Acute Care RN Navigator; Stroke and High Risk Patients - Case Management

Job Profile Summary

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nurse Navigator duties:
Focuses on the patient's needs and helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.

A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems.

The RN Navigator serves as a liaison between patients, community resources, and providers and supports a smooth transition from hospital to home with a goal of eliminating and/or reducing readmissions, patient satisfaction, and continuity of care across the continuum.

40 hours/week, Day Shift

• Massachusetts RN Licensure.
• 3 Years of RN Experience.
• Current Basic Life Support (BLS) Certification.

• Bachelor of Science in Nursing (BSN).

• Assesses and facilitates coordination of multidisciplinary care across the care continuum.
• Provides communication, advocacy, and education in a culturally competent manner.
• Triages new patient referrals to ensure timely access to care.
• Conducts post‑discharge follow‑up phone calls and serves as a liaison and patient advocate in navigating the healthcare system.
• Provides patient education and supports utilizing knowledge of adult learning competencies and education resources to support complete, connected, and comprehensive care.
• Collects and reports data from patient on barriers, hospital experience, healthcare, medications, prior treatments, etc.
• Collaborates with multidisciplinary care team and expedites sequence of patient's care.
• Serves as a liaison between patient and providers/clinicians to address patient’s needs.
• Assesses patient's needs and ensures such needs are integrated into patient’s care plan.
• Encourages and empowers patients to actively participate in decision making about their treatment and care.

• Occasional lifting of 30‑35 lbs and turning patients.
• Prolonged standing and walking.
• Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting.
• Exposure to infectious disease and possible carcinogenic chemicals.
• Exposure of blood‑borne pathogens.
• Requires fine manual dexterity to lift and maneuver patients.
• Requires visual and aural acuity necessary to monitor patient care.

• Competitive salaries and benefits that start on day one
• 403(b) retirement plan with company match
• Tuition reimbursement
• Free parking

$91,879.42 - $

Tufts Medicine is an equal opportunity employer.