Nurse Navigator - Cardiology

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.

• Medical, Dental & Vision Insurance
• Flexible Spending Accounts & Health Saving Accounts
• Paid Time Off
• Generous Retirement Plans
• Life Insurance
• Long-Term Disability
• Gym Membership Discount
• Tuition Reimbursement
• Employee Assistance Program
• Adoption Assistance
• Shift Differential

For more information on our Benefits & Perks, click here!

The Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longitudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient.

Position Reports To: Practice Manager

1. Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the physician and the health care team, to determine the effective utilization of resources and outcome achievement.
2. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action as necessary. This includes patient education on the disease, treatment options, procedures and medication regimens and side effects.
3. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc.
4. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team.
5. Obtain, review and scan outside patient records for new newly referred cardiology patients.
6. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally as well as with other members of the cardiovascular team.
7. Determine timeliness/time appropriateness of appointments.
8. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care.
9. Coordinate and continue to develop an established virtual care/telemedicine program for patients in the region, in conjunction with community clinical resources.
10. Assist with patient registry work as it pertains to chronic disease management.
11. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through.
12. Provide triage services and symptom management to patients as needed, in-person, telemedicine or over the phone.Communicate symptomology to appropriate team members.
13. Required to maintain active Basic Life Support (CPR) certification.
14. Other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Required:

• Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499).
• Current BLS Health Provider and ACLS card.
• Competent in basic computer skills.
• 3 years of clinical experience.
• Ability to work independently and perform role with minimal guidance

Desired:

• Previous department experience.

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position:

• Walking – F
• Sitting/Standing - C
• Reaching: Shoulder Height - F
• Reaching: Above shoulder height - O
• Reaching: Below shoulder height - O
• Climbing - O
• Pulling/Pushing: 25 pounds or less - F
• Pulling/Pushing: 25 pounds to 50 pounds - O
• Pulling/Pushing: Over 50 pounds - O
• Lifting: 25 pounds or less - F
• Lifting: 25 pounds to 50 pounds - O
• Lifting: Over 50 pounds - O
• Carrying: 25 pounds or less - F
• Carrying: 25 pounds to 50 pounds - O
• Carrying: Over 50 pounds - O
• Crawling/Kneeling - O
• Bending/Stooping/Crouching - O
• Twisting/Turning - O
• Repetitive Movement - F

Working Conditions:

• Work is performed at a workstation desk and in patient exam/treatment rooms, where space may be limited and confined. Requires a combination of working independently and close communication with providers. Hours may be irregular at times; overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working.

Job Classification:

• FLSA: Non-exempt
• Hourly/Salary: Hourly

Physical Exposures For This Position:

• Unprotected Heights – No
• Heat – No
• Cold – No
• Mechanical Hazards – No
• Hazardous Substances – Yes
• Blood Borne Pathogens Exposure Potential – Yes
• Lighting – No
• Noise – No
• Ionizing/Non-Ionizing Radiation – Yes
• Infectious Diseases – Yes