Registered Nurse-Heart Failure/Transplant

Title: Registered Nurse-Heart Failure/Transplant  

Location: Upper East Side  

Org Unit: Heart Failure Practice Management 

Work Days: Monday-Friday 

Weekly Hours: 35.00 

Exemption Status: Exempt

Salary Range: $120,800.00 - $135,100.00  

*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices 

Position Summary

Under direction, this role works as a clinical expert clinician to provide heart failure services as part of the heart failure nursing team, providing a seamless service for patients, involving advanced clinical assessment, symptom management, medications management, patient education, and psychological care.

Job Responsibilities

• Where applicable, establishes priorities for nursing care through patient assessment and develops nursing care plans. Prepares equipment and assists providers during examination, testing, and treatment of patients as needed.
• Assists in the complex assessment and management of acute on chronic, complex heart disease including heart failure, arrhythmias, pulmonary hypertension, VADs and transplant patients; provides and coordinates comprehensive care and treatment.
• Serves as the first line of triage in this chronically ill population.
• Responsible for in-clinic management of ventricular assist devices (VAD) patients including driveline dressing changes in accordance with programmatic and JCAHO protocol.
• Manages and interrogates VAD; identifies and escalates issues as needed.
• Provides education to patients and families on pre- and post-VAD implants.
• Responsible for in-clinic management of heart transplant patients. Utilizes specialized knowledge to recognize abnormalities in immunocompromised, complex patients to avoid adverse outcomes.
• Closely monitors all specialized testing; being able to recognize abnormal/out-of-range lab values for immunosuppression.
• Closely involved in JCHAO accreditation for all advanced heart failure programs; serves as expert point of contact during reaccreditation, audits, and site visits.
• As needed, administers appropriate injections and medications as ordered by medical providers in compliance with state law and clinic guidelines.
• Obtains prior authorizations and consents for specialty medications; educates patients on high-risk medications; provides routine monitoring of labs to determine each month’s eligibility for specialty medications
• Conducts walk tests and performs calculations to assess aerobic capacity and endurance in evaluation of patients with various health conditions including pulmonary disease and heart failure.
• Coordinates life-saving durable medical equipment (DME) which requires frequent dressing changes, batteries, and maintenance for device equipment, oxygen, etc.
• Triages patient inquiries and communicates test results.
• Ensures infection control compliance within the practice.
• Participates in safety programs and orientation of new staff. Assists in reviewing and revising policies and procedures.
• When needed, records medical information within the patients’ electronic medical record as appropriate.
• Attends workshops, seminars and/or conferences to keep abreast of standards and best practices within the field. Disseminates information to colleagues and/or staff as appropriate.
• If applicable, assesses patient eligibility and reviews patient medical history for inclusion in clinical studies.
• If applicable, reviews and completes protocol history sheets, flow sheets, study follow-up reports and patient evaluation forms. Prepares and amends IRB protocols, consent forms and research documents.

Education

• Bachelor's Degree in Nursing

Experience

• Approximately 5 years of clinical nursing experience working with heart failure cardiology patient population.

• Extensive experience as a Registered Nurse may be considered in lieu of the BSN.

• Experience in chronic, complex heart disease including heart failure, arrhythmia, pulmonary hypertension, and ventricular assist devices (VADs).
• Specialized knowledge in heart transplant to recognize abnormalities in immunocompromised, complex patients to avoid adverse outcomes.

Knowledge, Skills and Abilities

• Must be articulate and possess a professional demeanor.
• Advanced clinical assessment and decision-making skills.
• Ability to use clinical knowledge and experience in complex advanced clinical decision-making, and devising action plans for patient heart failure management.
• Abili