Post Heart Transplant Nurse Coordinator BWH

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Part Time - 32 hours per week - Rotating, Variable Staff Nurse AMB - MNA Heart Transplant | Center for Advanced Heart Disease | BWH Main Campus

General Summary/Overview Statement:
The Post Heart Transplant Nurse Coordinator is a professional registered nurse licensed in the state of Massachusetts with cardiac surgery experience who is responsible for all aspects of ambulatory and in-hospital care of the pre-transplant and post-transplant patient. This position will work closely with all members of the transplant team, inpatient staff, and others as necessary to ensure efficacious care during the transition between pre-, peri-, and post-transplant phases in ambulatory and hospital settings.

Additional responsibilities will include collecting and entering data into EPIC and heart transplant databases as required by the hospital and by local, regional, and national agencies. Transplant patients are an extremely complex group of patients and, as such, the transplant coordinator must possess a strong clinical background. This nurse must be organized; they must pay attention to detail, demonstrate the ability to coordinate and follow through on all aspects of the patient’s care and effectively communicate with all members of the transplant team, the patient/family and transplant unit.

The transplant coordinator will need to demonstrate the ability to effectively manage patients by assuming full responsibility for assessment, planning, implementation, and evaluation of patient care. The RN is directly responsible to a designated nurse manager or nurse director. The transplant coordinator will work on site at the BWH Main campus, and at any off-site locations in Massachusetts and surrounding states, as needed and directed by leadership.

Therefore, this candidate may need to obtain necessary nurse licensure in other states.

• Facilitates interactions of the multidisciplinary team members, including physicians, social work, transplant pharmacist, nutritionist, and outside consultants.
• Acts as a liaison between members of the inpatient care team and outpatient management team, including heart transplant nurse practitioners.
• Communicates with referring physician team to keep them up-to-date regarding patients' clinical status.
• Telephone contact with patients to assess clinical status, monitor response to therapy, adjust medications in consultation with clinical providers, and organize outpatient or inpatient follow-up as needed.
• Assists in urgent patient triage, including emergency room visits and transfer from outside institutions, and documents the care provided.
• Provides education to transplant patients and family members regarding important aspects of care, including but not limited to: activity, diet, medication adherence, and healthcare follow-up. Helps to maintain current supply of patient/family education materials.
• Sets up consults with specialty providers, follows up on consult recommendations, and communicates results to patients and other providers.
• Assists with communication and correspondence to/from patients, employers, pharmacies, and insurance providers with regard to medication prescriptions, cardiac rehabilitation, disability, family medical leave, and payment coverage. May also communicate and correspond with other providers (e.g., utility company, telephone company) as dictated by patient needs. These duties may require telephone calls, faxes, mail, and/or e-mail.
• Meets regularly with medical program director and nurse practitioners to facilitate quality and process improvement initiatives. As requested, implements and assesses initiatives and summarizes…