Nurse Navigator, Population Health
Washington, DC Health Services
Job Type
Full-time
Description

Are you excited about a new and exciting opportunity? Do you have a passion for working with families and individuals in need of healthcare, housing, and community support services? Are you interested in working for a mission-driven and innovative organization? Well, look no further! At Community of Hope, we envision Washington, DC, where everyone is healthy, housed, and hopeful. If you are ready to make a positive difference in the community, this position is for you! 


Our mission: To improve health, end homelessness, and partner with communities to make Washington, DC more equitable. 


Our Approach and Values: 

We celebrate people’s strengths and acknowledge the impact of trauma on people’s lives.   

We embrace diversity, welcome all voices, and treat everyone with respect and compassion. 

We lead and advocate for changes to make systems more equitable. 

We strive for excellence and value integrity in all that we do. 


Position Summary:  The Nurse Navigator, Population Health is accountable directly to the Director of Nurse Care Management.    This is a full-time position,  based out of our Conway Health and Resource Center in SW, DC.  
 

This salary for this position ranges between $95,000 and $105,000 annually and the offer amount is determined by the candidate's education, qualifications, and experience.  Indeed provides their own estimated salary calculator and is not affiliated with COH's range.   


Highlighted Duties and Responsibilities:  

  • Develops the clinical elements of an individual care plan for My Health GPS patients, including a full biopsychosocial assessment of patient needs, in consultation with other health team members.  
  • Monitors the patient’s health status and documents progress toward the goals contained in the person-centered plan of care, including amending the plan of care as needed.
  • Facilitates patient empowerment and quality of life by promoting educated, independent patient choice on all aspects of care.
  • Provides education to patients and caregivers to allow them to better understand health condition, medications, and self-care skills.
  • Conducts outreach to the beneficiary prior to discharge or within twenty-four (24) hours after discharge to support transitions from inpatient to other care settings. Ensures that patients discharged from hospitals have adequate care and support and regularly checks up on progress.
  • Communicates regularly with My Health GPS patients via face-to-face or telephone encounters at least once per month, as well as via the patient portal.  Meets patients where necessary in order to accomplish this goal.
  • Evaluates the quality of care in MHGPS program through a clinical and value lens by assessing appropriate levels of care and support services for patient panel.
  • Schedules work load for maximum efficiency.  Manages panel of approximately 400 patients in conjunction with other team members. 
  • Performs other duties as assigned by supervisor. 
Requirements
  • Bachelor of science degree in nursing required.
  • A current, unencumbered DC Registered Nurse license with current CPR certification required. 
  • BLS Certification required.
  • Knowledge of primary care and health maintenance required.
  • Experience with educating patients with chronic health conditions preferred. 
  • Ability to work with computers and electronic health records required.
  • Strong verbal and written communication skills required.
  • Strong organizational skills with an ability to multitask required. 
  • Demonstrated ability to function effectively in a team required.
  • Willingness to work Saturdays and evenings required.
  • Willingness to travel between COH sites or relocate to a different COH site on a full or part-time basis required.
  • Bilingual in Spanish, Amharic, or French preferred.
  • Proof of required vaccinations is required.  This includes, but may not be limited to, Flu and Covid. COH will consider requests for reasonable accommodations for anyone who cannot be vaccinated for a religious or medical reason, subject to applicable law.

 At COH, we prioritize the following well-being and work-life balance-centered benefits: 

  • Remote work opportunities are available for many, but not all, of our roles, promoting a culture of work-life balance. 
  • 8-hour workdays, which include a paid lunch 
  • 11.5 paid company holidays, 1 personal floating holiday, 15 days of paid vacation (increases to 20 after 3 years of service, 25 after 10 years of service, and 30 after 15 years of service), and 12 days of paid sick leave on an annual basis 
  • Annual performance-based raises, up to 5% of your annual pay 
  • National Health Service Corps (NHSC) and DC Health Professional Loan Repayment Program (DCHPLRP) participants 
  • Tuition reimbursement, loan repayment for clinicians, licensing reimbursement, and continuing education unit funds for licensed staff 
  • Many opportunities for internal promotions and transfers across the agency as we continue to grow; we average 30+ promotions each year 
  • Ongoing internal leadership training for supervisors 
  • Ongoing well-being activities, culture compact activities and training, and trauma-informed care initiatives and training 
  • Medical/Dental/Vision Plans through CareFirst BlueCross Blue Shield 
  • Life insurance, short-term disability, and long-term disability insurance 
  • 403(b) Retirement Plan 
  • Flexible Spending Accounts for medical and dependent care reimbursable expenses 
  • And much more! 

About Us: 

Community of Hope is a mission-driven, innovative, and rapidly growing nonprofit. For 45 years, we have provided healthcare, housing, and community support services to make Washington, DC more equitable. As a Federally Qualified Health Center, we provide medical, dental, emotional wellness, and care coordination services for the whole family at three locations in DC. 


Community of Hope also strongly emphasizes maternal and child health, with midwifery practice and the only free-standing birth center in DC. In 2024, Community of Hope provided about 50,000 medical visits, 6,300 dental visits, and 17,000 behavioral health visits for about 16,000 patients. Community of Hope is also one of the largest providers of homelessness prevention and housing services for 1,600 households—1,384 families and 220 individuals—experiencing homelessness in DC. Community support through Family Success Center, our WIC nutrition centers, and perinatal care coordination for pregnant people experiencing homelessness reach hundreds more families. We believe that everyone in DC can be healthy, housed, and hopeful.   

We were selected as one of The Washington Post 150 Top Workplaces in 2024 and 6 other times since 2014 based on feedback from our staff. 


To request a reasonable accommodation to complete an employment application or for general questions about employment with Community of Hope, contact a Recruiting Coordinator. Email: hr@cohdc.org Phone: 202-407-7747. Community of Hope is an equal opportunity employer. 

Salary Description
$95,000 and $105,000