Nurse Navigator, RN - Heart Failure

Saint Francis Health System

3d•Onsite

About The Position

The Nurse Navigator is a key member of the Heart Failure Team, providing time-sensitive cardiac nursing expertise and ongoing clinical oversight and care coordination for hospitalized patients admitted with a diagnosis of heart failure. The role assists in executing and evaluating evidence-based processes to achieve excellent care and expected outcomes. This is a full-time, day-shift position, Monday through Friday, 8:00 a.m. to 5:00 p.m., with no weekends or holidays. Experienced cardiac RNs are preferred; this is not a new graduate position.

Requirements

Completion of the basic professional curriculum at a school of nursing approved and verified by a state board of nursing, with a diploma or degree from that program or entitlement to hold one.
Valid multistate or Oklahoma Registered Nurse license.
Obtain Optimal Medical Therapy certification through the Heart Failure Society of America within six months of hire.
Minimum three years of clinical nursing experience; at least one year of critical care experience is preferred.
Customer-focused approach and proficiency applying nursing theory, evidence-based nursing knowledge, and problem-solving skills.
Knowledge of pathophysiology and heart failure treatment modalities and rationales, including Guideline Directed Medical Therapy, therapeutic and remote monitoring devices, pre- and post-treatment care management, and signs and symptoms of worsening heart failure.
Understanding of current clinical practice guidelines for heart failure treatment, including AHA/ACC/HFSA expectations.
Effective collaboration, coaching, mentoring, listening, participative decision-making, negotiation, and team-building skills.
Effective verbal and written communication skills, tact, and a positive demeanor.
Effective computer skills, including Excel, Word, and PowerPoint.
Ability and desire to establish and maintain rapport with physicians and organizational personnel.
Outcomes-driven decision-making and ability to plan, develop, implement, and administer health-related programs.
Ability to work autonomously, establish success benchmarks, and report results.
Understanding of and commitment to the organization's mission and values.

Nice To Haves

Experienced cardiac RN.
At least one year of critical care experience.

Responsibilities

Review multidisciplinary care for emergent and acute-care patients with a diagnosis or initial presentation of heart failure according to current AHA/ACC/HFSA guidelines.
Evaluate socioeconomic factors related to medication therapies and payer sources to optimize compliance.
Build relationships with patients and families by assessing their understanding of the care plan, medical terminology, disease process, and medications, and by supporting adjustment to the diagnosis and adherence to treatment.
Assess whether patients have appropriate education materials and supplies, and communicate with clinical staff, managers, case management, and social work as needed.
Provide proficient nursing care, maintain accurate documentation, use appropriate referral channels, and work effectively with other members of the healthcare team.
Oversee continuity of care and serve as a point of contact throughout hospitalization.
Coordinate heart failure post-discharge activities and be available for post-discharge care coordination questions and concerns.
Participate in patient support through education, caregiver support, and potentially end-of-life care discussions.
Collaborate with clinical staff and the patient or representative during hospitalization.
Participate in heart failure support activities, including staff training.
Participate in heart failure service-line patient care activities, including program improvement committees, workgroups, and the Heart Failure clinic.
Help ensure quality services are delivered promptly and cost-effectively.