Administrative Skills, CPR Certification, Case Management, Clinical Assessment, Clinical Medicine, Clinical Support, Communication Skills, Community Health, Data Analysis, Data Management, Discharge Plans, Disease Prevention and Control, Documentation Plan, Hardware Virtualization, Health Plan, Healthcare, Interpersonal Skills, Lift/Move 25 Pounds, Managed Care, Medical Record System, Medication Administration, Nursing, Nursing Credentials, Operational Support, Organizational Skills, Patient Admissions, Patient Assessment, Patient Care, Patient Education, Performance Analysis, Performance Management, Performance Metrics, Physical Demands, Project/Program Coordination, Quality Management, Quality Metrics, Quality Monitoring, Quality of Care, Registered Nurse (RN), Regulatory Compliance, Reimbursement, Team Player, Training/Teaching, Willing to Travel
Registered Nurse (RN) Navigator
Location: Community Health & Wellness Center (CHWC) - Multiple Sites
Position Type: Full-Time
Position Summary
The Registered Nurse (RN) Navigator plays a key role in supporting patients across the continuum of care by serving as a liaison, educator, and care coordinator. This position assists patients in navigating the healthcare system, accessing community resources, and adhering to care plans to improve overall health outcomes.
The RN Navigator works within the Accountable Care Organization (ACO) framework and utilizes ACO platforms under the direction of the Senior Director of Quality to monitor performance metrics, close care gaps, and support population health initiatives.
This role also provides support to the Chronic Care Management (CCM) program, delivering coordinated, longitudinal care to patients with chronic and complex conditions.
The RN Navigator provides clinical care within the scope of licensure, including triage services (walk-in and telephone) as well as nurse visits. This position requires flexibility to float across all CHWC sites to provide RN triage coverage and ensure continuity of care.
Key Responsibilities
- Serve as a primary point of contact, advocate, and resource for patients, families, and care teams
- Coordinate patient care across the continuum, including hospital admissions, discharges, and specialty referrals
- Support Chronic Care Management (CCM) services, including patient identification, care planning, documentation, and follow-up
- Utilize ACO platforms and reporting tools to monitor quality metrics, identify care gaps, and improve patient outcomes
- Collaborate with the Senior Director of Quality and interdisciplinary teams on ACO initiatives and performance improvement efforts
- Conduct patient outreach, education, and disease management both in-person and telephonically
- Perform RN triage (walk-in and telephone) and provide clinical support across multiple sites as needed
- Float to all CHWC locations to ensure adequate RN triage coverage and operational support
- Document accurately in the electronic health record and other required systems
- Analyze data and run reports to support quality improvement and reimbursement initiatives
- Participate in interdisciplinary team meetings and collaborate with providers and staff
- Administer medications and immunizations as appropriate
- Support regulatory readiness and compliance with all applicable standards
Qualifications
Education:
- Graduate of an accredited nursing program (BSN preferred)
Experience:
- Prior experience in case management, care coordination, or discharge planning preferred
- Experience with Chronic Care Management (CCM) programs and ACO/population health platforms preferred
- Familiarity with tools such as Optum, Practice Assist, CareScreen, or similar systems preferred
Licensure/Certification:
- Current Registered Nurse (RN) license in the State of Connecticut
- Current CPR certification
Skills & Competencies:
- Strong clinical assessment and critical thinking skills
- Knowledge of managed care and population health strategies
- Excellent communication and interpersonal skills
- Ability to work independently and collaboratively
- Strong organizational and data management skills
- Compassionate, patient-centered approach to care
Additional Requirements
- Ability and willingness to travel between multiple CHWC sites
- Flexibility to provide cross-site RN triage coverage as needed
- Proficiency with electronic health records and virtual communication platforms (e.g., Teams, Zoom)
- Commitment to quality improvement, patient satisfaction, and cost-effective care
Work Environment & Physical Demands
This role requires a combination of clinical and administrative duties, including standing, walking, sitting, computer use, and patient interaction. May require lifting up to 25 pounds.
Why Join CHWC?
At Community Health & Wellness Center, we are committed to providing high-quality, patient-centered care while fostering a collaborative and supportive work environment. Join a team dedicated to improving the health of our community through innovation, compassion, and excellence.
Equal Opportunity Employer
Community Health & Wellness Center is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, veteran status, or other protected characteristics.