The Palliative Care Navigator is a clinical navigator within the Population Health Services Organization, accountable to the ACO. The Navigator proactively identifies ACO-attributed patients on a readmission trajectory and delivers upstream palliative navigation — goals-of-care conversations, advance care planning, and coordinated transitions — for readmitted patients, rather than waiting for an inpatient palliative consult to be initiated.
Operating under assigned clinical direction and PHSO operational supervision, the Navigator serves as a single, continuous point of contact across inpatient, outpatient, and post-acute settings to ensure palliative and hospice needs are recognized and addressed in a timely manner. Other information: Active, unencumbered license in the State of Arkansas as either a Registered Nurse (RN) or a Licensed Master Social Worker (LMSW) from a CSWE-accredited program is required.
Registered Nurse candidates: Bachelor of Science in Nursing (BSN) preferred. Social work candidates: Licensed Clinical Social Worker (LCSW) is preferred. A minimum of 2 years of clinical or patient-facing healthcare experience is required.
Experience in palliative care, hospice, oncology, transitions of care, or care management is preferred. Experience conducting goals-of-care and advance care planning conversations preferred. Valid Arkansas driver's license required.
Strong interpersonal, communication, and documentation skills; ability to manage workload and prioritize independently. Familiarity with accountable care organizations, value-based care, or population health initiatives is preferred. Proficiency with Epic or comparable population health analytics platforms is preferred.
Advanced certification in hospice and palliative care or case management (e.g., CHPN, APHSW-C, CCM) preferred. This job will be authorized 80.00 hours bi-weekly.