Job Description The RN Clinical Navigator will be responsible for providing clinical care and guidance to high-risk patients in order to promote better health outcomes. The position will work to eliminate barriers to care by guiding, educating and navigating patients to receive necessary health care monitoring and resources, both within Centra and externally. The position will be charged with building professional relationships with the patient and their families, local and regional healthcare providers and vendors to ensure smooth transitions and timely access to care for patients. The practice of the professional nurse reflects the American Nurses Association's Code of Ethics for Nurses and the Nurse Practice Act of Virginia. Responsibilities Provides guidance and education appropriate to the patient demographic and clinical needs; Collaborates and shares information with identified community outreach programs and other identified resources. Connects the patients to programs that are specific for the continuation of their care and empowers patients to take charge of their health; Manages programs and resources within the clinic or healthcare setting, and applies disease management science in all aspects of care delivery; Ensures timeliness in scheduling appropriate physician, specialty provider, diagnostic and/or support services; Manages a repository of patient information that provides an overview of the patient demographic and health information to be used by multidisciplinary response teams and other community resources. Makes appropriate referrals to community resources and serves as a liaison to the health care team; Assists patients and families to gaining access to culturally appropriate, supportive care; Promotes informed decision making among patients and family members; Assists medical/care team in identifying patients' problems/needs and lead efforts to set priorities, identify problems requiring follow-up or further medical referrals; Utilizes the nursing process, as a frame of reference for the delegation and coordination on patient education needs within the scope of nursing practice; Engages in community collaboration, education and outreach; May perform other duties as assigned or requested and job specification can be modified or updated at any time. Qualifications Required Education: Graduate of an accredited Nursing Program Preferred Education: Bachelors of Science Degree in Nursing (BSN) Required Experience: At least three (3) years of nursing experience. Maintain annual competencies and licensure requirements. Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Hold a current, active American Heart Association Basic Life Support (AHA BLS) course completion card. PACE RN Clinical Navigator requires LTSS (Long term services and supports screening) certification to be obtained within the first 30 days of hire and to be maintained throughout employment. Preferred Certifications and Licensures: Specialty practice or certification in appropriate field
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost-effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program if hired to Centra as a new graduate nurse Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Hold a current, active American Heart Association Basic Life Support (AHA BLS) course completion card.
Job Description Introduction to the Role and Practice Centra’s PACE (Program of All-Inclusive Care for the Elderly) is a nationally recognized model of care serving adults aged 55 and older in our community. The mission of PACE is to deliver person-centered care in the setting that’s most appropriate for each participant—most often in the comfort and safety of their own home. Our home-based care approach allows participants to maintain independence while receiving comprehensive medical, social, and supportive services. PACE is a capitated model of care, which means there are no productivity metrics, only a focus on delivering the care each participant truly needs. In this home health–focused model, providers conduct in-home visits, assess living environments, address safety concerns, and coordinate care transitions to reduce hospitalizations and support aging in place. Everything is coordinated with a dedicated interdisciplinary team of providers, nurses, dietitians, physical and occupational therapists, social workers, home health aides, activities coordinators, and transport staff to ensure seamless, wraparound care. Centra’s PACE program is seeking a dedicated Advanced Practice Provider to join our team and help shape the future of our home-based care model. This is a unique opportunity to deliver comprehensive, relationship-centered care directly in participants’ homes and community settings. You will play a vital role in chronic disease management, medication reconciliation, preventive care, palliative support, and care plan oversight—meeting patients where they are physically and clinically. If you value collaboration and are passionate about team-based care that prioritizes people over numbers while supporting aging in place, consider making PACE your home. Centra Medical Group (CMG) is a comprehensive network of nearly 600 employed providers within Centra Health. Centra Health services a population of 600,000 community members with 70 different outpatient and specialty practices. Centra offers primary care and specialty services across Central and Southern Virginia—from Lynchburg to Danville, Farmville, Moneta, and Bedford. CMG includes