Heart Failure Nurse Navigator
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POST DATE 10/11/2017
END DATE 12/9/2017
Northwestern Memorial Healthcare
JOB DESCRIPTIONThe Heart Failure Nurse Navigator supports Patient Care Services (PCS) and the Heart and Vascular Service Line by overseeing the care of all heart failure inpatients at CDH. The Navigator works with nursing leaders in Patient Care Services, the RMG Medical Director of Heart Failure and physician leaders from other practices. The Navigator works collaboratively with all members of the multi-disciplinary team to establish an evidence based continuum of care plan with the goal of optimizing clinical outcomes. The main responsibilities are heart failure patient rounding, review of documentation of required care processes, coordination or direct provision of patient education and development of a plan with case management and our community heart failure nurses for outpatient services appropriate for level of complexity. In collaboration with the Medical Director, supports standardization of heart failure care at CDH and compliance with evidence-based heart failure care standards. With Medical Director establishes clinical standards, order sets, policies and procedures for the provision of services. The individual in this position will be responsible to identify care processes in need of improvement and proactively act to resolve unfavorable outcomes. Will serve on teams in an advisory capacity regarding updates to protocols, procedures, care guidelines and quality improvement. The Heart Failure Nurse Navigator is responsible to work directly with nursing unit leaders to review for compliance to Joint Commission standards for Basic and Advanced HF Certification. Serves as primary contact for physicians and other care providers, responsible for managing patient care needs and progress, care plan development and discharge planning. Follow all heart failure inpatients on all nursing units. Perform daily assessment to evaluate that appropriate care plans/protocols are in place and being followed by appropriate members of multi-disciplinary team including documentation of findings. Collects and synthesizes patient data based on assessment including but not limited to health and medical history, physical examination, review of diagnostic tests/procedures and assessment of preventive health screening. Develop an individualized evidence based care plan that includes patient identified self-management goals. Ensures that and supports patient to actively participate in identified self-management care goals. Navigate the heart failure patient through the inpatient setting, and ensures discharge planning matches complexity of the disease process. Participate in bedside heart failure team rounds. Perform chart audits as appropriate to determine compliance with heart failure clinical care protocols. Evaluates learning needs and abilities of all HF inpatients and adapts education to meet those needs. With unit case manager, evaluates post discharge level of family/significant other support and adapts education for these key care givers. Perform very consistent assessments of patients to assure that the education plan created is being carried out and work with staff nurses, pharmacists and other multidisciplinary partners to close identified gaps. Perform chart audits as appropriate to determine compliance with education required of various disciplines. Take a very active role in supporting preparation for discharge and follow up. Assist in discharge planning with case management, bedside RN; physician, and family or key care giver. Will make post discharge follow up appointments including when patient is being discharged over the weekend. The primary focus of this position is the inpatient care of our heart failure population. Therefore, the Navigator spends most time on the nursing units. The Navigator can serve in an advisory capacity on heart failure teams upon approval of direct supervisor. Will support orientation of new direct care staff in a pre-determined manner developed by patient care services clinical director leadership. Serve as lecturer for continuing education offerings. Conduct assessments with Professional Development and nursing staff regarding effectiveness of heart failure educational materials. EOE Minorities/Women/Disabled/Veterans. VEVRAA Federal Contractor Required: Minimum 2 years recent and related clinical experience. Bachelors of Science in Nursing. Certified BLS. Licensed RN. The individual shall possess, interpersonal, and time-management skills, organizational skills and a working knowledge of trends in cardiovascular disease. Desired: Master of Science in Nursing. Specialty certification in area of focus. 3 or more years of recent and related clinical experience.
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability or sexual orientation.