Coordinator - Heart Failure

Job Details

Assumes active role in overall HF program development at JNJ. Works collaboratively as a team member with HF Specialists / APPs / RNs and ancillary AHPs to oversee population management of Heart failure ( HF) patients via real time identification of inpatients with diagnosis of HF on daily basis, tracks appropriateness of care setting and resource utilization, assists with identification of advanced HF patients, collaborates with clinical staff to ensure optimal GDMT, ensures appropriate discharge plan and coordinates both patient / family and staff education regarding HF. Works with hospital based Quality Improvement staff to maintain metrics on HF outcomes such as readmissions, Length of Stay and HF Quality indicators. Coordinates Quality Improvement processes for HF care including GWTG requirements. Oversees / provides Transitional care after discharge for patients transitioned to rehabilitation facilities, skilled facilities, personal care facilities, outpatient programs, and home with home care or home as per the Hospital to Home (H2H) guidelines. Provides coaching to clients to enable them to gain disease self-management skills and cope with transitions across care settings. Patient population ranges from young adulthood through late adulthood. Works closely with Outpatient HF Clinic staff.

Job Description

Summary
Assumes active role in overall HF program development at JNJ. Works collaboratively as a team member with HF Specialists / APPs / RNs and ancillary AHPs to oversee population management of Heart failure ( HF) patients via real time identification of inpatients with diagnosis of HF on daily basis, tracks appropriateness of care setting and resource utilization, assists with identification of advanced HF patients, collaborates with clinical staff to ensure optimal GDMT, ensures appropriate discharge plan and coordinates both patient / family and staff education regarding HF. Works with hospital based Quality Improvement staff to maintain metrics on HF outcomes such as readmissions, Length of Stay and HF Quality indicators. Coordinates Quality Improvement processes for HF care including GWTG requirements. Oversees / provides Transitional care after discharge for patients transitioned to rehabilitation facilities, skilled facilities, personal care facilities, outpatient programs, and home with home care or home as per the Hospital to Home (H2H) guidelines. Provides coaching to clients to enable them to gain disease self-management skills and cope with transitions across care settings. Patient population ranges from young adulthood through late adulthood. Works closely with Outpatient HF Clinic staff.

Job Duties

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• Follows established guidelines of the H2H Program and the Interact Tools, the transitions coach will implement.
• Provides consultation, education and support to patients and patient caregivers related to care giving responsibilities
• Maintains effective working relationship with medical team and all agency personnel providing care to the patient.
• Supports the medical staff during patient encounters as needed, performs diagnostic testing, patient education, and patient treatments as directed.
• Maintains effective collaborative communication with multidisciplinary team members in maintaining quality care for the patient.
• Documents all care management activities for each patient/client.
• Attends educational activities and departmental meetings as required.
• Prepares and submits timely and accurate statistical reports on HF related metrics and transitional care interventions.
• Performs other duties as assigned

Minimum Qualifications

• Bachelor’s Degree in Nursing
• 2 years cardiac nursing experience.
• Knowledge of hospital and community resources
• Experience with heart failure specific disease management knowledge
• Excellent verbal communication skills
• Computer skills
• Time management and prioritization skills
• Reliable transportation and auto insurance
• Self-directed and independent in structuring work processes
• CDL-C - Class C Driver's License_PA - State of Pennsylvania
• RN - Licensed Registered Nurse_NJ - State of New Jersey or
• RN - Licensed Registered Nurse_PA - State of Pennsylvania

Preferred Qualifications

• Master’s Degree in Nursing
• Heart Failure experience preferred.

Additional Qualifications
Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Salary Range

$82,243.29 to $117,197.17 Annual

The actual hiring rate will be determined based on candidate experience, skills and qualifications. This position is not eligible for an annual incentive.

Positions posted as annual salaries reflect an estimated amount for a 1.0 Full-Time Equivalent (FTE) (i.e. 40 hour equivalent)), positions for less than 1.0 FTE will be prorated.)

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Kennedy University Hospitals, Inc

Primary Location Address

1099 White Horse Road, Voorhees, New Jersey, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance.