Nurse Navigator

About This Role The Nurse Navigator guides patients through the healthcare system and coordinates services across the continuum of care. The role advances value-based care by reducing fragmentation, supporting timely follow-up, reinforcing treatment plans, and improving patient experience and outcomes for high-risk or medically complex populations. What You’ll Do Coordinates referrals, specialty appointments, diagnostics, hospital follow-up, and plan-of-care activities for assigned patients. Assesses clinical, behavioral, and social barriers to care and works with interdisciplinary teams to address identified needs. Tracks patient progress and follow-up milestones to reduce care gaps, missed transitions, and unnecessary utilization. Provides education regarding diagnoses, treatment plans, medications, referral processes, and follow-up expectations. Partners with providers, nurses, case managers, behavioral health staff, community health workers, and external organizations to improve continuity of care. Documents navigation activities, risk issues, care plans, and communication in the electronic health record in a timely manner. Supports quality, utilization-management, and value-based performance initiatives tied to transitions of care and chronic condition outcomes. Maintains confidentiality and reports suspected privacy or security concerns according to policy. What You Bring Current unrestricted Registered Nurse license in the State of Delaware, or compact state authorization as applicable. Three to five years of nursing, care coordination, utilization management, or case management experience. Strong knowledge of referral management, transitions of care, and patient education principles. Ability to manage multiple priorities and document accurately in the electronic health record. Preferred Qualifications Experience in an FQHC, oncology, specialty coordination, or complex care management setting. Case management certification or equivalent training. Experience supporting value-based contracts or population health initiatives. This Role Is Grant-Funded This position is funded through Delaware's federal Rural Health Transformation Program grant, awarded through the Delaware Department of Health and Social Services. Although the RHT award covers a five-year project period, funding is approved and allocated annually, and continued employment in this role is contingent on annual grant reapproval. Compensation and Benefits This role offers a competitive salary based on experience and community health center pay standards in Delaware. Health Insurance (Medical / Dental / Vision) Long-Term Disability Employee Assistance Program (EAP) Short-Term Disability Option Equal Opportunity Employer Henrietta Johnson Medical Center is an equal opportunity employer. Questions About This Role Contact View email address on click.appcast.io or View email address on click.appcast.io. #J-18808-Ljbffr