Neurology Nurse Navigator
- South Bend, IN
- Full-time
- Day shift
Job description
$2,500.00 Sign-on Bonus!!!
Reports to the Practice Manager/Director. Serves as a key clinical-operational resource to support?ambulatory neurology access, care coordination, and patient progression across the continuum?(new consult → diagnostics → treatment → longitudinal management).
Coordinates care for patients with?complex neurological conditions, ensuring seamless integration across?clinic, diagnostics, infusion services, and hospital transitions. Acts as?a?central point?of contact and advocate?for patients, physicians, and care teams, removing barriers to care, improving patient experience, and supporting?timely?access to services. Supports?clinical-operational alignment?by?optimizing?scheduling, reducing delays in diagnostics/treatment, and promoting adherence to evidence-based care pathways.
MISSION, VALUES and SERVICE GOALS
• MISSION :?We deliver outstanding care, inspire health, and connect with heart.
• VALUES :?Trust. Respect. Integrity. Compassion.
• SERVICE GOALS :?Personally connect. Keep everyone informed. Be on their team.?
Care Navigation & Patient Access?
• Guide patients through the ambulatory neurology care pathway from?initial?referral through ongoing disease management
• Conduct initial patient outreach to:
• Assess urgency, symptom burden, and barriers to care
• Ensure?appropriate level?and timing of visit
• Coordinate?timely?scheduling of consults, procedures, and diagnostics
• Reduce leakage and delays by actively managing?internal referrals and external transitions
Clinical Coordination & Patient Flow?
• Collaborate with neurologists, APCs, MAs, and referral teams to ensure?efficient patient progression
• Serve as liaison between:
• Patients/families
• Providers
• Ancillary services (therapy, infusion, imaging)
• Support?hospital-to-clinic transitions?
• Monitor and address gaps in care that could?impact?clinical outcomes or access timelines
Chronic Disease & High-Risk Patient Management?
• Proactively manage patients with?high-risk or complex neurologic conditions, including:
• Frequent ED?utilization
• Missed appointments or care gaps
• Disease instability
• Reinforce care plans, medication adherence, and follow-up compliance
• Coordinate multidisciplinary support (PT/OT/ST, behavioral health, social services)
Patient & Family Education ?
• Provide education on:
• Diagnosis and disease progression
• Treatment plans (including specialty medications, infusions)
• Safety considerations (e.g., seizure precautions, fall risk, stroke warning signs)
• Ensure understanding of?when and how to access care appropriately?(clinic vs. ED)
Barrier Resolution & Resource Coordination?
• Identify?and mitigate barriers such as:
• Prior authorizations for imaging/medications
• Transportation and access limitations
• Financial constraints
• Coordinate with internal teams (financial counselors, prior auth, scheduling) to?expedite?care
?Quality, Outcomes & Performance Improvement?
• Track and report on:
• Access metrics (time to new patient visit, time to diagnostics)
• Care gaps and no-show trends
• Patient outcomes for targeted populations
• Participate in?practice-based quality improvement initiatives,?including:
• Access optimization
• Care pathway standardization
• Reduction in ED utilization/readmissions for neurology patients
Multidisciplinary Clinic & Program Support?
• Support coordination of subspecialty clinics (e.g., stroke follow-up, MS clinic, movement disorders program)
• Ensure readiness for clinic sessions (records, diagnostics completed, care plans aligned)
• Assist?with development of structured care pathways and protocols
Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:
• Completing other job-related assignments and special projects as directed.
Associate complies with the following organizational requirements:
• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.
Education & Experience
• RN license in Indiana?required
• Neurology experience preferred?
• Minimum?3–5 years clinical experience, ambulatory or care coordination experience strongly preferred
• Experience with?care navigation, case management, or population health preferred
Knowledge & Skills
• Strong understanding of:
• Neurologic conditions and care pathways
• Ambulatory workflows and referral management
• Ability to:
• Navigate complex scheduling and diagnostic coordination
• Identify?and resolve barriers to care
• Communicate effectively across physicians, staff, and patients
• Proficiency?in:
• EMR systems
• Care coordination and reporting tools
• Demonstrated strengths in:
• Patient advocacy
• Critical thinking and prioritization
• Interdisciplinary collaboration
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