Nurse Practitioner

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high-quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban, and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Job Description

Seeking a Nurse practitioner with cardiology experience preferably in the heart failure space to manage clients in an outpatient virtual transition of care heart failure clinic. Patients will be virtually managed for 30 to 45 days in collaboration with their outpatient primary care and cardiology providers. There will be a heavy emphasis on the management of volume status, and the titration of guideline directed medical therapy. The ability to work with an interdisciplinary team and communicate patients' needs will be paramount.

Key Responsibilities

1. Clinical Care

• Virtually perform comprehensive history and focused physical examinations for patients with acute and chronic heart failure.
• Diagnose, evaluate, and manage heart failure in accordance with current clinical guidelines (e.g., ACC/AHA, HFSA).
• Initiate, titrate, and monitor guideline-directed medical therapy (GDMT), including beta-blockers, ACEi/ARB/ARNI, SGLT2 inhibitors, mineralocorticoid receptor antagonists (MRA), vasodilators, and other evidence-based therapies.
• Order and interpret diagnostic tests including laboratory studies, ECGs, echocardiograms, and imaging as clinically indicated.
• Assess and manage volume overload using appropriate diuretic strategies including loop diuretics, thiazide diuretics, and carbonic anhydrase inhibitors.
• Refer patients to system-based transition of care clinics for IV diuresis or in-person evaluation as appropriate, ensuring a warm handoff to clinicians assuming care.
• Review remote patient monitoring data and respond to changes in the patient’s condition.

2. Care Coordination & Team Collaboration

• Collaborate closely with cardiologists, primary care providers, electrophysiology, advanced heart failure/transplant teams, pharmacy, social work, and case management.
• Ensure timely follow-up post hospital discharge ideally within 7 days but not later than 14 days following the discharge date.
• Identify social determinants of health that impact self-management and coordinate interventions with the multidisciplinary team.
• Facilitate seamless transitions of care from inpatient to outpatient settings to reduce thirty-day readmission rates.
• Participate in case reviews to identify root causes of readmissions and develop team-based strategies for improvement.

3. Patient & Family Education

• Provide education on heart failure self-management including diet, daily weights, symptom monitoring, and medication adherence.
• Ensure patients understand the rationale for GDMT and the importance of ongoing titration and monitoring.
• Support advance care planning discussions when appropriate, ensuring patient values and goals are incorporated into care.

4. Quality, Safety & Program Development

• Participate in heart failure–related quality improvement initiatives and program development efforts.
• Contribute to meeting institutional and system-wide heart failure program goals.
• Assist with data collection, patient outcomes tracking, and participation in heart failure registries or quality databases.
• Implement evidence-based protocols, clinical pathways, and standardized orders to ensure high-quality, consistent care.

“This role is funded for an initial two-year period through a grant. Renewal is possible if future funding is secured; however, continuation beyond the grant period cannot be guaranteed.”

Nurse practitioner with 1 year of cardiology experience preferably in the heart failure space.

Acute, family or primary care certified.

BLS certified