RN, Nurse Navigator
Core
Specialized hospital-based registered nurse ensuring complex geriatric patients receive customized, age-friendly care preoperatively, during in-hospital recovery, and through safe transitions out of the hospital.
Role type
Senior IC nurse navigator (geriatric surgery)
Builds
High-value, streamlined surgical care programs for older adult patients (typically 65+)
Domain
Healthcare / Geriatric Surgery / Perioperative Medicine
Required skills
Geriatric care coordination, Risk stratification, Multidisciplinary team collaboration, Preoperative screening, Care transition management, Patient and family education
Preferred skills
Acute care experience (Med-Surg, ICU, ED), Geriatric syndromes knowledge, Polypharmacy management, Quality improvement initiatives, EHR proficiency
Technologies
Electronic Health Records (EHR), Microsoft Office
Responsibilities
Conduct preoperative phone screens for frailty and coordinate evaluations; Identify high-risk geriatric patients upon admission and complete baseline assessments (cognition, delirium, falls, polypharmacy); Facilitate communication among multidisciplinary teams and support care handoffs; Serve as ongoing resource for patients and families during treatment and post-discharge; Participate in implementation and evaluation of age-friendly policies; Develop and update patient education materials; Organize high-risk conferences and disseminate meeting feedback.