Registered Nurse RN - Transitional Care Coordinator - Congestive Heart Failure
Clinical Laboratory Partners
Work where every moment matters Every day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network Hartford Hospital is one of the largest and most respected teaching hospitals as well as a Level I trauma center Hartford Hospital is on the cutting edge of technology medical care and is home to the Center for Education Simulation and Innovation CESI one of the most advanced medical simulation training centers in the world Housing the Northeastrsquos largest robotic surgery center committed to becoming the best in the country for patient safety and is pursuing that goal by taking innovative action and creating a culture of safety at every level within the organization The Hartford HealthCare Heart Vascular Institute brings together cardiac care specialists ndash increasing collaboration and care coordination ndash all under one roof Our system of care includes a truly integrated team with the most talented experienced and compassionate caregivers and physicians backed by the latest cutting edge technology The award winning Heart Vascular Institute is a national leader in advancing cardiac care offering heart disease prevention treatment surgery and research We received ldquotop performerrdquo recognition by The Joint Commission for performance on evidence based care processes for the treatment of heart attack and were recognized by the American Heart Association and American Stroke Association as a Get with the Guidelinesreg Stroke GOLD PLUS Achievement Award winner in Job Summary Heart Failure Transitional Care Nurse Coordinators participates in an expanded nurse role as an integral member of the Heart Failure Team They are at the forefront of the Heart Failure Disease Management Program and work in a collaborative environment with strong patient centered interdisciplinary teams focused on a patient centered care model in a richly diverse work space The nurse coordinator must possess our institutional values of integrity kindness safety nurse excellence leadership professionalism and loyalty while providing high quality safe care Under the direction and general supervision of the Heart Failure Program Manager the registered nurse coordinator uses high level critical thinking skills and expertise in the safe administration of various heart failure intravenous medications aimed at decongestion while also balancing and providing the framework of a robust comprehensive advanced heart failure management program The Heart Failure Transitional Care Nurse Coordinator utilizes evidence based practices in accordance with the State Nurse Practice Act policies and procedures of the hospital and as directed by the medical staff With a goal of reducing readmissions and improving quality of life for patients coordinators use expert knowledge and the nursing process to develop a plan of care which includes standards of practice to meet the physical emotional spiritual cultural and educational needs of the patient and family The coordinator provides specialty and individualized care implementing interventions including heart failure education medication education dietary education and on going counseling promotion of self care and adherence to a therapy plan Key Areas of Responsibility bull Independently obtains and performs assessments while safely triaging and guiding a patientrsquos clinical course Presents patient history and clinical presentation to a Provider Establishes implements and evaluates an individualized plan of care with timely and appropriate clinical advice and interventions bull Perform extensive review of medications and eliminates inadvertent inconsistencies across transitions in care Communicates effectively with Providers to validate and verify medications and ensure medication safety and improved effective medication reconciliation and follow up care bull Facilitates coordination of care across the continuum and collaborates with Advanced Practice Providers and Physicians to utilize therapy protocols Performs IV and medication therapy assessment and evaluation of the patient bull Participates in the overall program growth referral base outreach protocol establishment and re evaluation bull Participates in research and present programmatic milestones and accomplishments in various venues bull Leads heart failure support groups educational sessions and develops Heart Failure newsletters and other activities materials as needed bull Coordinates the Heart Failure patient experience throughout the Hartford Healthcare continuum based on the individual needs of the patient Work where every moment matters Every day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network Hartford Hospital is one of the largest and most respected teaching hospitals as well as a Level I trauma center Hartford Hospital is on the cutting edge of technology medical care and is home to the Center for Education Simulation and Innovation CESI one of the most advanced medical simulation training centers in the world Housing the Northeastrsquos largest robotic surgery center committed to becoming the best in the country for patient safety and is pursuing that goal by taking innovative action and creating a culture of safety at every level within the organization The Hartford HealthCare Heart Vascular Institute brings together cardiac care specialists ndash increasing collaboration and care coordination ndash all under one roof Our system of care includes a truly integrated team with the most talented experienced and compassionate caregivers and physicians backed by the latest cutting edge technology The award winning Heart Vascular Institute is a national leader in advancing cardiac care