Job Description

Nurse Navigator
Job Type: Full-Time

About Us
Bayview Physicians Group is a rapidly growing, multi-specialty outpatient medical group committed to improving the health and wellness of our community. We believe that a strong doctor-patient relationship is the foundation of high-quality care. We are currently seeking a compassionate and organized Nurse Navigator to join our care coordination team and make a meaningful impact on patients with chronic and complex health needs.

Position Summary
The Nurse Navigator plays a key role in supporting high-risk patients by identifying and addressing barriers to care, promoting adherence to treatment plans, and empowering patients to take an active role in their health. This position coordinates care across the healthcare continuum—ensuring patients receive the right care, at the right time, in the right setting.

This role requires collaboration with physicians, care team members, patients, and community partners to ensure seamless care delivery. The ideal candidate thrives in a moderately paced, complex care environment and is passionate about improving health outcomes and the overall patient experience.

Key Responsibilities

• Coordinate care for moderate- to high-risk patients, including scheduling appointments, arranging referrals, and addressing barriers such as transportation or medication adherence.

• Serve as a liaison between patients, primary care providers, specialists, and support services.

• Support care plan development and execution, ensuring patient understanding through techniques such as teach-back.

• Review and interpret medical documentation and insurance data to assess patient needs and formulate a care navigation plan.

• Conduct post-visit and post-discharge outreach to reinforce care plans and ensure follow-through.

• Educate patients on chronic disease management, navigating the healthcare system, and preparing for appointments.

• Refer patients to local community resources and services, as needed.

• Accurately document all patient interactions, care coordination efforts, and outcomes in the electronic medical record system.

• Work collaboratively with other nurse navigators and clinical staff to provide seamless, patient-centered care.

• Support quality improvement initiatives and participate in staff training around patient-centered and chronic care models.

• Perform other duties or special projects as assigned.

Qualifications

• Education: Registered Nurse (RN) or Licensed Practical Nurse (LPN)

• Experience: Minimum of 3 years in an outpatient healthcare setting

• Strong understanding of chronic disease management and patient education principles

• Excellent communication and organizational skills

• Proficiency with electronic medical records and basic computer applications

• Knowledge of HIPAA and commitment to maintaining patient confidentiality

• Ability to work independently and as part of a multidisciplinary team

Why Join Us?
Bayview Physicians Group offers a supportive team environment and a competitive benefits package for full-time employees. If you are passionate about improving the lives of patients and want to play a vital role in their care journey, we encourage you to apply.

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