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Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
The Nurse Navigator (NN) is a professional RN with service line specific clinical knowledge who offers individualized assistance across the care continuum to patients, families, and caregivers to expedite and coordinate care, and address health system barriers. The NN assumes responsibility for the coordination of patient care through interdisciplinary and multidisciplinary collaboration to achieve optimal patient outcomes with a focus on high risk patients or those with complex care needs (including multidisciplinary care). The NN has a particular focus on improving transitions in care and adherence to care. Additionally, the NN functions as a clinical advocate and educator for patients. The NN assists to build and maintain community relationships to provide expedient and reliable access to quality care. The NN identifies and alleviates stressors during transitions and barriers to care with the aim to deliver a seamless model of care that benefits patients, family members, providers, and the healthcare team.
Assess and facilitate coordination of multidisciplinary care across the care continuum. Provide communication, advocacy, and education in a culturally competent manner. Ability to clinically triage new patient referrals efficiently, to ensure timely access to care. Collaborate with multidisciplinary care team and expedite sequence of patient's workup, active treatment, survivorship, and end of life care. Provide communication and reinforcement of clinical information and serve as a conduit between patient and providers/clinicians to address needs of patients. Targeted symptom assessment and management for identified patient population. Assess health literacy and educational needs of patient. Provide clinical education about diagnosis, treatment, side effects, and post- treatment care. Assess and document patient's needs, goals, and preferences and work to ensure such are integrated into treatment and care delivery. Bridge gaps in care, and assess/troubleshoot care transitions and barriers to care. Facilitate advanced care planning and transition of active treatment to palliative or end-of-life care. Document all patient encounters in EPIC. Enhance access to therapeutic clinical trials and optimize communication with patients, families and investigators regarding therapeutic clinical trials, including patient-specific education about clinical trials. Encourage and empower patients to actively participate in decision- making about their treatment and care. Possess leadership skills including staff education, preceptorship, patient education, and participate in process improvement initiatives. Practice according to professional and legal standards. Maintain navigation services documentation according to program standards.
Knowledge, Skills and Abilities
Excellent written, oral and conversational communication skills to effectively work with diverse groups. Ability to analyze, evaluate multiple solutions and solve complex problems using well developed critical & analytical thinking skills. Excellent time management skills needed to prioritize among many competing priorities. Attention to detail needed to operate accurately and effectively. Mastery of Microsoft Office, especially Word and Excel, and use of health record for documentation and/or reporting. Ability to promote programs and services to community Extensive understanding of patient care Proficient in review of medical records and other patient care information Demonstrated skills in verbal and written communication Ability to maintain strict confidentiality Ability to promote and build teamwork and multidisciplinary care concept
Three years of experience of specialty specific nursing in a hospital, clinic, or community setting. Experience in nurse navigation preferred. Completion of national nurse navigation training preferred. Metric tracking skills
Degrees, Licensures, Certifications
Must have current or compact RN licensure in the state of North Carolina. BLS required.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.