Clinical Team Leader - Cardio Rehab

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Job Description Summary:

This position assures patient and/or family are provided with education to enhance their knowledge, skills, attitudes and behaviors necessary to fully benefit from the health care interventions provided. He/She is responsible for ensuring that community referrals are managed in collaboration with referring physicians. He/She promotes patient self-responsibility, is a resource for community resources and hospital personnel. This position also provides specialized knowledge of the disease process related to patient education and outcomes among leadership, staff and physicians. He/She has responsibility for daily operations of the program, including billing, documentation, ordering of supplies, reporting system metrics, and participating in Heart Services activities. The Team Leader is accountable for achieving optimal outcomes of customer service related to the cardiac and pulmonary rehabilitation and includes oversight of all disciplines involved in both programs. These disciplines include but are not limited to registered nurses, exercise physiologists, program administrators, and patient support assistants.

Responsibilities And Duties:

1. 35%
Clinical Responsibilities 1. Assesses functional health status, performs initial assessment and symptom management, performs monitoring and management of patients participating in cardiac and pulmonary rehabilitation and assesses patient physical, functional, psychological, social and environmental status. 2. Provides direct patient treatment including monitoring during exercise session or clinic visit, patient education, facilitation of health self-management skills, and provides learning environment to assist patients to learn how to minimize risk factors and adopt heart-healthy lifestyles. 3. Identifies individualized patient centered goals and facilitates self-management by patient and his/her family. 4. Monitors individualized patient care to ensure quality, quantity, timeliness, and effectiveness of treatment; provides reassessment to assume treatment inappropriate, cost effective, and enhances patient independence. 5. Coordinates patient care delivery by collaborating with multidisciplinary team which could include exercise physiologist, dietitians, mental health professionals, physicians, and other healthcare providers to assure comprehensive care. 6. Appropriately selects and performs patient education activities related to disease management/streamline processes and coordinates all course work. 2.
30%
Patient Education 1. Assesses patient educational level, age, culture, language, and readiness to learn; religious practices; physical and emotional limits. Individualize teaching to ability of patient and family to comprehend and implement education. 2. Develops, implements, monitors, and modifies individualized patient care through interdisciplinary team process, in conjunction with patient, family, and referring physician, to facilitate optimal outcomes for self-management, symptom reduction, risk factor modification, disease management and promotion of heart healthy lifestyle behaviors. This is accomplished in the clinic and/or in one-on-one consulting sessions. 3. Provides appropriate educational materials for all patients in assigned areas and an ongoing educational plan for staff nurses and other healthcare providers to encourage educational documentation and staff p