Nurse Practitioner: Cardiac Administration

Hoag•Newport Beach, CA
•$71 - $110

About The Position

The Jeffrey M. Carlton Heart and Vascular Institute at Hoag is seeking an experienced and motivated Advanced Practice Provider to help build its Advanced Heart Failure Program. The Nurse Practitioner will work with advanced heart failure cardiologists, cardiovascular surgeons, intensivists, pharmacists, nurses, care managers, and other multidisciplinary partners to develop integrated care across hospital and outpatient settings. The role also contributes to clinical pathways, transitions of care, patient education, quality initiatives, and the infrastructure supporting the growing LVAD and advanced therapies program. The APP will care for patients across the heart failure spectrum, including hospitalized patients, patients transitioning to outpatient care, those with recurrent admissions or high readmission risk, patients receiving guideline-directed medical therapy, and patients with cardiomyopathies, cardiac amyloidosis, or hypertrophic cardiomyopathy. The role may also include evaluating patients for advanced heart failure therapies and selected care of patients with durable LVAD support or heart-transplant follow-up. Clinical work may include inpatient assessment and management, new heart failure consultations, multidisciplinary rounds, independent outpatient visits, support of physician clinics, post-hospital follow-up, medication optimization, patient and family education, and coordination with consulting and referring clinicians. The APP helps maintain continuity between inpatient and outpatient care through treatment planning, education, medication reconciliation, timely follow-up, and coordinated access to resources. The Nurse Practitioner provides advanced nursing care within professional regulatory standards and the scope of the NP license. Duties include patient evaluations and assessments, education, interventions, documenting plans of care, and requesting physician and multidisciplinary consultations. The position may involve independent practice and/or indirect physician supervision and care of varied age populations. Depending on the area, hours may vary and the role may include weekends, holidays, or on-call time. Medical Staff privileges may include arranging admissions and transfers; performing and dictating examinations, histories and physicals; rounding and writing progress notes; dictating discharge summaries; furnishing medications and durable medical equipment; ordering tests, studies, oxygen and respiratory treatments; and ordering or administering medications and IV therapy with appropriate dosing assessment and adjustment. Other duties may be assigned.

Requirements

  • Master’s in nursing (MSN) or Doctor of Nurse Practitioner (DNP).
  • Completion of proctoring by the Medical Staff Office.
  • Advanced clinical knowledge and skills in the care and management of patients.
  • Current California license in good standing to practice as a Registered Nurse and Nurse Practitioner.
  • California furnishing license and personal DEA number for all areas other than the Breast Center.
  • BLS certification.
  • National board certification as a Nurse Practitioner in the area of specialty, except for Outpatient Oncology.
  • For Cardiac Administration: ACLS and DEA license required.
  • For Heart Valve Clinic: ACLS required.

Nice To Haves

  • For Cardiac Administration: experience in adult/geriatric cardiovascular care.
  • For Cardiac Administration: experience in cardiovascular data collection.
  • For Heart Valve Clinic: 2+ years of cardiology or advanced heart failure experience.
  • For Heart Valve Clinic: experience with advanced therapies such as LVAD, transplant, or MCS.
  • National board certification as a Nurse Practitioner or Physician Assistant.
  • Physician Assistant certification.

Responsibilities

  • Provide advanced nursing care and multidisciplinary assessment, intervention, education, and documentation of plans of care.
  • Participate in care for patients with acute and advanced heart failure in inpatient and outpatient settings.
  • Conduct inpatient assessments and management, new heart failure consultations, multidisciplinary rounds, outpatient visits, physician-clinic support, and post-hospital follow-up.
  • Optimize medications and provide patient and family education.
  • Coordinate care with consulting and referring clinicians and support continuity between inpatient and outpatient settings.
  • Help develop clinical pathways, transition-of-care processes, patient education, quality initiatives, and infrastructure for the LVAD and advanced therapies program.
  • Request physician and multidisciplinary consultations and seek appropriate resources when addressing ethical, legal, or medical dilemmas.
  • Exercise Medical Staff privileges as granted, which may include admissions and transfers, examinations and documentation, ordering studies and therapies, and furnishing or administering medications within applicable licensure and certification.
  • Perform other duties as assigned.
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