Ambulatory Palliative Nurse Navigator

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Ambulatory Palliative Nurse Navigator

Frederick Health

icon Frederick, MD, US, 21701

iconFull Time, Part Time

icon9 October 2025

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Job Summary

This is a Grant funded position. 

Provide skilled professional triage of clinical situations, concerns, and questions, while also delivering skilled professional nursing care to patients as prescribed by the physician and in compliance with state regulations and departmental policies. The RN participates in the interdisciplinary care team to ensure continuity of care for the patient and their family. As part of the Palliative Care Team, they perform clinical support duties for patients across various age groups. This position supports the Frederick Health mission, vision, core values, and customer service philosophy, adhering to the Frederick Health Compliance Program, including regulatory requirements and Standards of Behavior. The nurse duties will include visiting various skilled nursing facilities in Frederick County.

Essential Functions:

  • Patient and Family Education and Decision Support in Skilled Nursing Facilities:
  • Provides comprehensive education and support to patients and their families regarding palliative philosophy, disease progression, treatment options, symptom management, and end-of-life care.
  • Educates and empowers patients and families with clear and accurate information about available end-of-life treatment options, enabling them to make informed decisions aligned with their values and preferences.
  • Clarifies and explains complex medical information, ensuring patients and families understand their condition and care plan.
  • Offers guidance and facilitates referrals to assist patients and families in coping with diagnosis and potential outcomes, including advance directives and grief support resources.
  • Acts as a primary resource for patients and families, providing timely support and addressing questions and concerns related to end-of-life care.
  • Keeps appropriate team members apprised of changes and updates to patient/family/caregiver status.
  • Promotes optimum patient comfort as part of an interdisciplinary team under the attending physician's orders.
  • Initiates and sustains implementation of orders as prescribed by the physician.
  • Provides medication, diet, and other instructions as ordered by the physician.
  • Notifies palliative and facility of any changes in care plan.
  • Is compliant at all times with policies regarding documentation.
  • Monitors documentation in the clinical record and in assigned facility clinical record.
  • Works in concert with the other interdisciplinary team members, assigned facility staff, and Mobile Community Healthcare staff.
  • Provides skilled professional triage of clinical situations, concerns, or questions. The RN participates in the interdisciplinary care team for the patient and family to assure continuity of care. As part of the overall Palliative Care Team performs clinical support duties.

This position supports the Frederick Health mission, vision, core values and customer service philosophy and adheres to the Frederick Health Compliance Program, including following all regulatory requirements and the Frederick Health Standards of Behavior.

Required Knowledge, Skills and Abilities:

  • Demonstrates clinical competency in area of practice. Understands Palliative Care philosophy, principles of death and dying.
  • Has excellent observation, assessment, organizational and communication skills, and good nursing judgment. Ability to provide good written documentation in a timely manner.
  • Self-directed with the ability to work with little supervision.
  • Flexible and cooperative in fulfilling role obligation and has ability to work effectively within an interdisciplinary team.
  • Demonstrates ability to assess and respond to the needs of patients and families. Interacts in a calm, courteous and professional manner.

Minimum Education, Training, and Experience Required:

  •     Bachelor’s degree in Nursing.  Associate Degree considered with a BSN commitment.  

·Currently licensed as a Registered Nurse in the State of Maryland or Compact State.

·Possesses and maintains current CPR certification.

·At least 2 years general nursing experience is required with current medical, surgical, critical care.  Experience providing palliative, hospice, or long term care is preferred.

  • Valid Maryland driver’s license.

Schedule: 8:00 -4:30 pm M - F

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. 

Pay is based on experience, skills and education.   If position is part-time, salary will be pro-rated based on scheduled hours.  The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.

Pay range: $32.00 -$50.00