Heart Failure Nurse Navigator

Title: Heart Failure Nurse Navigator
Scheduled Hours:
Day Shift; Monday-Friday
Full time (40-hour work week)
​ Job Summary:
Heart Failure being one of our number one readmission diagnosis, the Nurse navigates patient and family members through the diagnosis, treatment, and follow-up of the patient throughout the continuum of care ensuring smooth transitions between care settings. Collaborates with a multi-disciplinary team to support patients and families in addressing the following dimensions of care: education, psychosocial needs, advocacy, and continuity of care.
Nurse Navigator will work collaboratively and directly with HF Advance Practice Nurses and Advance Heart Failure physicians.
Responsibilities:
Provides continuity of care by ensuring smooth transitions between care settings.
Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
Completes a nursing assessment to identify the patient's individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care.
Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care.
Navigates patients and family members throughout the diagnosis, treatment and follow-up of the patient throughout the continuum of care.
Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty.
Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes.
Evaluates, selects or designs patient education materials on specific disease site programs. Provides education and outreach programs to patients, staff and to members of the community.
Assist leadership in developing program vision, goals and objectives. Assists in the development, implementation and maintenance of quality programs that include best practice patient care outcomes including quality of life, and enhanced patient loyalty.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures.
Position Requirements:
Bachelor’s Degree in Nursing.
Graduate of an accredited school of nursing
Illinois RN license maintained
5 years focused experience in cardiology nursing that includes performing nursing assessments, care plan development and educating patients.
CPR certification, ACLS certification
Heart Failure (CHFN) Certification from Cardiovascular Nursing Education Associates (CNEA) needs to be obtained within 2 years
Maintains clinical expertise to effectively manage physical, emotional, psychosocial and spiritual needs of patients throughout the care continuum.
Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians and third party payers.
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.
Clear oral communications and hearing acuity required for receiving instructions and converse on standard telephone.