Perinatal Nurse Navigator

Involves advanced expertise in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, among others. Provides direct patient care, teaching, mentoring, consulting, research, management, and systems improvement. Influences outcomes by providing expert consultation to all care providers and implementing improvements in health care delivery systems. Serves as an advanced-practice clinical nursing expert for fetal and high-risk obstetric populations, providing specialized clinical consultation and leadership across the continuum of care. Applies advanced evidence-based nursing expertise to complex patient care, interdisciplinary care planning, clinical education, and development and improvement of clinical practice, referral pathways, and care delivery systems across Oakland and San Francisco. Functions with a high degree of autonomy and serves as a clinical resource to nursing staff, providers, patients, families, and referring organizations. The Fetal Treatment Center (FTC) at UCSF Benioff Children’s Hospital provides specialized, multidisciplinary care for patients with complex fetal and maternal conditions requiring advanced prenatal diagnosis, consultation, intervention, and coordinated perinatal management. The program partners closely with Neonatology, Maternal Fetal Medicine, Pediatric Surgery, Pediatric Cardiology, Genetic Counseling, and referring providers to deliver comprehensive, patient-centered care across the continuum. The FTC operates across San Francisco and Oakland and is committed to providing a consistent, coordinated experience for patients, families, and referring providers. As part of ongoing efforts to improve access, communication, and care coordination, the program is working to standardize referral, intake, navigation, and care coordination processes across sites. These efforts support a more integrated approach to fetal and complex maternal care, improve timely access to specialty services, and strengthen communication among patients, families, providers, and interdisciplinary teams.

% of time Essential Function (Yes/No)

Key Responsibilities

(To be completed by Supervisor)

15 Yes Establishes and coordinates a highly specialized supportive care plan with goals and interventions based on treatment and referring provider and individual patient / needs. Recommends changes or new processes to increase patient satisfaction in navigating across the healthcare system for services. 15

Yes Analyzes patient satisfaction reports, develops key metrics and implements changes regarding specialized clinical treatment and patient understanding of their care plan. Pro-actively identifies problems in processes and clinical operations and proposes solutions improving patient satisfaction for situations with little or no precedent. Develops and manages metrics to evaluate and improve program and patient outcomes. 10 Yes Works closely with specialized referring providers, advocating and representing the patient with a focus on the patient's satisfaction with the clinical aspects of their treatment experience. Identifies and works to remove barriers to the plan of care as appropriate. 10

Yes Coordinates highly specialized clinical and non-clinical resources based upon patient's diagnosis, insurance coverage and community programs. Applies specialized clinical knowledge to explain treatment options. Identifies patient's preferences, and any barriers to the treatment plan implementation. 10 Yes Collects, evaluates, recommends, and presents meaningful use and / or relevant operational or clinical data to leadership. Establishes recommendations for follow up and action plans for improvement in specialized clinical area. 10 Yes Takes lead role in developing a culture oriented around referring provider and patient satisfaction. Participates in relevant committees, task forces, coalitions, associations, and meetings to represent the clinic and the patients. Participate or leads on teams for improvements in clinical applications, in conjunction with workflows. 10 Yes Leads development, implementation, and evaluation of evidence-based clinical practice and care delivery improvements for the fetal/high-risk obstetric population, including standardized clinical pathways, referral processes, interdisciplinary workflows, policies and procedures, and clinical and operational outcome measures. 10 Yes Anticipates and initiates coordination activities; provides road maps for patients to set expectations and coordinate highly specialized care in alignment with patient's needs. Includes reviewing clinical case with provider team to schedule evaluation services. 5 Yes Serves as an advanced clinical resource and mentor to nursing and interdisciplinary staff within the specialty. Develops and provides education regarding fetal/high-risk obstetric care, clinical workflows, care coordination practices, and evolving evidence-based standards; mentors and coaches staff in implementation of new practices, workflows, and technologies. 5 Yes Manages debriefing and follow-up with patients and families. Proactively creates systems to facilitate coordination and communication. 100% (To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.)

Required Qualifications:

• Master's degree in a BRN-recognized graduate master’s degree program
• 5+ years of related work experience in high-risk OB and/or fetal medicine
• Advanced clinical knowledge in a variety of modalities, or significant expertise in perinatal and fetal medicine. Advanced ability to assess patient needs and make appropriate referrals for specialized support services and programs.
• Advanced skills in assessing provider and patient grievances and locating appropriate resources to get issues resolved. Advanced skills to intervene and assist with patient's questions or concerns about treatment plan.
• Advanced patient care skills, working with a high-volume and high-expectations customer base. Strong ability to support patients with a wide variety of clinical and non-clinical needs.
• Advanced skills and expertise working in a complex, multi-divisional environment, with proven ability to initiate projects and lead teams, prioritize tasks, and direct projects successfully from inception to completion on task and on schedule.
• Advanced communication skills to teach patients about complex, sensitive clinical issues.
• Demonstrated knowledge of Windows-based software, including Microsoft Word, Excel, and Outlook. Strong Knowledge of clinical-based computer systems and software.

Required License/Certification/Education:

• Active California Registered Nurse License
• Certified Clinical Nurse Specialist, or licensure/certification in another advanced nurse practice discipline (such as NP or CRNA)
• Current national certification from an accepted certifying agency
• Current American Heart Association BLS

Special Conditions of Employment: (Statements identifying the fundamental non-negotiable job conditions and/or requirements which an individual must meet to be eligible for the position. For example, the ability to pass a background check, work in a particular environmental setting, work a flexible or irregular work schedule, etc.)

• Must be able to pass a background check
• Must be flexible to work at all UCSF Medical Center locations.

Problem Solving Please provide 2-3 examples of problem solving for this position as described below (please be brief: 1-3 sentences for each example).

Common problems solved by the employee:

• Resolves barriers to timely access, referral routing, scheduling coordination, communication gaps, and multidisciplinary care coordination for complex fetal and maternal patients.

Less frequent and more complex problems solved by the employee:

• Develops and implements system-level workflow improvements, referral pathways, navigation processes, communication standards, and operational metrics across FTC and affiliated programs.