Inpatient Heart Failure Nurse Navigator

Job Overview

This position, in conjunction with Case Management, coordinates the transition of care from one health care setting to another which includes :   inpatient , Home Health Care, Skilled Nursing Facility, Rehab facilities.  Educates the patient and / or family regarding the patient's clinical condition, treatment, postoperative course, and the patient's role in recovery. Collaborates and communicates with a wide range of multidisciplinary providers with the goal of achieving an exceptional patient experience and the best possible patient outcomes .

Job Description

Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list .  Other duties and responsibilities may be assigned.

Inpatient Care

• Identifies eligible inpatients using established program criteria

Delivers education to the patient and caregivers, including teach back interventions

Transitions of Care

Coordinates post-discharge care to ensure seamless transition

Post-Discharge Care

Ensure patient adherence with care plan (e.g., medications, self-monitoring)

Data Collection

Program Development

Qualifications