Providence St. Joseph Health

Job Information

St. Joseph Health / Covenant Health Nurse Navigator - Labor and Delivery in Orange, California

We are looking for a Nurse Navigator for the Labor and Delivery Department at St. Joseph Hospital Orange.

Location: Orange, CA

Work Schedule: Full Time - 80 Biweekly Hours

Shift: 12-hour, Days

Job Summary:

Under the direction of the Department Manager or Clinical Coordinator facilitates an optimal practice environment for the care of the laboring/delivering patient. Expertly uses the nursing process, labor management and support tools to promote normal vaginal birth when possible. This includes reviewing all patient's labor management, suggesting alternatives to Oxytocin, ensuring all patient safety checklists are followed and collaborating with attending OB/OB Hospitalist to ensure high-quality care. Other responsibilities include but are not limited to reviewing fetal heart rate tracings with response as indicated, responding to emergent situations, audits, break relief, simulation training, and unit education.

Essential Functions:

CLINICAL PRACTICE: The practitioner is accountable to recognize the health and quality of life needs of patients, family and community and to collaborate with them to achieve mutually agreed upon goals. The practitioner utilizes his/her specialized skills and scientific knowledge to design collaborative and integrated care that binds together all resources in a goal oriented movement toward health. Components in clinical practice are competence, evidenced based practice/continuous quality improvement, advanced practice nursing, and practice standards.

• Provides a safe environment specific to age and development of the patient.

◦ Provides safe environment specific to age and development of patient population served. Adheres to all safety policies and procedures. Identifies safety issues or hazards in the work environment and communicates deficiencies appropriately.

• Develops ongoing plan for self-development.

◦ Develops and completes annual plan with nurse manager/designee including time frame for obtaining necessary skills/education. Verbalizes current knowledge of the standard of practice in their nursing specialty. Seeks opportunities to be taught, coached, and mentor others. Seeks information regarding specialty certification.

• Assists in creating an environment that promotes educational growth opportunities for peers.

◦ Assesses team members, students, and orientee's use of newly learned skills in the work setting per established standards of care and standards of practice. Designs learning opportunities for team members, students, and orientees in acquisition of skills.

• Assures quality through application of policy, procedure, standards of care, clinical pathways and protocol changes.

◦ Demonstrates awareness of literature in the area of evidence-based practice. Acts as a resource to other team members when clarification is needed. Questions orders that deviate from usual standard of practice. Incorporates performance improvement recommendations into clinical practice. Participates in data collection for research/studies as directed.

• Maintains clinical competence.

◦ Maintains knowledge of nurse practice act. Demonstrates and maintains competence in required hospital wide and service specific competency programs. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served including knowledge of the principles of growth and development, psychosocial characteristics, and interventions for age-specific requirements of the assigned unit.

• Utilizes nursing process to perform a comprehensive, age-specific assessment of patient and family needs.

◦ Performs a comprehensive patient/family physical assessment on assigned patients demonstrating the ability to integrate cultural, psychosocial and spiritual needs of the specific population served. Identifies trends in patients' clinical course, assesses proactively, when necessary. Utilizes an interdisciplinary approach to assessment. Serves as a clinical resource in the development of basic assessment skills interventions.

• Identifies formal teaching needs for specific patients/families and communities.

◦ Identifies teaching goals with patient/family and utilizes resources to develop complex, interdisciplinary teaching plans. Identifies ongoing needs and makes referrals utilizing community resources. Assures that patients/families have acquired all necessary skills and referrals for post-hospitalization.

• Utilizes nursing process to develop and revise plan of care.

◦ Obtains resources and collaborates with other departments regarding teaching needs. Identifies and selects appropriate patients for patient care conferences. Initiates discharge planning upon admission and facilitates the discharge plan based upon the patient's continuing care needs. Plans for interventions that minimize complications and life-threatening situations. Participates in interdisciplinary conferences.

• Implements safe and therapeutic care for patients.

◦ Implements plan of care for patients of moderate complexity. Re-prioritizes as necessary to adapt to changing patient condition, work environment and patient assignments. Responds to individual/cultural differences in patient/family care.

• Evaluates patient assessment, planning and implementation in relation to intended goals and progress toward expected outcomes.

◦ Involves the interdisciplinary team in evaluating the patient's/family's progress toward attaining expected outcomes. Utilizes ongoing assessment data to revise the diagnoses, outcomes, and plan of care as needed. Evaluates the effectiveness of interventions and the patient's response in relation to outcomes.

COLLABORATION: The process whereby the health care team plan and practice together as colleagues working interdependently within the boundaries of their scope of practices using shared values and mutual respect for each others' contribution to care for individuals, their families and communities. Major elements include non-hierarchical relationships and intra-inter-professional collegiality.

• Facilitates patient care through effective communication.

◦ Communicates patient condition/care changes to charge nurse, supervisor, medical staff and other team members. Completes shift report and documentation in a timely manner. Anticipates and is prepared to present information to patients and families regarding plan of care. Responsible for accurate, complete, and individualized documentation of patient assessment, goals, plan of care, interventions and care provided, as well as patient's progress toward discharge goals.

• Develops and maintains therapeutic and effective relationships with patient/family and the health care team.

◦ Demonstrates team spirit and readily offers assistance to team members. Establishes effective working relationships with colleagues, physicians and healthcare team. Demonstrates involvement of with patients and families in care. Demonstrates honest and direct review of peers with an effort to influence change positively. Tactfully handles difficult situations, resolving differences in a constructive manner. Demonstrates and reinforces professional behavior in self and colleagues.

• Delegates care appropriately.

◦ Adapts to changing clinical situations and delegates to team members appropriately and ensures completion of those tasks. Determines work priorities and makes assignments according to patient acuity, staff knowledge of age group and competency level. Serves in the capacity of a temporary leadership role (such as a relief charge nurse or care coordinator).

• Participates in Shared Governance/Participative Leadership.

◦ Actively participates in unit/service level committee/task force. Participates with unit manager and fellow associates in defining, implementing, and evaluating unit goals. Promotes changes to meet unit needs.

• Demonstrates awareness of unit/service budget.

◦ Actively participates in cost effective initiatives, seeks opportunities to eliminate inappropriate and wasteful use of resources. Articulates fundamental unit budgetary principals, such as equipment charges and staffing ratios.

• Demonstrates awareness of unit and service guidelines related to staffing and scheduling.

◦ Follows scheduling guidelines and demonstrates flexibility in order to meet unit and patient needs.

CULTURE AND CARING: The central theme of the SJHS practice model is the caring relationship that exists between the patient/family and nurse. Caring practices are activities that are responsive to the uniqueness of the patient/family and that create a compassionate and therapeutic environment. Holistic practice addresses physical, emotional, spiritual, cognitive and developmental needs of patients and families across the life span. Care for the body, mind and spirit - from birth to final stage of life - is a desired characteristic of professional practice. Culture is a collection of traditions, beliefs, values and behaviors that make up the context for how care is delivered.

• Demonstrates behavior that supports a culture based on innovation, openness, integrity, trust and mutual respect.

◦ Acknowledges the unique contributions of each individual. Thinks broadly seeking new ways to improve performance, processes, and service. Creates an environment of continuous improvement. Tries new approaches and takes appropriate risks. Seeks out and utilizes best practices. Strives to be open, flexible supportive and adaptable to change. Seeks opportunities to facilitate change and encourages others to do the same. Responds resourcefully to new demands and challenges. Maintains a constructive, positive outlook amidst change and uncertainty. Contributes positively to create and maintain a healing, healthy work environment.

• Demonstrates commitment toward customer satisfaction and patient advocacy.

◦ Participates in performance improvement plans with nurse manager/customer satisfaction enhancement activities. Individualizes the healthcare environment to meet the diverse needs of the patient and family. Utilizes existing reporting channels of communication to initiate steps to promote patient advocacy. Demonstrates commitment to customer satisfaction through active participation in satisfaction enhancement activities. Promotes healing by helping the patient/family cope and providing appropriate referrals, as needed. Follows through on customer dissatisfaction issues in a timely manner.

• Maintains ethical standards.

◦ Requests consultation from expert resources as needed for problem resolution. Intervenes with the team members regarding incompetent/unsafe/unethical care practices, and informs nurse manager of situation. Serves as a patient advocate, and supports the patient's/significant other's right of self-determination.


  • Meets all requirements for RN II Staff Position.

  • Knowledge of normal labor and delivery process and labor support tools.

  • Can collect, organize and analyze data, synthesizing it into understandable information.

  • Skills to effectively communicate, problem-solve, and maintain productive and effective interpersonal relationships while effectively prioritizing.

  • Flexibility to adapt to new and changing situations.

  • Ability to think critically.

  • Able to give constructive feedback, supervises and teams with others, teaches staff and patients.

  • Basic computer skills.

  • Ability to work independently, triage patients and keep physicians informed of patient status.

Minimum Position Requirements:

Education: Bachelor's Degree in Nursing.

Experience: 2 years experience as a Registered Nurse in a labor and delivery setting.


  • Current California RN license.

  • Current American Heart Association Basic Life Support (BLS) certification.

  • Current American Heart Association Advanced Cardiac Life Support (ACLS).

  • Current Neonatal Resuscitation Program (NRP).

  • Inpatient Obstetric Professional certification (RNC-OB) within 6 months.

Preferred Position Qualifications:

Education: Master's Degree in Nursing.

Licenses/Certifications: Electronic Fetal Monitoring Certification

Apply Today! Applicants that meet qualifications will receive a text message with additional questions from our Modern Hire system.

Compassion. Dignity. Justice. Excellence. Integrity.

These timeless values form the heart and soul of St. Joseph Hospital. They are the prime reason that we attract and retain high-caliber employees who believe in the sanctity of their work in our faith-based setting.

As a result of this affinity, most of our employees have remained with us for at least five years. Over 40 percent of our new employees were either referred by friends or applied to work at St. Joseph based on our reputation. It is little wonder, then, that retention rate is significantly higher than the average for healthcare institutions in our community.

Clinical Excellence

When you take the latest in medical technology and place it in the hands of highly skilled clinicians, recognition is sure to follow. In July 2007, 2008 and 2009, St. Joseph Hospital was named one "America's Best Hospitals" for Orthopedic Care by U. S. News and World Report. This highly esteem recognition is testimony to our unique blend medical science and compassionate, values-based care.

A haven that feels like home.

St. Joseph Hospital offers a unique environment in which healthcare givers who share a kindred spirit can do important work and grow both spiritually and professionally. Here, values-based employees view their jobs not simply as careers but also as callings.

Care to get acquainted? Then we warmly invite you to explore the many career opportunities offered by St. Joseph Hospital!

St. Joseph Hospital provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Joseph Hospital complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

Company: St. Joseph Hospital Orange

Category: Case Management

Req ID: R332098