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Nurse Navigator – Palliative Care
Rochester Regional Health. Provides proactive case coordination and patient navigation, including triage, utilization management, algorithm management, and resource management .
Posted 9/25/2026part-timeRochester • New York • United StatesMid-LevelSenior💰 $80,753 - $110,292 per yearWebsite
Tech Stack
Tools & technologiesUnity
About the role
Key responsibilities & impact- Provides proactive case coordination and patient navigation, including triage, utilization management, algorithm management, and resource management
- Organizes services across the continuum from pre-registration through discharge to support optimal outcomes, continuity, quality of care, cost reduction, and patient satisfaction
- Reviews medical records with referring providers and applies utilization review criteria to assess admission, continued stay, and level of care
- Interviews patients and families regarding social, emotional, and financial factors affecting health status
- Responds to referrals and collaborates with patients, families, physicians, hospital staff, and community agencies
- Develops post-hospital plans, initiates referrals, and coordinates continuing care and resource support
- Identifies utilization problems, monitors clinical pathways and variances, and communicates with physicians and Physician Advisors
- Maintains current information on community resources, third-party payors, managed care rules, regulations, and procedures
- Maintains timely medical records, logs, computer entries, statistics, worksheets, and patient documentation
- Communicates with physicians and coders and identifies case mix issues
- Provides consultation and education to medical and hospital staff regarding case management, resource management, discharge planning, and complex medical/legal issues
- Assists in developing new services and policies aligned with patient needs and the strategic plan
- Refers potential quality problems to appropriate administrative, medical, quality, risk management, infection control, and hospital departments
- Consults with clinical social workers regarding complex psychosocial and financial needs
- Collects quality indicators and clinical pathway variance data and participates in improvement teams
- Develops and maintains relationships with physicians, center leadership, hospital staff, coworkers, and internal stakeholders
- Provides culturally sensitive services responsive to patient and family beliefs, attitudes, language, and behaviors
- Ensures adherence to Unity processes, procedures, and standards
Requirements
What you’ll need- Graduate of an approved school of nursing
- Minimum of five years of experience in a health care setting
- Minimum of two years of experience in an acute care setting
- Current licensure as an RN in the state of New York
- Associate of Science in Nursing required
- BLS - Basic Life Support - American Heart Association (AHA)
- Prior experience in palliative care strongly preferred
- Ability to provide care in a culturally sensitive manner
- Ability to maintain strict confidentiality
- Ability to comply with Unity processes, procedures and standards
- Ability to work Monday-Friday days
- Ability to perform light clinical duties, including frequent standing and walking and occasional lifting of objects up to 20 lbs.