Outpatient Heart Failure Nurse Navigator RN (Full Time/Days)

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

LOCATION: Lancaster, PA - Lancaster General Hospital and The Heart Group

HOURS: Full time (40 hours per week). Monday-Friday (8am-4:30pm). No nights or weekends.

Penn Medicine Lancaster General Health is seeking an experienced nurse to join our Heart Failure Program as an Outpatient Heart Failure Nurse Navigator. This position focuses on coordinating care for patients with heart failure, providing timely follow-up after hospitalization or emergency visits, supporting symptom management, and helping patients successfully manage their condition. The Nurse Navigator collaborates with a multidisciplinary team to deliver patient-centered care, reduce avoidable hospitalizations, and enhance quality of life for those living with heart failure.

Summary: Accountable to provide clinical navigation for identified patients within the Penn Medicine LG Health system. Performs clinical and administrative functions to support the coordination of inpatient and/or outpatient care needs. Patient care includes care to patients in the following age groups: adult (19 through 64 years), and geriatric (65 years and above).

Responsibilities:

Demonstrates proficiency in applying nursing theories, evidence-based nursing knowledge, problem solving and therapeutic techniques to perform professional nursing duties safely, legally, ethically, efficiently and effectively.
Knowledge of pathophysiology of specific disease processes and understands treatment modalities and rationale such as: surgery, therapy, symptom management, diet and self-care strategies, survivorship, surveillance and advanced care planning.
Understand and apply current clinical guidelines in implementing a treatment plan.
Manage physical, mental, psychological and/or spiritual well-being while working with the patient to develop a treatment plan and contribute to its implementation and evaluation.
Provide continuity of care throughout the entire experience. Remain a point of contact for the patient along the continuum of care.
Respond appropriately to instances of unsafe practice to safeguard the patient’s health
Maintain an environment conducive to health and healing including infection control
Provides referrals to supportive resources at local, regional and national levels
Provides treatment summaries and care plans for patients after receiving treatment.
Provides education to patient/caregiver on items such as: disease/symptom management, medication purpose and side effects, diet, rehabilitation and when to notify the healthcare provider.
Assess the health needs of the patient using a bio-psycho-social-spiritual framework including self-determined health goals and develop a plan of care for the patient based on his or her own personal needs.
Participates in related national and local professional nursing organizations, reviews literature and assess trends in patient care needs and development of services and resources to meet these needs.
Performs nursing techniques proficiently by maintaining accurate documentation, using appropriate channels of referral and working effectively with other health care team members.
Assessment of patient’s ability to navigate through the healthcare system and identify potential barriers. Guide patient through the healthcare system including:
Appropriate referrals to nutrition support, social work, financial counseling, psychology, rehab and/or palliative care.
Ability to communicate among specialty practices with the healthcare organization- build relationship with physicians and staff.
Screen and inform patients who may be eligible for clinical trials for advancement of practice.
Advocate and facilitate access to the appropriate services to individuals with disabilities and advocate for equal access for all patients regardless of financial status.
Advocate for the patient’s right to autonomy and an informed decision-making process.
Identify and implement methodologies for continuous quality improvement within the service line and support disease specific performance improvement initiatives.
Actively engage and participate in community outreach, education and supportive services programs, including appropriate screening programs or educational and health awareness promotion activities.
Participate in related committees, multidisciplinary boards and/or service line activities as appropriate
Other duties as assigned

Minimum Required Qualifications:

Bachelor’s degree in nursing, healthcare management or related field.
Current licensure as a Registered Professional Nurse, issued by the PA State Board of Nursing.
Certification in related specialty (location specific) required within 3 years of hire : Heart Failure Certification issued by CHFN
Three (3) or more years of experience as a clinical nurse in related specialty.
CPR Certification - American Heart Association (AHA) Basic Life Support, formerly Healthcare Provider (AHA Heart Saver AMA CPR/BLS certification required within 30 days of hire.
A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

Preferred Qualifications:

Five (5) or more years of experience as a clinical nurse in related specialty.
Masters of Science Degree Nursing (MSN).
Experience in care coordination and patient education.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

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