Heart Failure Nurse Navigator MelroseWakefield Hospital

## Heart Failure Nurse Navigator Melrose Wakefield Hospital Apply:
Melrose Wakefield Hospital:
Full time:
Posted Today:
R27125
*
* Location:

Onsite Melrose Wakefield Hospital*
* ** Job Overview
** The Heart Failure Nurse Navigator serves as a clinical expert, patient advocate, and care coordinator for patients with congestive heart failure (CHF) across the continuum of care. This role is responsible for supporting heart failure patients from hospitalization through post-discharge recovery by facilitating evidence-based care, patient education, multidisciplinary collaboration, and seamless transitions between care settings.  The Heart Failure Nurse Navigator works closely with cardiologists, hospitalists, advanced practice providers, nursing staff, case management, social work, pharmacy, rehabilitation services, primary care providers, and community resources to optimize patient outcomes and reduce avoidable readmissions.  

This position focuses on identifying high-risk heart failure patients, addressing barriers to care, promoting adherence to guideline-directed medical therapy, ensuring timely follow-up appointments, and empowering patients and caregivers through education on disease management, symptom recognition, medication compliance, nutrition, and self-management strategies.

The Navigator leads and coordinates heart failure initiatives throughout the organization, supports regulatory and quality metrics, facilitates multidisciplinary heart failure rounds and care planning, and serves as a key resource to improve clinical outcomes, patient experience, and utilization management. Through proactive intervention and support, the Heart Failure Nurse Navigator plays an integral role in preventing readmissions, improving transitions of care, and enhancing the overall health and quality of life of patients living with heart failure.

** Job Description
***
* Minimum Qualifications:

** 1. Massachusetts RN Licensure.
2. 3 Years of acute care RN Experience.
3. Current Basic Life Support (BLS) Certification.  
*
* Preferred Qualifications:

** 1.Bachelor of Science in Nursing (BSN).2.

Experience with Cardiology/ Cardiac Service Lines and/or Heart Failure Programs.
* Experience managing patients with congestive heart failure and other cardiovascular conditions across inpatient and outpatient settings.
* Certification in Heart Failure Nursing (CHFN), Cardiac-Vascular Nursing (CV-BC), Case Management (CCM), or related specialty certification preferred.
* Experience working with multidisciplinary teams to coordinate complex patient care and improve quality outcomes.
*
* 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.  
1. Assesses and facilitates coordination of multidisciplinary care across the care continuum.
2. Provides communication, advocacy, and education in a culturally competent manner.
3. Triages new patient referrals to ensure timely access to care.
4. Conducts post discharge follow up phone calls and serves as a liaison and patient advocate in navigating the healthcare system.
5. Provides patient education and supports utilizing knowledge of adult learning competencies and education resources to support complete, connected, and comprehensive care.
6. Collects and reports data from patient on barriers, hospital experience, health care, medications, prior treatments, etc.
7. Collaborates with multidisciplinary care team and expedites sequence of patient's care.
8. Serves as a liaison between patient and providers/clinicians to address patient’s needs.
9. Assesses patient's needs and ensures such needs are integrated into patient’s care…