient in coordinating multidisciplinary care across the continuum, including knowledge of UCLA resources such as rehab, home health, hospice, and transportation services.
• High-level clinical judgment, critical thinking, and intuitive assessment skills to recognize significant patient problems and follow physician orders to manage symptoms.
• Advanced technical and administrative skills, including proficiency with Microsoft Office, EPIC, ICAP, and maintaining organized filing systems and documentation workflows.

Preferred:

• AMB-BC or CCCTM certification