Valve Clinic Coordinator

Provides a deliberate patient and family centered partnership with the healthcare team that facilitates a seamless patient experience between the Inpatient and Outpatient settings. The valve program coordinator works to maximize the patient's health outcomes and the patient experience by identifying patient and family needs, completing pre-visit planning, supporting the clinic visit and providing closure to the clinic visits. Works to develop and support a coordinated plan of care between visits to promote a smooth transition for patients and family across the healthcare continuum that instills a sense of trust and patient advocacy.

• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
• Actively participates in creating and implementing improvements.
• Coordinates care across the healthcare continuum within designated sub-specialty population(s). Serves as a single point of contact by facilitating and overseeing transitions in care within and between care settings, providers, and services.
• Performs patient and family needs analysis. Reviews medications for accuracy, facilitates medication refills, and updates patient's EMR. Verifies results to ensure all necessary tests are completed and the results are available for the providers.
• Leads a team approach to pre-visit planning. Provides patient/family education that is shared and documented regarding specific diagnosis, treatments, medication management, plan of care and transitions of care. Develops and engages patient and family in plan of care, involving multidisciplinary team. Completes post visit wrap-up and determines necessary follow up appointments and/or treatments. Works to maintain primary care/referring physician involvement through ongoing communication.
  
  Works at highest level of scope of practice and skills.
• Manages patient care in-between clinic visits including communication with primary and referring providers. Participates in and works to individualized shared plan of care. Collaborates with interdisciplinary team. Anticipates and documents patient needs for the next visit. Verifies results to ensure all necessary tests are completed and the results are available for the providers. Provides protocol based care management. Supports care provided to patient in transition of inpatient and outpatient settings through shared communication of plan of care and patient/family needs.
  
  May participate in the inpatient care conferences when indicated.
• Promotes safe, satisfying patient centered care. Designated single point of contact. Applies standard best practices at all levels of care. Shares plan of care and related information. Works with patients and families to navigate throughout the care continuum.
• Completes visit closure and summarizes visit. Provides patient/family education per assessment of need. Collaborates with care team to maximize patient outcomes. Ensures medication list is reconciled and provides patient with a hard copy. Ensures appointment follow-up is appropriate and timely.
• Completes pre-visit planning to optimize patient visits. Ensures that appropriate authorization for procedures/devices and medications have been obtained prior to services needed. Ensures all pertinent patient information/tests at time of appointment. Ensures that patient/family needs are communicated to the provider. Verifies appropriate appointment types are made.

• Bachelors Degree in Nursing or 3-5 years of ICU experience
• Proven Experience with an EMR
• Excellent assessment and care coordination skills. Understanding or willing to learn important criteria (inclusion and exclusion) required for surgical or percutaneous valve therapy.
• Understand…