Outpatient Joint Replacement Nurse Navigator

at Spectrum Healthcare Partners in Portland, Maine, United States

Job Description

Spectrum Orthopaedics was recently named the winner of the Best of the 207 Orthopaedics award!

COMPANY OVERVIEW Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire. POSITION SUMMARY This position plays a key role on the interdisciplinary team as the single point of contact to coordinate care in the pre, intra and post-operative care and physical therapy leading up to and following a joint replacement performed in an ambulatory surgical setting. The Nurse Navigator guides patients and their families through their joint replacement experience, implementing an integrated process of care to facilitate patients’ intervention, and recovery. This position will support joint navigation and pre-admission testing. This position is 22 hours per week (M-F). No nights, weekends, or call! ESSENTIAL FUNCTIONS

+ Conducts the preadmission education session for patients scheduled for joint replacement procedures to ensure that all patients receive appropriate education regarding their joint replacement or other musculoskeletal procedure, including preparation before, what to expect during surgery, and following transition to home or post-acute care services. Works with rehabilitation and other services to ensure comprehensive patient education and preparation is achieved and maintained on an ongoing basis.

+ Follows up and engages in conversation in order to assess progress of patient’s recovery, problem-solve issues requiring clarification and alert surgeons of any changes since discharge.

+ Functions as member of an integrated professional team in the ongoing accurate assessment of patient’s needs, through collaborating with physicians, physical therapists, and nurse caregivers to promote the development, implementation, and evaluation of the patient’s care on an ongoing basis.

+ Acts as a resource to all members of the health care team related to provision of care, enhancing assessment skills of others, establishment of appropriate care standards, and determination of realistic goals for optimal patient outcome.

+ Reduces risk for canceled surgical cases by ensuring the timing of all necessary clearances and PATs. Helps patients understand their insurance coverage as well as the necessary durable medical equipment required for recovery

+ Provides pre- and post-op education, educational resources and support to patients and their families

+ Serves as the primary point of contact between patients and the care team.

+ Accountable for the key performance measures of the joint replacement patient and works with the Quality team to identify and track key performance measures, including but not limited to: Patient satisfaction, physician satisfaction, LOS, variable cost/case, discharge disposition, and orthopaedic specific outcome tools as necessary. Responsible for reporting and achieving the identified metric targets and intervening to help meet these measures if needed.

+ Creates a caring and compassionate patient-focused experience by building relationships with patients, families, and colleagues

+ Ensure all physician orders are carried out appropriately and timely

+ Develops concise patient itinerary for use by the patient and the care team, documents all communication with the patient and performs accurate and timely documentation of patient care services by charting in the patient record.

+ Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards

+ Assures compliance for all regulatory agency standards, such as AAAHC and OSHA


+ Participates in staff education on an individual and/or group basis as needed. Provides support to the team for continual learning

+ Maintains a current knowledge of changes in orthopaedic patient care management standards and takes appropriate measures to incorporate into performance systems.

+ Promotes evidence-based practice in self and others by reading, interpreting, and evaluating research for utilization in practice.

+ Develops and maintains productive working relationships internally and externally modeling positive communication

+ Attends meetings as assigned, and participates in ongoing personal and professional growth and development

+ Maintains current licensure and relevant certifications

+ Demonstrates professionalism at all times

+ Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team, and practice meetings

+ Displays cooperative behavior and interacts positively and effectively with others to promote a team environment

+ Performs other duties necessary to maintain the overall efficiency and continuity of the department

+ Is proactive in identifying, reporting, and participating in the resolution of any potential or actual patient safety issues


+ Successful completion of a Registered Nurse degree from an accredited school of nursing, BSN desired

+ Valid RN Maine State License or eligible for licensure required

+ 5+ years’ nursing experience; Experience in orthopaedic case management/Joint preferred

+ Certification in Orthopedics and/or Certified Case Manager/Nurse Navigator desired

+ Current BLS

+ Demonstrated competency in all skills related to the performance of patient care within their scope of practice and according to organizational policies, accrediting, and licensing bodies

+ Demonstrated critical judgment and decision making

+ Excellent communication and interpersonal skills necessary for interacting with patients, physicians, supervisors, and other staff

+ Skills in time management, prioritizing and medical care coordination

+ Ability to organize and accomplish tasks, and have the flexibility to meet changing demands on daily basis

+ Ability to demonstrate compassion, empathy, patience, understanding, courtesy to all patients, families, caregivers

+ Ability to maintain confidentiality

+ Ability to project and maintain a professional image

+ Ability to work independently and excel as part of a team

+ Excellent customer service skills

+ Proficient computer skills and knowledge of electronic medical records


+ Daily use of computer equipment; stationary PC, Laptop PC, keyboard and mouse and office equipment; telephone, copier, pager

+ Light lifting of paperwork, folders or other general record keeping materials

+ Lifting up to 20 pounds occasionally, and/or up to 10 pounds frequently

+ Walks frequently

+ May be required to sit or stand for extended periods of time

+ Risk of exposure to hazardous conditions and blood borne pathogens

+ Occasional reaching, twisting, bending, pushing, pulling


+ Health Insurance (80% company paid)

+ Health Savings Account Match ($3,000 family plan / $1,625 individual plan)

+ Dental & Vision Insurance Plans

+ 401(k) Match and Profit-Sharing Plan

+ Life and Accidental Death and Dismemberment Insurance

+ Long-term Disability Insurance

+ Short-term Disability Insurance

+ Generous paid time off

+ Voluntary, Employee-Paid Benefits

+ Medical Reimbursement Plan

+ Dependent Care Plan

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Job Posting: JC230981564

Posted On: Dec 23, 2022

Updated On: Mar 27, 2023

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