Job Summary: Provides patient centered navigation services and care coordination across the continuum of care. Participates in assessing, planning, implementing, and evaluating health services of a disease-specific population throughout the continuum of care. Performs tasks requiring independent knowledge and judgment. Provides community outreach activities. Serves as a liaison and resource among patients, families, healthcare providers, staff, and the community to provide a seamless transition throughout phases of care. Focuses on social determinants of health and relief of barriers to care. Reports data and implements quality improvement initiatives focusing on readmissions, complications, and patient self-management skills through the CaroMont Service Lines.

Qualifications: Registered Nurse (RN) license to practice in NC [or multi-state (compact) license] required. Requires an associate degree in nursing, bachelor’s degree preferred. A minimum of 3 years of inpatient clinical experience is required, additional care navigation and/or case management experience preferred. Current BLS is required for hire. Preferred certification in focused-Case Management/Clinical Educator/Chronic Disease, experience providing clinical care, clinical case management, or related activities. Exemplary verbal and written communication, critical thinking, interpersonal team skills, and meticulous focus are required to support interfacing with patients/families, and the interprofessional team. Includes other duties as identified and assigned by leadership in the evolution of this role.

EOE AA M/F/Vet/Disability