• RN Pediatric Care Navigator - MT Children’s Specialist

    Job Locations US-MT-Kalispell
    Requisition ID
    Nursing - Clinic
    Pay Period Status
    Monday- Friday 8:00am-5:00pm
  • Overview

    The RN Pediatric Care Navigator offers individualized assistance to patients, families, and caregivers to help overcome healthcare system barriers. Facilitates communication, coordinates services, addresses barriers, provides education, and promotes optimal allocation of resources while balancing clinical quality and cost management. Assists patients and their families as they transition through multiple healthcare settings while providing chronic care and high risk care management.


    1. *Assesses patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services, referrals and support services, such as dietitians, providers, social work, and financial services. Acts as a liaison between the patients, families, caregivers and the providers to optimize patient outcomes and experience.
    2. *Participates in coordination of the plan of care with the multidisciplinary team, promoting timely follow-up on treatment and supportive care recommendations. Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care.
    3. *Utilizes appropriate assessment tools (e.g., PHQ2/9, RCADS, SDOH) to promote a consistent, holistic plan of care. Provides psychosocial support to and facilitates appropriate referrals for patients, families, and caregivers, especially during periods of high emotional stress and anxiety.
    4. *Provides and reinforces education to patients, families, and caregivers about disease processes, new diagnosis, self-management tools, medications, and discharge teaching/instructions.
    5. *Builds therapeutic and trusting relationships with patients, families, and caregivers through effective communication and listening skills. Utilizes motivational interviewing techniques to assist patients in meeting their goals and managing their acute and chronic diseases.
    6. *Facilitates communication among members of the multidisciplinary pediatric care team to prevent fragmented or delayed care that could adversely affect patient outcomes and experience.
    7. *Supports a smooth transition of patients from one level of care to another and from community to community.
    8. *Participates in the tracking of metrics and patient outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program. Supports process improvement to achieve optimal clinical, financial, operational, and patient experience outcomes while working toward continuously improving quality metrics and closing care gaps.
    9. *Collaborates with the pediatric and care navigation team to develop and improve workflows and protocols for pediatric care that ensure appropriate hospital, ER, and community resource follow-up.
    10. *Demonstrates effective communication with peers, members of the multidisciplinary healthcare team, and community organizations and resources.
    11. Establishes and promotes a collaborative relationship with providers, payers, and other members of the health care team.


    1. Current Montana RN license required. BSN preferred.
    2. BLS certification required. PALS certification preferred or must be able to successfully obtain within six (6) months of hire.
    3. Pediatric nursing experience required. Nursing experience in a variety of pediatric care settings (Outpatient Clinic, Home Health, and Acute Care) preferred..
    4. Ability to comprehensively assess patient’s physical and psychosocial status and to evaluate clinical outcomes across a variety of pediatric care settings. Possess familiarity with diabetes, oncology, and gastroenterology preferred.
    5. Possess the ability to multi-task and prioritize with a “can do” attitude while working with providers, patients and their families, and community systems.
    6. Demonstrated ability to work collaboratively with multidisciplinary care teams. .Knowledge of professional practice standards, regulatory requirements.. Possess and maintain computer skills to include working knowledge of Word, Outlook, Excel, PowerPoint, Access and ability to learn other software as needed.   Knowledge of electronic health records preferred


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