Clinical RN CHF Navigator
- Req #: 2401365
- Facility Name: Catholic Medical Center
-
Facility Address:
100 McGregor StreetManchester,NH
- Job Shift: Day
- Posted Date: 12/24/2024
PRIMARY PURPOSE
CHF Nurse Navigator primary purpose is to assist with inpatient and outpatient management and coordination of heart failure patients care with goal of reducing length of stay and reducing readmission rates
DUTIES AND RESPONSIBILITIES
Under the general direction of the Clinical Lead and in accordance with standards of care and practice established by the Nursing Organization and the specific department; the rules, regulations and/or standards established by the State Board of Nursing, the DNV standards, and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
Essential Functions:
Patient Care
1. Assessment:
2. Planning:
3. Implementing Plan of Care:
b. Educate patients regarding Heart Failure including causes, symptoms, treatment, medications, GDMT
c. Documents all treatment and patient/family interactions/interventions in the medical record
d. Completes all required forms which support the continuum of care.
4. Evaluating Plan of Care:
5. Adheres to safety, organizational and ethical standards including:
Professional Development
1. Promotes positive customer relations.
2. Participates constructively in staff meetings.
3. Participates in and supports Quality Management.
4. Conforms to the organization attendance requirements.
5. Demonstrates behaviors which promote communication and collaboration.
6. Utilizes the self-evaluation process for professional growth
7. Identifies self needs then increases skills and knowledge.
8. Attends mandatory in-services.
9. Participates in department projects/committees.
10. Accepts constructive feedback and initiates appropriate action to correct the situation.
11. Identifies research as a resource in clinical practice.
12. Exhibits a professional approach/demeanor.
13. Maintains membership in a professional nursing organization or community organization.
14. Directs concerns through correct channels in a professional and responsible way.
15. Participates actively in and coordinates clinical research studies adhering to Institutional Review Board and specific research protocol guidelines.
16. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers.
Leadership
1. Prioritizes and manages assignment effectively as evidenced by task completion in a timely manner.
2. Contributes to the development of staff.
3. Monitors the care students and/or ancillary staff provide.
4. Promotes peer group functioning.
5. Contributes to an individualized orientation.
6. Performs department duties independently.
7. Supports hospital management.
8. Implements unit's delivery of care methodology.
9. Demonstrates cost effective use of resources.
Secondary Functions:
1. Identifies needs for innovative nursing practices.
2. Identifies needs for new or revised policies, procedures, guidelines, etc.
3. Participates as an active member in a department and/or organization committee.
4. Functions as a preceptor for new staff as needed and as assigned
5. Participates in appropriate role in disasters, fire drills, fires and other emergency situations.
6. Exercises care in the operation and use of equipment and reference materials. Performs routine cleaning and preventative maintenance to ensure continued functioning of equipment. Maintains work areas in a clean, safe and organized manner.
7. Performs similar or related duties as assigned or directed.
8. Assists Medical Staff when so requested
9. Assists and participates in Marketing Ventures.
10. Participates in staff education.
SKILLS & COMPETENCIES
1. Displays leadership abilities necessary to work effectively with all other departments.
2. Relates confidently and proficiently regarding cardiovascular disorders.
3. Acts professionally with providers, staff, and patients
4. Organizes work efficiently.
5. Accurate with documentation.
KNOWLEDGE, SKILLS AND ABILITIES
Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and possess the necessary physical requirements with or without the aid of mechanical devices to safely perform the essential functions of the job.
1. Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the hospital.
2. Demonstrates proficiency in assessing, responding and adapting treatment of care to meet the needs of the patient population served by the hospital.
3. Physical requirements include the ability to bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; stand for sustained periods of time; move about on foot to accomplish tasks; use upper extremities to exert force in order to thrust forward, downward, or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise objects from a lower to a higher position or move objects horizontally from position-to-position; pick, pinch, type or otherwise work with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
4. Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quickly.
5. Ability to receive detailed information through oral communication and to make fine discriminations in sound.
6. Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details, as well as the whole patient, and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/defects.
7. Ability to plan and perform diversified duties requiring knowledge of nursing of the patient including age-related changes, and the use of a wide range of procedures. Involves the exercise of judgment in the analysis of facts and conditions regarding individual's problems, concerns or cultural factors to determine the plan of care and what actions should be taken, within the limits of standard practice.
