Respiratory Care Patient Navigator - Neonatal/Pediatric

Job description

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Day Shift

40 hours per week

BSRT Strongly Preferred

Knowledge in Case Management, Home Care, and Home Durable medical equipment preferred

General Description
Meets clinical requirements of neonatal and pediatric ARCP care team member. Plans, directs and participates in the delivery of patient care. Coordinates the plan of care for patients with complex respiratory disorders from acute care to outpatient management. Acts as a liaison between the patient and healthcare personnel to ensure necessary care and equipment is provided promptly and effectively. Responsibilities include identifying and educating on health risks, monitoring patient compliance with current disease specific clinical guidelines, coordinating with outpatient clinics, educating patients and their families on their specific disease process, and providing ongoing assessment, monitoring and re-evaluation of needs. Provides support to inpatient RCS team with education and policy review with evidence based standards of care.

Associated Outcomes
The RC Transition Navigator works independently utilizing established protocols and critical thinking skills to act as a positive change agent to improve the client’s health status; works collaboratively with primary care providers, specialists and the health care team to provide case management services to patients with chronic respiratory support needs. Outcomes may include pressure injury, days to achieve home care regimen, days to care area transition, days to discharge, readmission, access to home equipment, and cost reduction in addition to other outcomes identified by the interdisciplinary team or leadership.
Targeted Patient Populations
Tracheostomy, home ventilator dependent, non-invasive and pulmonary clearance patients through Duke Children’s.

**As this position is evolving, duties and outcomes may be subject to change with discussion.

• Work collaboratively with physicians, nursing, and other members of the multi-disciplinary team providing targeted management and education to patients diagnosed with a complex repiratory disorder. Develops individual action plans that help coordinate care, manage costs, and open lines of communication.
• Navigate the patients care to include contacting appropriate team members/agencies to assist in the determination of patients’ needs and/or eligibility for services.
• Monitors procedural/clinic schedules to ensure appropriate needs and follow up calls are initiated and patients are aware of what they should expect for inpatient or discharge processes.
• Participates in quality initiatives to drive improved patient outcomes.
• Helps ensure service growth by participation in outreach strategies such as health fairs, screenings, and community education.
• Completes projects in assigned timeline. Analyzes project data for departmental process improvement. Demonstrates ability to prioritize and efficiently manage assignments.
• Demonstrates ability to communicate effectively with patients, families, co-workers, and physicians. Quickly adopts changes needed to meet customer needs. Delivers care in a nonjudgement/nondiscriminatory manner that is sensitive to linguistic, cultural, and spiritual needs. Displays conduct that fosters the growth and development of a professional and harmonious work environment.
• Appropriately documents encounters with patients as well as submit billing documentation and coding in a timely manner to ensure proper reimbursement of services provided.
• Serves as a point of contact for referring physicians, patients, and caregivers to provide assistance with accessing clinical and supportive care services for their disease process such as pulmonary function testing, pulmonary rehab referrals, family smoking cessation, sleep studies, and community resources and support groups.

Routine care:

  • Routine patient care will be provided by the assigned RCP unless a specific assessment is required, at which point the Navigator will communicate with the assigned RCP.
  • Weekly rounding with care team and Navigator to review patient progress with plan of care and communication with assigned RCP following.
  • Tracheostomy discharge education and device education will be overseen by Navigator. Initial education and Emergency scenarios will be conducted by Navigator or specific team. All other classes can be taught be assigned RCP.

Minimum Qualifications


Completion of a 2 year AMA approved respiratory care program requirements (Associates Degree or the equivalent). Must maintain annual skill maintenance requirements Must maintain annual safety/compliance Must maintain North Carolina annual license requirements for CEUs


Six months to one year of clinical experience following graduation from a respiratory care program.

Degrees, Licensures, Certifications

North Carolina State Licensure Registry ( RRT) by the National Association for Respiratory Care (NBRC) Certification in Basic Life Support (BLS) Certification in Advanced Cardiac Life Support (ACLS) Certification in Pediatric Advanced Life Support (PALS) Certification in Neonatal Resuscitation (NRPS) if applicable to institution

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.




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Job No:
Posted: 4/2/2021
Application Due: 7/1/2021
Work Type: Full Time