Advanced Lung Disease Coordinator

Inova Fairfax Hospital is looking for a dedicated Advanced Lung Disease Coordinator to join ourTransplant team. The ALD Coordinator will coordinate care for patients with interstitial lung disease (ILD) across outpatient clinic - which may include: diagnostics, multidisciplinary review, medication access/monitoring, and referral pathways (including transplant and palliative/supportive care), timely testing, patient education, and rapid escalations for clinical declines. This role will be full-time; day-shift, Monday - Friday. No weekends or holidays. Rotational remote on-call requirement (generally 3 weekends/year, 2 nights/month).

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off, paid parental leave, & flexible work schedules.

Advanced Lung Disease Coordinator Job Responsibilities:

• New patient intake and pre-visit planning: Obtain outside records (CT chest images/reports, PFTs, serologies, pathology), identify missing data, and coordinate completion prior to the visit; screen for urgent needs (resting/exertional hypoxemia, rapid functional decline).
• Diagnostic pathway coordination: Coordinate ILD workup per provider protocol (high-resolution CT, PFTs with DLCO, 6-minute walk test, oximetry/ABG as indicated, autoimmune serologies, hypersensitivity exposure history tools); arrange referrals (rheumatology, occupational/environmental medicine, thoracic surgery for biopsy when appropriate).
• Longitudinal monitoring and results management: Track symptoms, oxygen requirements, PFT/6MWT trends, imaging intervals, and exacerbations; ensure results are reviewed, communicated, and acted upon; coordinate follow-up cadence and surveillance testing.
• Patient education and self-management: Provide education on ILD diagnosis subtype (when confirmed), expected course, triggers for calling the clinic, infection prevention/vaccines per clinic policy, energy conservation, oxygen safety, and pulmonary rehab expectations.
• Antifibrotic and ILD medication coordination: Facilitate access and adherence for therapies used in ILD (e.g., antifibrotics when prescribed); manage prior authorizations/appeals, specialty pharmacy onboarding, and patient assistance resources; coordinate baseline and ongoing lab monitoring and side-effect triage per protocol.
• Oxygen and DME coordination: Arrange initiation or titration of home oxygen (rest/exertion/nocturnal), portable oxygen needs, and required documentation for payer recertification; coordinate oximetry testing orders and ensure timely delivery/education.
• Exacerbation and decompensation triage: Triage patient calls/portal messages for worsening dyspnea, new/worsening cough, fever/infectious symptoms, desaturation, hemoptysis, chest pain, syncope, or edema; provide protocol-based guidance and ensure urgent escalation to provider/ED when indicated.
• Referral navigation: Coordinate pulmonary rehab, smoking cessation, nutrition, social work, mental health support, and palliative/supportive care referrals based on patient needs and symptom burden.
• Transplant pathway triggers (as applicable): Identify and communicate transplant referral indicators (progressive decline despite therapy, increasing oxygen needs, physiologic decline on PFTs/6MWT, hospitalizations for respiratory failure); coordinate referral initiation and ensure required records/testing are assembled.
• Documentation and communication: Document care coordination, education, and triage in the EMR; communicate plans clearly with referring providers and internal teams; maintain task lists/registries to ensure closed-loop follow-up.
• Quality and program support: Support ILD clinic quality initiatives (timely MDD review, standardized monitoring intervals, medication safety/lab compliance, vaccine and rehab referral rates); assist with patient education materials and workflow optimization.

Minimum Qualifications:

• Education: Bachelor’s degree in nursing
• Experience: Three years of RN experience
• Certification: Licensed in the Commonwealth of Virginia as a Registered Nurse; Basic Life Support from the American Heart Association

Preferred Qualifications:

Experience: critical care/med-surg/ICU/PCU experience; at least 2-3 years' experience in general pulmonary inpatient.