Clinical Nurse I: Pacemaker & Arrhythmia Ctr

Hoag•Newport Beach, CA

11d

About The Position

The Clinical Nurse I in the Pacemaker & Arrhythmia Center provides patient-centered care to ambulatory and inpatient populations with cardiac devices, including pacemakers, defibrillators, loop recorders, and mobile telemetry monitors. The role coordinates daily device clinic operations in partnership with physicians, manages clinic visits and device-related care, and collaborates with clinic staff to support efficient patient flow and timely responses to patient needs. The nurse works with electrophysiologists, cardiologists, advanced practice providers, vendor representatives, and other care-team members to support patient outcomes. The position oversees remote-monitoring patients by triaging alerts, coordinating follow-up care, and communicating plans of care with providers and aligned nursing teams. Duties include in-person and remote device evaluation, testing, data interpretation, troubleshooting, arrhythmia and ECG assessment, patient education, wound assessment, follow-up coordination, and accurate documentation in PaceArt and EPIC. The nurse also supports device advisories and recalls, AV optimization procedures, bedside procedures, and urgent or emergency clinical situations using ACLS protocols.

Requirements

Current, active Registered Nurse license in good standing in the State of California.
Current BLS certification before clinical rotation.
ACLS certification upon hire for the Pacemaker & Arrhythmia Center.
Advanced ECG rhythm interpretation.
At Magnet-designated facilities, a BSN or enrollment in a BSN program within one year of hire, with the BSN degree attained within two years of starting the program.

Nice To Haves

BSN preferred.
Two or more years of RN experience in telemetry, critical care, stepdown, or cath lab/holding nursing preferred.
Outpatient clinic experience preferred.
Epic and PaceArt experience preferred.

Responsibilities

Coordinate daily device clinic operations with physicians and clinic staff, including clinic visits, device-related care, patient flow, and timely response to patient needs.
Oversee patients enrolled in remote monitoring programs by triaging alerts, coordinating follow-up care, and communicating with providers and nursing teams about plans of care.
Assess, interpret, and report implanted cardiac device functions and recordings remotely and in person; evaluate device systems, perform testing, interpret data, recognize normal and abnormal function, and troubleshoot device issues.
Interpret cardiac arrhythmias and ECGs, evaluate prescribed therapy, and address inappropriate detection, therapy, or therapy failure promptly with an electrophysiology physician.
Document visit outcomes and device testing summaries, and record testing, changes, and identified care needs in PaceArt and EPIC.
Educate patients and families about device systems, basic pacemaker function, follow-up care, medications, clinic visits, remote transmissions, and other clinical care needs.
Triage ICD, pacemaker, implantable loop recorder, and symptomatic patient telephone calls, as well as remote alert notifications.
Collaborate in end-of-life scenarios involving device management and programming.
Evaluate and monitor CHF patients in person and remotely, including reviewing trends.
Perform and coordinate in-clinic and remote transmissions using Latitude, CareLink, Merlin, and Biotronik systems.
Maintain device testing equipment and records related to device advisories, recalls, and alerts; assist physicians with advisory information, identify affected patients, and communicate with them.
Assist with AV Optimization procedures in cooperation with the ECHO department and electrophysiology physician.
Assess incisions and wounds for new device patients, identify complications, develop plans of care with physicians, and remove stitches or staples as appropriate.
Identify device malfunctions, alerts, and suboptimal operation; follow protocols for programming changes and physician notification.
Use the nursing process to assess symptomatic patients and provide follow-through, including consulting physicians, giving patient instructions, arranging follow-up appointments, or taking patients to the emergency department.
Respond to urgent or emergency clinical situations while interrogating patients in clinic, using ACLS protocols.
Assist with bedside procedures such as cardioversions, ECHOs, and stress tests.
Update anticoagulation medication lists.
Perform the professional, clinical, and/or technical competencies of the assigned unit or department.