Job Details

PRIMARY FUNCTION:
Manages all outpatient advanced heart failure patient issues under the supervision of the heart failure cardiologists. Participates in all outpatient visits. Utilizes critical thinking to interpret clinical symptoms, abnormal laboratory values, pulmonary artery waveforms in the setting of CardioMems devices, 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. Must be able to effectively communicate with patients, families and all other members of the patient care team.

ESSENTIAL FUNCTIONS:
• Collaborates with physicians and assists in the coordination and follow through of the cardiac clinical plans documented.
• 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 liason 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 EPIC.
• Manages all anticoagulation for heart failure patients and oversees bridging for these patients with regard to planned surgeries and procedures.
• Provides education to patients and families regarding heart failure disease process and management, medication and diet.
• Inpatient rounding with AHF physician to help with patient education, transition of care and discharge planning.

OTHER FUNCTIONS AND COMPETENCIES needed in addition to Essential Functions:
• 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.
• Facilitates the direct admission of patients when necessary both planned and emergent.
• Participates in weekly candidacy meetings for potential heart transplant and VAD patients.
• Manages all Cardiomems patients with regard to 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 assures they are sent promptly to the company for processing.
• 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 and intravenous diuretic administration through the JHN infusion center.
• Completes a large volume of medication prior authorizations for heart failure and amyloidosis medications.
• Travels to satellite clinics to assist providers both in Philadelphia and 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.

Job Description

EDUCATION:

Graduate of an accredited school of nursing required; BSN or completion of BSN within 3 years of hire strongly preferred

CERTIFICATES, LICENSES, AND REGISTRATION:

Licensed Registered Nurse in the Commonwealth of PA required.

Licensure in the State of NJ preferred

ACLS certification

CITI Certification within 6 months of hire

CHFN or CHF-N certification through AAHFN preferred

EXPERIENCE REQUIREMENTS:

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

ADDITIONAL INFORMATION:

Familiarity with basic cardiac rhythms and knowledge of swan ganz waveform interpretation helpful.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Jefferson University Physicians

Primary Location Address

100 S 9th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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