Heart Failure Registered Nurse Care Coordinator / RN

Overview

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Description

Registered Nurse Care Coordinator (RN), Heart Failure Center

The RN Care Coordinator functions as the liaison between patients / caregivers / outside agencies / providers and our multidisciplinary Advanced Heart Failure team.

One of the primary goals is to intervene early to prevent hospitalizations by utilizing electronic and telephone communication.

A track record of strong oral and written communication, customer service and critical thinking skills is required. Knowledge of heart failure disease management and guideline directed medical therapy is required in order to effectively triage and escalate patient concerns to providers.

• Proactive patient outreach and care coordination for a panel of patients to achieve optimal outcomes and wellness, while decreasing preventable ED, inpatient and readmission visits.
• Functions as a clinical liaison, facilitator, advocate and collaborator in a multidisciplinary care team across the continuum of care to provide complex disease management interventions to high risk and post discharged patients identified.
• Conducts targeted outreach to identified patient panels to ensure timely and efficient care delivery across the continuum of care.
• Improve communication and collaboration between patient and families, healthcare teams and community-based organizations.
• Performs patient re-assessments to determine current health status and progress toward healthcare goals and care plan completion.
• Conduct systematic, ongoing, and criterion-based evaluation of outcomes in care coordination plans of care. Updates patient care plan, as appropriate.
• Ensure care gaps are closed around specialty / chronic diseases. Serve as a primary point of contact for identified high risk and post-discharged patients and facilitate access to services.
• Partners with other care coordination teams across the Emory Healthcare system and community organizations.
• Assimilate and document the results of the evaluative processes.
• Apply critical-thinking skills and the use of clinical judgement when implementing population health interventions or planning effective care for groups or individual patients and their families.

MINIMUM QUALIFICATION

• Graduate of an accredited nursing school.
• Bachelors degree in Nursing (BSN) required.
• Must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
• Care Management experience preferred.
• Three (3) years of healthcare experience required.
• BLS Healthcare Provider certifications required.

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice.

We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Additional Details

Supporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and / or veteran's status.

EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals.

EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

ACCOMODATIONS : EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.

• PHYSICAL REQUIREMENTS : (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday;
• frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking;

Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS : Factors affecting environment conditions may vary depending on the assigned work area and tasks.

• Environmental exposures include, but are not limited to : Blood-borne pathogen exposure; Bio-hazardous waste Chemicals / gases / fumes / vapors;
• Communicable diseases; Electrical shock; Floor Surfaces; Hot / Cold Temperatures; Indoor / Outdoor conditions; Latex; Lighting;
• Patient care / handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators;

environmental conditions may vary depending on assigned work area and work tasks.