RN Cardiac Care Coordinator

The Cardiac Center Nurse (RN) Coordinator is responsible for providing specialized professional nursing care to patients with complex congenital heart disease by providing direct and indirect care in collaboration with the physicians, advanced practice providers, nursing, social workers, genetic counselors, nutrition services and other clinical staff including but not limited to admission and discharge planning of all patients admitted to the comprehensive cardiac care unit. This position will work in a multidisciplinary team to innovate, improve, and advance the quality of care through a patient centered approach

• Position Responsibilities
• Delivers care in a nondiscriminatory manner that is sensitive to and values diversity and serves as a liaison between patients, their families, and members of the healthcare team.
• Provides chronic care management services on a regular basis to assess patient compliance to care plan, health status by completing a nursing assessment; Performs telephone triage, explains, and confirms understanding of prescribed treatment regimens/plan of care and confirms compliance to same, notifies appropriate physician and/or advanced practice provider of abnormal findings and coordinates with other disciplines to ensure patients receive appropriate and timely care
• Attends conference/meetings/rounds based on the patient population the care coordinator is working with this may include but is not limited to, daily surgical rounds, weekly case conference, discharge planning conference, patient family conferences etc.
• The Cardiac Care RN Coordinator oversees the execution of the discharge plan, including, but not limited to coordinating, communicating, and monitoring patient compliance as it relates to follow up care, home surveillance of complex cardiac patients, ensuring necessary medications and durable medical equipment is available upon discharge and other social needs are met. Serves as the lead in teaching parents and other caregivers how to use the Nemours Cardiac App, monitors the daily data transmitted to the Cardiac Dashboard and communicates clinical information as appropriate to the patient’s primary physician.
• Identifies care needs and collaborates closely with other disciplines effectively to ensure ongoing needs are met across the continuum of care by: Collaborating Cardiac Center Social Work to ensure smooth and effective transitions of care
• Assists Registered Dieticians in addressing patient and family needs while in the hospital and post discharge. Identifies any nutritionary issues, such as non-compliance with recommended nutrition guidelines and communicates issues to the Registered Dietician and other members of the care team
• Assists Clinical Psychologist in addressing patient and family needs while in the hospital and post discharge.