About The Position

The Comprehensive Care Nurse Navigator identifies patients appropriate for the Comprehensive Care Clinic, engages them in clinic services, and coordinates care between services and across the continuum. The role works collaboratively with multidisciplinary teams in inpatient and outpatient settings to support timely access to care by facilitating referrals to the clinic. The Nurse Navigator also provides care in the clinic and through telephone and virtual visits, serving as a resource to patients, providers, Wellstar departments, and external agencies. The position regularly monitors data from implanted remote monitoring devices, coordinates with physicians and providers based on that data, documents care in the electronic medical record, and communicates remotely with patients and families. The Nurse Navigator functions within applicable cardiovascular and heart-failure guidelines and protocols. The role also performs case-finding and assessments, liaises between patients and providers, coordinates care transitions and home health services, supports and educates clinical teams and the community, helps develop clinical practice guidelines, and participates in performance improvement projects. Other duties may be assigned, and the employee must comply with Wellstar policies, standards of work, and code of conduct. This is a full-time position of 40 hours per week. The listed work shift is various.

Requirements

  • Associate degree in Nursing or nursing diploma required; a Bachelor of Science in Nursing is preferred.
  • Current RN license: single-state RN or RN compact license.
  • BLS certification or an accepted American Red Cross or instructor equivalent.
  • ACLS certification or an accepted American Red Cross or instructor equivalent.
  • At least 3 years of adult acute-care clinical experience, including at least 2 years specializing in cardiology.
  • Strong clinical background in an acute-care setting.
  • Strong customer focus.
  • Excellent written and verbal communication skills.
  • Proficiency with electronic medical records.
  • Ability to organize and lead meetings and present to groups.
  • Ability to work independently, delegate, and multitask in a fast-paced environment.
  • Strong problem-solving and decision-making skills.

Nice To Haves

  • Case management and/or remote patient management experience.
  • Bachelor of Science in Nursing.

Responsibilities

  • Regularly monitor data output from implanted remote monitoring devices.
  • Coordinate care with physicians and providers based on remote monitoring device data.
  • Accurately document care in the electronic medical record.
  • Communicate with patients and families by telephone and virtual visits.
  • Follow guidelines and protocols supported by the American Heart Association, American College of Cardiology, and Heart Failure Association of America.
  • Participate in case finding to identify patients who may benefit from Comprehensive Care Clinic services.
  • Perform initial assessments using case management tools to determine patient and family needs.
  • Serve as a liaison between patients, families, and healthcare providers.
  • Coordinate care across the continuum to support successful transitions.
  • Coordinate care with home health agencies.
  • Provide support and education to clinical team members in the clinic and across the healthcare system.
  • Participate in educational offerings for patients, families, and community members.
  • Assist in developing clinical practice guidelines.
  • Participate in performance improvement projects.
  • Perform other duties as assigned and comply with Wellstar Health System policies, standards of work, and code of conduct.
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