offering heart disease prevention treatment surgery and research We received ldquotop performerrdquo recognition by The Joint Commission for performance on evidence based care processes for the treatment of heart attack and were recognized by the American Heart Association and American Stroke Association as a Get with the Guidelinesreg Stroke GOLD PLUS Achievement Award winner in Job Summary Heart Failure Transitional Care Nurse Coordinators participates in an expanded nurse role as an integral member of the Heart Failure Team They are at the forefront of the Heart Failure Disease Management Program and work in a collaborative environment with strong patient centered interdisciplinary teams focused on a patient centered care model in a richly diverse work space The nurse coordinator must possess our institutional values of integrity kindness safety nurse excellence leadership professionalism and loyalty while providing high quality safe care Under the direction and general supervision of the Heart Failure Program Manager the registered nurse coordinator uses high level critical thinking skills and expertise in the safe administration of various heart failure intravenous medications aimed at decongestion while also balancing and providing the framework of a robust comprehensive advanced heart failure management program The Heart Failure Transitional Care Nurse Coordinator utilizes evidence based practices in accordance with the State Nurse Practice Act policies and procedures of the hospital and as directed by the medical staff With a goal of reducing readmissions and improving quality of life for patients coordinators use expert knowledge and the nursing process to develop a plan of care which includes standards of practice to meet the physical emotional spiritual cultural and educational needs of the patient and family The coordinator provides specialty and individualized care implementing interventions including heart failure education medication education dietary education and on going counseling promotion of self care and adherence to a therapy plan Key Areas of Responsibility bull Independently obtains and performs assessments while safely triaging and guiding a patientrsquos clinical course Presents patient history and clinical presentation to a Provider Establishes implements and evaluates an individualized plan of care with timely and appropriate clinical advice and interventions bull Perform extensive review of medications and eliminates inadvertent inconsistencies across transitions in care Communicates effectively with Providers to validate and verify medications and ensure medication safety and improved effective medication reconciliation and follow up care bull Facilitates coordination of care across the continuum and collaborates with Advanced Practice Providers and Physicians to utilize therapy protocols Performs IV and medication therapy assessment and evaluation of the patient bull Participates in the overall program growth referral base outreach protocol establishment and re evaluation bull Participates in research and present programmatic milestones and accomplishments in various venues bull Leads heart failure support groups educational sessions and develops Heart Failure newsletters and other activities materials as needed bull Coordinates the Heart Failure patient experience throughout the Hartford Healthcare continuum based on the individual needs of the patient Education Bachelor of Science Nursing Degree required Experience yearsrsquo acute care and Cardiology experience strongly preferredLicensure Certification Registration Current Connecticut Registered Nurse License Basic Life Support Certification by the American Heart Association American Association of Heart Failure Nurses AAHFN Certification or must obtain within months of hire Knowledge Skills and Ability Requirements bull Ability to adapt and be flexible to the needs of the Comprehensive Heart Failure Program bull Ability to communicate clearly bull Ability to utilize advanced critical thinking and judgment to make safe recommendations to both the patient and provider on how to improve their health condition or symptoms bull Strong Clinical skills bull Ability to concurrently manage multiple priorities We take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentAs an Equal Opportunity EmployerAffirmative Action employer the organization will not discriminate in its employment practices due to an applicantrsquos race color religion sex sexual orientation gender identity national origin and veteran or disability statusEducation Bachelor of Science Nursing Degree required Experience yearsrsquo acute care and Cardiology experience strongly preferredLicensure Certification Registration Current Connecticut Registered Nurse License Basic Life Support Certification by the American Heart Association American Association of Heart Failure Nurses AAHFN Certification or must obtain within months of hire Knowledge Skills and Ability Requirements bull Ability to adapt and be flexible to the needs of the Comprehensive Heart Failure Program bull Ability to communicate clearly bull Ability to utilize advanced critical thinking and judgment to make safe recommendations to both the patient and provider on how to improve their health condition or symptoms bull Strong Clinical skills bull Ability to concurrently manage multiple priorities We take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentAs an Equal Opportunity EmployerAffirmative Action employer the organization will not discriminate in its employment practices due to an applicantrsquos race color religion sex sexual orientation gender identity national origin and veteran or disability status
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