Heart Failure Nurse Navigator TMIN

Tufts Medicine

1d•Onsite

About The Position

The Heart Failure Nurse Navigator serves as a liaison between patients, community resources, and providers and supports a smooth transition from hospital to home with a goal of eliminating and/or reducing readmissions, increasing patient satisfaction, and partner with system navigators to ensure best practice and standardization across the sites. The Heart Failure Nurse Navigator supports Heart Failure patients in the ED and inpatient units to assist the patient population through the continuum of care.

Requirements

Massachusetts RN Licensure.
3 Years of RN Experience.
Current Basic Life Support (BLS) Certification.
Ability to plan, implement, and evaluate individual patient care programs.
Ability to effectively communicate with patients, families, physicians, and healthcare team.
Ability to analyze, evaluate multiple solutions, and solve complex problems using well developed critical & analytical thinking skills.
Knowledge of and application of the nursing process.
Excellent time management skills needed to prioritize competing priorities.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Experience with Cardiology/ Cardiac Service Lines and/or Heart Failure Programs.

Responsibilities

Assesses and facilitates coordination of multidisciplinary care across the care continuum.
Provides communication, advocacy, and education in a culturally competent manner.
Triages new patient referrals to ensue timely access to care.
Conducts post discharge follow up phone calls and serves as a liaison and patient advocate in navigating the healthcare system.
Provides patient education and supports utilizing knowledge of adult learning competencies and education resources to support complete, connected, and comprehensive care.
Collects and reports data from patient on barriers, hospital experience, health care, medications, prior treatments, etc.
Collaborates with multidisciplinary care team and expedites sequence of patient's care.
Serves as a liaison between patient and providers/clinicians to address patient’s needs.
Assesses patient's needs and ensures such needs are integrated into patient’s care plan.
Encourages and empowers patients to actively participate in decision making about their treatment and care.