8. Ability to work in surroundings which may subject the incumbent to inside environmental conditions without protection from temperature changes; hazards including proximity to moving mechanical parts, electrical current, exposure to high heat and exposure to drugs and chemicals; atmospheric conditions with one or more conditions that affect the respiratory system or the skin (i.e. fumes, odors, dust, mists, gases).
9. Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
10. Ability to perform job alone following standard practices and any of several procedures, but refer questionable cases when they arise out of standard practice.
11. Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.
12. Ability to demonstrate courtesy, compassion and respect in relating to patients, families, visitors, physicians and co-workers.
13. Ability to communicate effectively and establish a cooperative, collaborative working environment.
14. Ability to accept constructive feedback and initiate appropriate actions to correct situations.
15. Ability to perform all activities outlined in the department specific orientation guidelines.
16. Willingness to identify and take action toward meeting own learning needs.
OSHA RATING: Category I (Exposure to blood borne pathogens)
ACCESS TO PHI: Complete
WORK SCHEDULE:
QUALIFICATIONS:
Education:
Experience:
Licensure/Certification:
CHF Nurse Navigator primary purpose is to assist with inpatient and outpatient management and coordination of heart failure patients care with goal of reducing length of stay and reducing readmission rates
DUTIES AND RESPONSIBILITIES
Under the general direction of the Clinical Lead and in accordance with standards of care and practice established by the Nursing Organization and the specific department; the rules, regulations and/or standards established by the State Board of Nursing, the DNV standards, and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
Essential Functions:
Patient Care
1. Assessment:
- Assists and assesses identifying heart failure patients in ER/CDU/inpatient Hospitalist services that may benefit from CHF Team involvement inpatient or outpatient and arrange referral to CHF clinic.
- Serve as liaison between ER/CDU/Hospitalist services and CHF NEHVI Team
- Interviews patient and/or family to obtain a comprehensive history and to obtain data about patient's development status, behavior, cultural, and health concerns.
- Reviews clinical data, diagnostic studies, and previous records and determine if appropriate GDMT is in process
- Coordinates outpatient IV Lasix treatment for HF patients to include insertion of IV, obtain labs, and administer as per IV Lasix Protocol. Maintains yearly competencies for POC testing
- Identifies high risk CHF admissions by reviewing daily CHF inpatient admits and readmission list
- Reviews and updates the plan of care in collaboration with the patient/family and other multidisciplinary team members.
- Obtain inpatient CardioMEMs reading
- Identify inpatient CHF patients who may benefit a CardioMEMs Sensor Implant using set and approved clinical data and collaborate with CHF NEHVI Coordinator
2. Planning:
- Develops an individualized approach to deliver nursing care to the patient and family, including age-specific developmental needs and incorporating their input and preferences whenever possible.
- Identify patients that have not yet been referred to palliative care and facilitate a referral and collaborates with the multidisciplinary team
- Works to identify patient's barriers to discharge and assists with arranging outpatient services to include medication adherence issues and/or care of patient going home on Milrinone.
- Coordinates care with the outpatient CHF NEHVI nurses regarding discharge plan to include GDMT, FU labs, VNA services, and infusion services.
- Calls CHF patients 48 hours post DC to include medications, FU appointments, labs etc
3. Implementing Plan of Care:
- Ensures a calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate.
b. Educate patients regarding Heart Failure including causes, symptoms, treatment, medications, GDMT
c. Documents all treatment and patient/family interactions/interventions in the medical record
d. Completes all required forms which support the continuum of care.
4. Evaluating Plan of Care:
- Reviews and updates the plan of care in collaboration with the patient/family and other multidisciplinary team members.
- Reassesses patients' abilities and incorporates anticipated needs into the plan of care.
- Assesses the patient's response to and understanding of care provided.
- Able to compile percentage of readmits and develops objectives to achieve outcome measures and demonstrate the effectiveness of CHF Navigator Role.
5. Adheres to safety, organizational and ethical standards including:
- Organizational safety standards.
- Company and Nursing Organization policies, guidelines and procedures.
- Infection Control standards.
- Standards of confidentiality, protection of patient rights.
Professional Development
1. Promotes positive customer relations.
2. Participates constructively in staff meetings.
3. Participates in and supports Quality Management.
4. Conforms to the organization attendance requirements.
5. Demonstrates behaviors which promote communication and collaboration.
6. Utilizes the self-evaluation process for professional growth
7. Identifies self needs then increases skills and knowledge.
8. Attends mandatory in-services.
9. Participates in department projects/committees.
10. Accepts constructive feedback and initiates appropriate action to correct the situation.
11. Identifies research as a resource in clinical practice.
12. Exhibits a professional approach/demeanor.
13. Maintains membership in a professional nursing organization or community organization.
14. Directs concerns through correct channels in a professional and responsible way.
15. Participates actively in and coordinates clinical research studies adhering to Institutional Review Board and specific research protocol guidelines.
16. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers.
Leadership
1. Prioritizes and manages assignment effectively as evidenced by task completion in a timely manner.
2. Contributes to the development of staff.
3. Monitors the care students and/or ancillary staff provide.
4. Promotes peer group functioning.
5. Contributes to an individualized orientation.
6. Performs department duties independently.
7. Supports hospital management.
8. Implements unit's delivery of care methodology.
9. Demonstrates cost effective use of resources.
Secondary Functions:
1. Identifies needs for innovative nursing practices.
2. Identifies needs for new or revised policies, procedures, guidelines, etc.
3. Participates as an active member in a department and/or organization committee.
4. Functions as a preceptor for new staff as needed and as assigned
5. Participates in appropriate role in disasters, fire drills, fires and other emergency situations.
6. Exercises care in the operation and use of equipment and reference materials. Performs routine cleaning and preventative maintenance to ensure continued functioning of equipment. Maintains work areas in a clean, safe and organized manner.
7. Performs similar or related duties as assigned or directed.
8. Assists Medical Staff when so requested
9. Assists and participates in Marketing Ventures.
10. Participates in staff education.
SKILLS & COMPETENCIES
1. Displays leadership abilities necessary to work effectively with all other departments.
2. Relates confidently and proficiently regarding cardiovascular disorders.
3. Acts professionally with providers, staff, and patients
4. Organizes work efficiently.
5. Accurate with documentation.
KNOWLEDGE, SKILLS AND ABILITIES
Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and possess the necessary physical requirements with or without the aid of mechanical devices to safely perform the essential functions of the job.
1. Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the hospital.
2. Demonstrates proficiency in assessing, responding and adapting treatment of care to meet the needs of the patient population served by the hospital.
3. Physical requirements include the ability to bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand(s) and arm(s) in any direction; stand for sustained periods of time; move about on foot to accomplish tasks; use upper extremities to exert force in order to thrust forward, downward, or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise objects from a lower to a higher position or move objects horizontally from position-to-position; pick, pinch, type or otherwise work with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
4. Ability to express or exchange ideas by means of the spoken word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quickly.
5. Ability to receive detailed information through oral communication and to make fine discriminations in sound.
6. Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details, as well as the whole patient, and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/defects.
7. Ability to plan and perform diversified duties requiring knowledge of nursing of the patient including age-related changes, and the use of a wide range of procedures. Involves the exercise of judgment in the analysis of facts and conditions regarding individual's problems, concerns or cultural factors to determine the plan of care and what actions should be taken, within the limits of standard practice.
8. Ability to work in surroundings which may subject the incumbent to inside environmental conditions without protection from temperature changes; hazards including proximity to moving mechanical parts, electrical current, exposure to high heat and exposure to drugs and chemicals; atmospheric conditions with one or more conditions that affect the respiratory system or the skin (i.e. fumes, odors, dust, mists, gases).
9. Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
10. Ability to perform job alone following standard practices and any of several procedures, but refer questionable cases when they arise out of standard practice.
11. Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.
12. Ability to demonstrate courtesy, compassion and respect in relating to patients, families, visitors, physicians and co-workers.
13. Ability to communicate effectively and establish a cooperative, collaborative working environment.
14. Ability to accept constructive feedback and initiate appropriate actions to correct situations.
15. Ability to perform all activities outlined in the department specific orientation guidelines.
16. Willingness to identify and take action toward meeting own learning needs.
OSHA RATING: Category I (Exposure to blood borne pathogens)
ACCESS TO PHI: Complete
WORK SCHEDULE:
- Generally Monday through Friday, days. Occasional requirements to work a varied schedule and overtime.
QUALIFICATIONS:
Education:
- Graduate of an accredited school of nursing.
Experience:
- 2 or more years of cardiology experience
- Strong knowledge of Congestive Heart Failure
- Strong organizational skills
- Effective communication skills
Licensure/Certification:
- Current registration in the state of New Hampshire as a Registered Nurse.
- BLS certified. Must maintain BLS throughout employment.
- ACLS certified. Must maintain ACLS throughout employment.
- CHFN preferred