family practices, specialists, and surgeons in fields such as cardiology, neurosurgery, psychiatry, urology, and more. CMG is also home to the Lynchburg Family Medicine Residency, a training program for future family physicians, many of whom hold academic appointments with institutions like UVA, VCU, VCOM, and Liberty University. Grow with a Health System that Invests in You At Centra Medical Group, we’re building a culture where Advanced Practice Providers thrive. Through our partnership with ThriveAP—the nation’s leading transition-to-practice program—new graduate NPs and PAs receive a year of structured clinical education, mentorship, and peer learning to accelerate confidence and readiness. Join Centra Medical Group and grow with an organization that invests in your professional and long-term success. ThriveAP provides Family Medicine NPs and PAs with a structured transition-to-practice experience focused on clinical readiness, continuity of care, and long-term patient relationship building across diverse populations—including medically complex patients receiving care in their homes. What We Offer Competitive, transparent compensation represents a mix of base, hourly excess, and incentive pay. Student loan reimbursement Relocation CME allowance Centra is a not-for-profit health system; many of our providers are participating in the federal PSLF program. Short term disability automatically enrolled. 403(b) and 457(b) tax deferred savings plan; Immediate vested employer contribution match Comprehensive benefits package that includes health insurance, dental insurance, life insurance, and more. Lynchburg, Virginia with a population of 85,000 is a great safe place to raise a family. Tons of outdoor activities to enjoy including hiking, biking, mountain bike trails, camping, boating, fishing & canoeing Hike the beautiful Sharp Top Mountain or Appalachian Trail or Bike on the Blackwater Creek Trail or Percival’s Island in the heart of the city. The Lynchburg Academy Center of the Arts offers some of America’s finest performing artists. Enjoy an evening minor league baseball game with our Lynchburg Hillcats. Children will enjoy outdoor summer movies at the park, county fairs, apple orchards, pumpkin patches and picking blueberries & strawberries. They will love Amazement Square, an interactive hands-on children’s museum in downtown Lynchburg. Beautiful Smith Mountain Lake is also nearby. Throughout our region, you'll find an extraordinary quality of life in friendly communities with remarkably diverse and affordable housing options. Whether you prefer urban lofts, historic mansions, suburban estates, waterfront condos, or traditional, tree-lined residential neighborhoods, it's all waiting for you here. Taxes and utility rates are very moderate, contributing to a low overall cost of living. Responsibilities You Can Expect: Monday – Friday 8:00am – 5:00pm – no weekends or holidays! Primary focus on in-home visits, care coordination, and transitional care management Dedicated interdisciplinary team including providers, support staff, physical therapists, occupational therapists, dieticians, social workers, and home health professionals 5 patients per day – allowing time for comprehensive home assessments and meaningful patient interaction Call is once every 7 weeks, 5pm – 8am, you are not expected to go out, calls are triaged before reaching you! This opportunity is perfect for someone looking to build meaningful relationships while delivering hands-on care in patients’ homes and supporting aging in place. Qualifications Required Education: Graduate of an accredited Nursing Program, and Masters of Science Degree in Nursing (MSN) Required Certifications and Licensures: Current licensure by the Virginia State Board of Nursing as a Nurse Practitioner with prescriptive authority. Maintains BLS and ACLS Certifications. Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Nationally recognized certification in field of specialization
Job Description Centra Medical Group Farmville is part of a dedicated group of providers that provides comprehensive primary care and urgent care for the entire family. Our mission is to provide the community with access to quality care, improving the overall wellness and lifestyle of each of our patients. We provide care to pediatric, adolescent, adult, and geriatric patients. By joining our team, you will have the satisfaction of providing a full range of care to a varied patient panel backed by a top-rated health care system with a fully implemented EMR and admitting hospitals nearby. Centra Medical Group (CMG) is a comprehensive network of nearly 600 employed providers within Centra Health. Centra Health services a population of 600,000 community members with 70 different outpatient and specialty practices. Centra offers primary care and specialty services across Central and Southern Virginia—from Lynchburg to Danville, Farmville, Moneta, and Bedford. CMG includes family practices, specialists, and surgeons in fields such as cardiology, neurosurgery, psychiatry, urology, and more. CMG is also home to the Lynchburg Family Medicine Residency, a training program for future family physicians, many of whom hold academic appointments with institutions like UVA, VCU, VCOM, and Liberty University. Grow with a Health System that Invests in You At Centra Medical Group, we’re building a culture where Advanced Practice Providers thrive. Through our partnership with ThriveAP—the nation’s leading transition-to-practice program—new graduate NPs and PAs receive a year of structured clinical education, mentorship, and peer learning to accelerate confidence and readiness. Join Centra Medical Group and grow with an organization that invests in your professional and long-term success. ThriveAP provides Family Medicine NPs and PAs with a structured transition-to-practice experience focused on clinical readiness, continuity of care, and long-term patient relationship building across diverse populations. What We Offer Competitive, transparent compensation represents a mix of base, hourly excess, and incentive pay. Student loan reimbursement Relocation CME allowance Centra is a not-for-profit health system; many of our providers are participating in the federal PSLF program. Short term disability automatically enrolled. 