Congestive Heart Failure Nurse

Beth Israel Lahey Health•Needham, AL

5d•$36 - $90

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. In collaboration with the cardiologists, provides coordination of disease management activities in both the inpatient and ambulatory settings for a subset of high-risk heart failure patients. Triages patient and provider calls. Is a resource for staff in the management of this patient population. Coordinates care to ensure safe, effective, efficient patient centered care. Job Description: Provides front line support to patients and staff in the Advanced Heart Failure Program, including coordination of disease management activities in both the inpatient and ambulatory settings for a subset of high-risk heart failure patients. Collaborates with physicians, nurse practitioners, inpatient nursing staff, hospital staff, and the patient to coordinate all aspects of post-hospitalization care including: in-hospital patient teaching and evaluation prior to discharge, post-discharge phone call at 72 hours, medication titration, and medication reconciliation, scheduling of follow up appointment with HF staff post-discharge. Triages patient and provider calls including interval phone assessments, coordination and follow up of laboratory tests, refilling cardiac medications, and consultation with heart failure staff when needed. Acts as resource to the administrative and clinical staff to assist in the management of patient care and scheduling issues both in the inpatient and ambulatory setting. Provides education to both the cardiology nurses as well as inpatient nurses on heart failure management, pharmacology, and common patient issues. Uses good clinical judgement and decision making skills. Assists inpatient nurses with clinical assessment, management and education of heart failure patients. Updates clinical knowledge and skills through consultation, formal and informal, education and review of literature. Identifies process improvement opportunities related to the heart failure patient population and participates in the improvement initiative. Works effectively with all disciplines to ensure the best outcomes for patients.

Responsibilities

Provides front line support to patients and staff in the Advanced Heart Failure Program, including coordination of disease management activities in both the inpatient and ambulatory settings for a subset of high-risk heart failure patients.
Collaborates with physicians, nurse practitioners, inpatient nursing staff, hospital staff, and the patient to coordinate all aspects of post-hospitalization care including: in-hospital patient teaching and evaluation prior to discharge, post-discharge phone call at 72 hours, medication titration, and medication reconciliation, scheduling of follow up appointment with HF staff post-discharge.
Triages patient and provider calls including interval phone assessments, coordination and follow up of laboratory tests, refilling cardiac medications, and consultation with heart failure staff when needed.
Acts as resource to the administrative and clinical staff to assist in the management of patient care and scheduling issues both in the inpatient and ambulatory setting.
Provides education to both the cardiology nurses as well as inpatient nurses on heart failure management, pharmacology, and common patient issues.
Uses good clinical judgement and decision making skills.
Assists inpatient nurses with clinical assessment, management and education of heart failure patients.
Updates clinical knowledge and skills through consultation, formal and informal, education and review of literature.
Identifies process improvement opportunities related to the heart failure patient population and participates in the improvement initiative.
Works effectively with all disciplines to ensure the best outcomes for patients.