Heart Failure RN Referral Crd

3 months ago


Tampa, United States USF Health Full time
Job Summary:

Collaborates with Physician and Interdisciplinary Team to implement plan of care and treatment for Advanced Heart Failure patients. Reviews medical record to anticipate clinical stability and to have a thorough understanding of the patient prior to follow up with the patient and physician. Ensures patient is progressing through clinical milestones and adjusting treatment plan as needed. Collaborates with Interdisciplinary team members to continuously identify more effective strategies to resolve barriers, reduce the severity of chronic disease, and avoid readmission. Escalates barriers to the plan of care (clinical, social, and environmental) through appropriate channels to resolution. Works in partnership with physicians to consider alternate levels of care if patient is not meeting clinical stability. Collaborates with Social Work to manage the needs of patients who have high acuity psychosocial needs coupled with need for medical care to mitigate risk for readmission. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital. In addition to the above duties, the Heart Failure Care Coordinator provides effective clinical health coaching to assist patients with self-management of their chronic disease and lifestyle changes to mitigate health risk.
  • Current RN license from the State of Florida, minimum of 2 years nursing experience in acute care or ambulatory setting OR current certification in Cardiac/Heart Failure.


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