Heart Failure Registered Nurse

Job Details

Minimum Education and Experience Requirements:
Graduate of an accredited school of nursing required; BSN
3+ years of experience with Heart Failure patients strongly preferred. Background working with a cardiac physician practice, a cardiovascular lab or at least 2 years hospital nursing experience is highly desirable. Experience working with critical care services strongly preferred.

Minimum Certifications, Registration or License Requirements:
Current RN licensure in state of employment; AHA BLS/ACLS certification required
CITI Certification preferred
CHFN or CHFN certification through AAHFN encouraged

Job Description

With a commitment to patient- and family-centered care, the Ambulatory Advanced Heart Failure RN oversees clinical care of patients with heart failure.  The AHF RN collaborates with appropriate clinical staff to ensure optimal HF care and ensures Heart Failure education for patient and family. Works collaboratively with the acute care heart failure coordinators to ensure an appropriate HF discharge plan is developed and includes follow up with MD appointment, home care, and HF outpatient center when indicated. Utilizes critical thinking to interpret clinical symptoms, reviews and triages diagnostic testing results, oversight of invasive and noninvasive remote monitoring devices, clinical trial involvement and manages intravenous inotropic medications. Works in unison with the OHT/VAD team members to assure smooth transition for patients across the health care continuum.

•  Integrates Evidence-Based Practice, clinical expertise, patients, their family/designated care partner(s) preferences and cultural beliefs and values for delivery of optimal healthcare.
• Collaborate with physicians and assist in the coordination and follow through of the cardiac clinical plans documented.
• Provides consultation, education and support to patients and patient caregivers related to care giving responsibilities
• Triages patient calls which require a high degree of clinical judgement, or which may require the need for prompt assessment and intervention.
• Manages all inotrope dependent patients. Acts as a liaison for home infusion nurses and pharmacists. Makes medication adjustments based on weekly lab results.
• Assesses and evaluates patients in the outpatient clinic with physicians and ensures documentation is updated and accurate in EMR.
• Manages all anticoagulation for heart failure patients and oversees bridging for these patients about planned surgeries and procedures.
• Reviews and analyzes all incoming lab results and addresses all abnormal results.
• Assures the completion of all necessary forms including disability, homecare, hospice, FMLA
• and medical clearance.
• Preloads charts/communicates with provider with pertinent medical and diagnostic information for provider office visits
• Facilitates the direct admission of patients when necessary, both planned and emergent.
• Participate in weekly candidacy meetings for potential heart transplants and VAD patients.
• Manages all Cardiomems patients about diuretic titration and appropriate lab follow up. Requires the ability to interpret pulmonary artery pressure waveforms.
• Facilitates genetic testing for appropriate cardiomyopathy patients. Collects? specimens and assure they are sent promptly to the company for processing. Facilitates referral to certified Genetic Counselors. Maintains Genetic Testing website.
• Screens all daily MCOT reports for arrythmias and reports urgent issues to physicians requiring understanding of basic cardiac rhythms.
• Enrolls patients in cardiac rehab programs.
• Facilitates the scheduling of outpatient procedures including all appropriate pre-procedure labs and instructions.
• Participates in the ongoing screening of potential research candidates. Manages data and communicates with providers and clinical subjects accordingly.
• Arranges for intravenous iron infusions, home delivery of Furoscix and intravenous diuretic administration via infusion centers and / or Home Care. Provides administration of IV diuretics or IV Fluids in clinic (site dependent).
• Performs ReDs Vest readings, ICD and pacemaker interrogations (site dependent).
• Provides leadership role in Industry Liaison work.
• Completes a large volume of medication prior authorizations for heart failure, Pulmonary Hypertension, Hypertrophic Cardiomyopathy and amyloidosis medications.
• Travels to satellite clinics to assist providers both in New Jersey.
• Oversees transitions of care from the inpatient to the outpatient setting with the participation of the multidisciplinary team.
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Must be REMS certif