403(b) and 457(b) tax deferred savings plan; Immediate vested employer contribution match Comprehensive benefits package that includes health insurance, dental insurance, life insurance, and more. Why Farmville? The Town of Farmville is a destination for tourism, recreation, retirement, and trade not only because of its attention to infrastructure but also because of its attention to its beauty. It is attractive to those who live, work or visit here. Its rich history and status as a center of trade and commerce are preserved and enhanced by its dedication to architectural integrity and improvement of the natural environment through a system of parks, green spaces, walking trails, and waterways. New growth and development of the Town incorporate the concepts of history, civic pride, and natural beauty. The Town supports a thriving downtown and five shopping centers. Farmville is "open for business" and receptive to innovation, yet mindful of the responsibility to preserve its historic and natural resources for future generations. As the hub of economic activity in the region, Farmville maintains its identity as a diverse academic village, a center for culture, and a family-friendly town. Responsibilities Opportunity Highlights: Out-patient position Robust orientation 3 12-hour shifts per week No major holidays No Call Qualifications Required Certifications and Licensures: Current licensure by the Virginia State Board of Nursing as a Nurse Practitioner with prescriptive authority. Maintains BLS and ACLS Certifications. Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse. Nationally recognized certification in field of specialization
Job Description The professional registered nurse (RN) plans, coordinates, and manages the care provided to assigned patients and practices under the tenets of Centra's Professional Practice Model. The RN acts as the leader in collaborating with members of the interdisciplinary team, providing the foundation for creating the interdisciplinary plan of care. Throughout the patient's stay, the RN coordinates the various care processes that are necessary to achieve desired outcomes, and delegates, as appropriate. The RN works to promote and sustain a culture reflective of Centra's best practices for quality and service, creates and maintains a safe patient environment, and contributes to a healthy work environment. The practice of the RN reflects the American Nurses Association's (ANA) Code of Ethics for Nurses, the Nurse Practice Act of Virginia, and the ANA Principles of Nurse Staffing. Meets the applicable requirements of the Centra Nurse Engagement Program for a CNEP III. Responsibilities Practices under the tenets of Centra's Professional Practice Model Plans, coordinates, manages, and documents the care provided to assigned patients Delegates to care providers according to the ANA Principles of Nurse Staffing Thinks critically as evidenced by appropriate clinical decision-making and prioritization Leads, communicates and collaborates with the interdisciplinary team to plan patient care Creates and maintains an environment that protects patients from harm Adheres to National Patient Safety Goals (NPSG) Participates in initiatives resulting from nurse-sensitive quality indicators and/or unit-based quality metrics Ensures appropriate patient and/or caregiver education with utilization of applicable resources Promotes and sustains a culture reflective of Centra's best practices Operationalizes change resulting from evidence-based practice or research Operationalizes unit-based action plans to achieve or exceed service excellence benchmarks Participates in service recovery and uses appropriate resources during complex situations Handles conflict resolution in an appropriate, timely, and consistent manner Identifies personal contributions to unit-based cascading goals Admits, transfers and/or discharges patients safely and efficiently Uses resources (e.g., time, people, supplies, etc.) cost effectively Engages in own professional development as evidenced by self assessment and attainment of degrees, certifications, and continuing education Contributes to providing a supportive environment that is conducive to learning for all students from all academic programs Other duties as assigned Qualifications Required Education: Graduate of an accredited Nursing Program Required Experience: One (1) year of external nursing experience or completion of Nurse Residency Program (NRP) for new nurses with less than six (6) months of experience Required Certifications and Licensures: Hold a current, active license as a registered nurse in Virginia or hold a current multistate licensure privilege as a registered nurse
