Ambulatory SIM ACNurse Navigator

Provides individualized assistance, support and comprehensive coordination of care for patients and their families/caregivers, to eliminate barriers to timely care, facilitate flow through the system, facilitate interactions with the care team, increase patient and provider satisfaction, maintain a point of contact with providers, and serve as the first point of contact for patients and families.

• Coordinate and oversee care for patients identified as high‑risk based on health risk assessments.
• Support patients through transitions of care by identifying gaps and coordinating follow‑up.
• Serve as the central point of contact for care coordination at the point of service and through targeted outreach.
• Facilitate access to clinical and ancillary services within and outside the health system to support patients’ care plans.
• Lead coordination of clinical care within the Patient‑Centered Medical Home model.
• Work collaboratively under the general direction of the Nurse Manager and Site Medical Director.
• Participate in care planning, care facilitation, and proactive patient management.
• Manage access and utilization, coordinate across the healthcare continuum, and improve outcomes for high‑risk patients.

• Registered Nurse with a current New York State license (required).
• Minimum of three years of professional nursing experience.
• Outpatient primary care experience preferred.
• Experience in community health, care management, transitional care, and/or disease management preferred.
• Motivated, team‑oriented, and able to work collaboratively in a multidisciplinary environment.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics).

This commitment extends to non‑discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.