Neurology Nurse Navigator in South Bend, Indiana at Beacon Health System

$2,500.00 Sign-on Bonus!!!

Description:

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.

ORGANIZATIONAL RESPONSIBILITIES

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.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.

• Cultivate human talent.

• Embrace performance improvement.

• Build greatness through accountability.

• Use information to improve and advance.

• Communicate clearly and continuously.

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