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As the Orthopedic Nurse Navigator, you will play a pivotal role in coordinating patient care and ensuring a seamless and efficient experience for individuals undergoing Total Joint Replacement (TJR) procedures and/or Orthopedic Spine Surgery. Acts as a single point of contact and resource for patients, staff, physicians, and administrative personnel, facilitating patient education, care coordination, and post-operative follow-up. Utilizing expertise as a Registered Nurse with orthopedic clinical knowledge will promote evidence-based clinical practice and improve patient outcomes. Performs other related clinical patient navigator functions as required.
Job Responsibility:
Patient Coordination: Initiate patient coordination from the entry point into the total joint replacement and/or spine program, ensuring a smooth and organized patient journey throughout the continuum of care
Pre-Surgical Care Coordination: Review scheduled patients to ensure timely completion of educational material, patient assessments/questionnaires, and pre-surgical care coordination in alignment with established timelines and algorithms
Individual Care Plans: Initiate, identify, and develop/modify individual plans of care in coordination with the appropriate orthopedic program team members, considering patients' developmental levels, physical/emotional needs, and support system requirements
Communication: Effectively communicate with physicians, healthcare team members, patients, and families to facilitate evidence-based, quality patient care, treatment planning, patient satisfaction, and discharge planning
Patient Education: Develop, coordinate, and document patient education and care, serving as a primary resource for patients and families during their diagnosis and treatment period. Assess patients' learning style and health literacy to provide education at an appropriate level
Post-Operative Care: Conduct follow-up phone calls and video visits after discharge, contribute to post-acute care planning, and assess the effectiveness of the program. Address patient concerns, reinforce education, and clarify discharge instructions, including medication adherence and dietary regimes
Evidence-Based Practice: Coordinate and facilitate an evidence-based practice/performance improvement interdisciplinary orthopedic care team, staying current with emerging trends in bone and joint health
Data Analysis and Quality Improvement: Gather, analyze, and present program data at committee meetings, perform concurrent and retrospective reviews to ensure quality of care, and develop action plans using best practices and research findings
Care Coordination: Ensure timely access to care, coordinate and facilitate appointments and services, and encourage adherence to treatment plans, protocols, and follow-up care through the continuum of patient care
Advocacy and Support: Advocate for patients and families, establish close collaboration with physicians and multidisciplinary team members, and provide access to internal and external resources as needed
Documentation and Reporting: Track program metrics, quality indicators, patient interactions, and progression. Communicate navigation activities to physicians, care team, and leadership
Continuous Professional Development: Take responsibility for professional development and continuing education to maintain expertise as an Orthopedic Nurse Navigator
Requirements:
California Registered Nurse (RN) licensure with specialized orthopedic clinical knowledge
Five (5) or more years of relevant experience
Strong communication and interpersonal skills, capable of effectively collaborating with patients, families, and healthcare team members
Demonstrated ability to coordinate care, educate patients, and promote evidence-based clinical practice
Proficiency in utilizing healthcare software systems for patient management and data analysis
Flexibility and adaptability to meet changing staffing, clinical, and patient census needs
Passionate about enhancing patient experiences and improving the quality and safety of care for TJR patients
Nice to have:
Master's Degree in Nursing (MSN)
CNS
Experience and knowledge to support patients undergoing Total Joint Replacement and Orthopedic spine procedures