The Nurse Navigator (NN) will work collaboratively with the orthopedic Foot& Ankle and Upper Extremity faculty experts and their interdisciplinary teams focusing on the nursing perspective. The NN coordinates the care for the patient prior to the patient’s first consult visit at OHSU through the end of the journey for surgery and recovery. This position will work identify patient barriers, coordinate smooth transitions of care, follow the pre and post-operative journey and be responsible for complex patient tracking. This will allow the team to create a plan of care at the patient’s first visit and, through the treatment of their orthopedic condition.
This position also comes with great benefits! Some highlights include:
A NN OHSU is a professional RN with orthopedic-specific clinical knowledge who offers individual assistance to patients, families, and caregivers to help overcome healthcare system barriers. The NN guides patients and their families/caregivers through their joint replacement experience, implementing an integrated process of care to facilitate patients' intervention, and recovery. The NN interfaces with research staff and works to identify patients who may be suitable candidates for clinical trials.
Patient Populations: Serving patients aged 16 and above, primarily from all over the metro area along with the entire state of Oregon.
1. Conducts a patient assessment, using the nursing process, to identify patient’s understanding of surgery, barriers to care, social determinants of health, preferred learning style, family support, and any current symptoms. This position plays a key role on the interdisciplinary team as the single point of contact to coordinate care in the pre, intra and post-operative care as well as physical therapy leading up to and following a joint replacement performed at OHSU and partner hospitals.
2. The NN tracks data on each referral in order to capture information on the population served and to follow metrics for volume, access, referral sources, work up requirements, subsequent needs after consult.
3. The NN may meets with patients in clinic or on the inpatient unit as determined by the specialty team.
4. Provides pre- and post-op education, educational resources and support to patients and their families/caregivers. The NN acts as a resource to all members of the health care team related to provision of care, enhancing assessment skills of others, establishment of appropriate care standards, and determination of realistic goals for optimal patient outcome
5. The NN ensures when hospitalization is required; patients and their family members/caregivers understand prior to admission, what they can expect during the pre-hospitalization, hospital stay and post discharge period. The NN works with the care coordination team and inpatient team on the admission and discharge plans. The NN will work with the orthopedic total joint APPs on triage of patient specific issues and concerns pre and post-surgery.
6. Collaborate with the Quality team to identify and track key performance measures, including but not limited to: Patient satisfaction, physician satisfaction, LOS, variable cost/case, discharge disposition, and orthopedic specific outcome tools as necessary.
• Recent ambulatory orthopedic experience
• Nurse Navigator/Care Manager experience
• Telephone Triage/Advice experience
Length of Orientation – Experienced Nurse
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu
