Community Health Nursing Jobs in Minnesota (NOW HIRING)

The Community Health Nurse Navigator (CHN) provides clinical and public health nursing expertise to support community-based cancer screening, navigation, education, care coordination, and quality improvement initiatives across Minnesota communities.

This position blends community-based nursing practice, patient navigation, population health, and systems-level quality improvement to strengthen equitable access to cancer screening and follow-up care.

The CHN will initially focus on supporting the Mobile Colorectal Cancer Community Screening Program through screening eligibility assessment, clinical consultation, results communication, triage, and care coordination for individuals receiving colorectal cancer (CRC) screening services in community settings.

As the program expands, this role will support additional evidence-based community cancer screening initiatives, including breast, cervical, lung, prostate, liver, and other preventive health screening efforts. In partnership with Masonic Cancer Center (MCC) leadership and community partners, the CHN will help build scalable community-based screening and navigation infrastructure that improves screening completion across diverse populations.

In addition, this role will partner with primary care clinics and Federally Qualified Health Centers (FQHCs) to support improvements in cancer screening quality metrics, referral pathways, follow-up systems, and equitable access to care.

This is a field-forward public health nursing role. The CHN will regularly attend community outreach and mobile screening events, travel locally and regionally across Minnesota, and conduct on-site visits to clinics and community partners. Responsibilities may include transporting supplies, lifting materials up to 25 pounds, and assisting with event setup and coordination.

There will also be opportunities to contribute to program evaluation, public health research, scholarship, and dissemination activities related to cancer prevention and screening initiatives. Ongoing professional development and Continuing Medical Education (CME) will be supported and expected to ensure the CHN remains current on evolving screening guidelines, evidence-based practices, and advancements in cancer prevention and navigation.
 

Community-Based Public Health Nursing & Field Engagement (25%)

• Develop and maintain collaborative relationships with community-based organizations and outreach partners supporting cancer prevention initiatives.
• Regularly attend and provide clinical oversight at mobile screening events and community outreach activities, including occasional evenings and weekends.
• Conduct on-site visits to partner clinics and FQHCs across Minnesota to support cancer screening initiatives.
• Deliver culturally responsive health education related to cancer prevention, screening, and follow-up care.
• Provide real-time clinical consultation during screening events.
• Ensure adherence to public health nursing standards, standing orders, and scope of practice in community-based settings.
• Support culturally responsive and trauma-informed engagement strategies.

Screening Eligibility & Clinical Consultation (25%)

• Conduct screening eligibility assessments using current evidence-based screening guidelines.
• Review participant health histories to determine appropriate screening pathways and referral needs.
• Provide clinical consultation regarding high-risk findings, abnormal results, and escalation needs.
• Assist in development and maintenance of clinical workflows, standing protocols, and navigation processes in collaboration with physician leadership.
• Monitor updates to national screening guidelines and integrate changes into program operations and workflows.
• Support clinical decision-making related to screening appropriateness and follow-up recommendations.

Results Communication, Triage & Care Coordination (20%)

• Communicate screening results to participants in a clinically appropriate and culturally responsive manner.
• Provide education regarding abnormal findings, follow-up recommendations, and next steps in care.
• Coordinate diagnostic referrals, specialty appointments, and follow-up services with healthcare partners.
• Assess social and structural barriers impacting screening and follow-up completion, including transportation, insurance, language access, and healthcare navigation challenges.
• Collaborate with community and healthcare partners to reduce barriers to timely follow-up care.
• Triage and escalate participants requiring urgent or medically complex follow-up.
• Serve as a clinical liaison between community members, Community Health Workers, MCC staff, and healthcare providers.
• Provide clinical guidance and support to Community Health Workers involved in outreach and navigation activities.
• Document clinical interactions, referrals, and follow-up activities in EPIC, REDCap, Box, and other tracking systems.

Practice Facilitation & Education (15%)

• Partner with primary care clinics and FQHCs to support improvements in cancer screening quality metrics and follow-up systems.
• Assist clinic teams in identifying workflow gaps related to screening eligibility, referrals, documentation, patient outreach, and follow-up processes.
• Support implementation of systems-level improvements to increase screening rates and reduce loss to follow-up.
• Collaborate with clinic leadership and partners to review screening and follow-up data and identify disparities and opportunities for improvement.
• Provide education on evidence-based screening guidelines and best practices for healthcare providers, staff, Community Health Workers, and community members.
• Serve as a resource on screening navigation, care coordination, and equitable access strategies.

Administrative (15%)

• Maintain accurate and timely documentation of clinical interactions, screening outcomes, referrals, and follow-up activities.
• Track screening completion, referral outcomes, navigation metrics, and quality improvement indicators.
• Assist with identifying funding opportunities and contributing to grant writing, proposal development, and grant-related reporting to support program sustainability and expansion.
• Assist in preparing reports and program updates for grant funders, institutional leadership, and community partners.
• Support development of training materials, workflows, documentation templates, and navigation protocols.
• Participate in internal team meetings, planning efforts, and program development activities.
• Contribute to program evaluation, scholarship, and continuous quality improvement initiatives.