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. + Ability to provide advanced clinically credible specialist knowledge on the management of patients with heart failure. + Highly specialized knowledge and competence in symptom management, medicine management, patient education and self-monitoring, psychological support, and assessing suitability for cardiac devices and palliative care. **Licenses and Certifications** + Current NY State Registered Nurse License & Registration. + BLS certification, issued by the American Heart Association. + Infection Control Certificate **Working Conditions/Physical Demands** Ability to stand and/or walk for extended periods of time. Weill Cornell Medicine is a comprehensive academic medical center that is committed to excellence in patient care, scientific discovery, and the education of future physicians and scientists in New York City and around the world. Our doctors and scientists - faculty from Weill Cornell Medical College, Weill Cornell Graduate School of Medical Sciences, and the Weill Cornell Physician Organization - are engaged in world-class clinical care and cutting-edge research that connect patients to the latest treatment innovations and prevention strategies. Located in the heart of the Upper East Side's scientific corridor, Weill Cornell Medicine's powerful network of collaborators extends to its parent university Cornell University; to Qatar, where an international campus offers a U.S. medical degree; and to programs in Tanzania, Haiti, Brazil, Austria and Turkey. Our medical practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital/Weill Cornell Medical Center, NewYork-Presbyterian/Lower Manhattan Hospital, NewYork-Presbyterian Hospital/Brooklyn Methodist Hospital, NewYork-Presbyterian Hospital/Westchester Behavioral Health Center, and NewYork-Presbyterian/Queens. At Weill Cornell Medicine, we work together to treat each individual, not just their conditions or illnesses, as we strive to deliver the finest possible care for our patients - the center of everything we do. Weill Cornell Medicine is an Equal Employment Opportunity Employer. Weill Cornell Medicine provides equal employment opportunities to all qualified applicants without regard to protected status, including race, sex, sexual orientation, gender identity, national origin, color, age, religion, protected veteran or disability status, or genetic information.