Job Description

Responsibilities

Assumes active role in overall HF program development at JNE. Works collaboratively as a team member with HF Specialists / APPs / RNs and ancillary AHPs to oversee population management of Heart failure ( HF) patients via real time identification of inpatients with diagnosis of HF on daily basis, tracks appropriateness of care setting and resource utilization, assists with identification of advanced HF patients, collaborates with clinical staff to ensure optimal GDMT, ensures appropriate discharge plan and coordinates both patient / family and staff education regarding HF. Works with hospital based Quality Improvement staff to maintain metrics on HF outcomes such as readmissions, Length of Stay and HF Quality indicators. Coordinates Quality Improvement processes for HF care. Oversees / provides Transitional care after discharge for patients transitioned to rehabilitation facilities, skilled facilities, personal care facilities, out patient programs, and home with home care or home as per the Hospital to Home (H2H) guidelines. Provides coaching to clients to enable them to gain disease self management skills and cope with transitions across care settings. Patient population ranges from young adulthood through late adulthood. Works closely with Outpatient HF Clinic staff.

Qualifications

1. Experience:

Minimum 2 years cardiac nursing experience.

Heart Failure experience preferred.

1. Education & Training:

Bachelor's Degree in Nursing required. Master's Degree preferred.

1. License, Certification & Registration:

State of Pennsylvania Registered Nurse License; valid driver's license

1. Other Requirements:

Knowledge of hospital and community resources; experience with heart failure specific disease management knowledge, excellent verbal communication skills, computer skills, time management and prioritization skills, reliable transportation and auto insurance and self-directed and independent in structuring work processes

Conditions of Employment

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson's clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.

Closing Statement

Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have over 30,000 employees.

Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation's best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans. more