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Nurse Coordinator Cardiovascular Surgery

Boston, Massachusetts

Department: Cardiovascular Surgery

At Beth Israel Deaconess Medical Center our nurses make a difference each and every day. Here you will work in a collaborative environment where our patients come first. You are a patient advocate delivering compassionate care while ensuring safe nursing practices. We are Harvard with a heart and strive to build on our legacy of nursing excellence.

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Success Profile

  • Team Player 10
  • Adaptable/Flexible 9
  • Patient Focused 8
  • Self Confident 8
  • Dependable 7
  • Compassionate 7
Traits are on a scale of 0 to 10

Additional Traits

  • Proactive
  • Problem-Solver
  • Positive
  • Motivated
  • Committed
  • Self-Starter

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Quote

Let me just give you a quick overview of why it's different here. You'll be heard, respected, valued. Your ideas will be sought, your input welcomed. There's a real commitment to keeping it collegial and collaborative.

-Marsha M., RN, MS, Senior Vice President, Patient Care Services CNO

Rewards

  • Collaboration

  • 401k/Retirement Savings

  • Continuing Education

  • Amenities

  • Health and Wellness Programs

  • $5 Red Sox Tickets

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Responsibilities


Department Description: 1. Partner w/BIDMC Nursing/Case management to develop specific preferred provider relationships. These will include: VNA's, rehabilitation and skilled nursing facilities. To keep it manageable; goal number about 10, based on geographic need and location. Ensure appropriate cardiac rehabilitation referrals.
2. Develop relationships w/preferred providers to coordinate requirements specific to the cardiac surgery population. Partner w/preferred providers to educate staff about post-operative surgery care and develop escalation protocols for communication back to cardiac surgery team with any concerns. Develop indications for use of electronic communications i.e. pictures to review healing of wounds.
3. Develop process w/preferred providers to eliminate/reduce transfers to small regional ERs and redirect back to BIDMC when appropriate. Maximize the use of high risk transition clinics (NP, CDAc) to enable more intensive management for patients at high risk of readmission. Increase follow up calls at set intervals (post discharge days 1& 7 & prn) according to best practice guidelines.
4. Develop readmission audit to determine overlap and gaps in service line and institutional efforts in patients who are readmitted. Create standard approach/assessment for all readmitted patients to inform and tailor care plans. Attend high risk multidisciplinary rounds. Collaborate with multidisciplinary team to develop risk tailored medication plan and identify barriers to tailored care plan.
5. Develop metrics and dashboard for reporting purposes. Review discharges for coding accuracy using prepared checklist for each discharge. Partner with clinical documentation improvement nurses to insure that the acuity of the patients hospital stay is accurately recorded.
6. Shared responsibility for wound clinic 4 days per week. Provide outpatient clinic coverage when needed in partnership with current clinic RN.

Job Location: Boston, MA

Req ID: 27729BR


Job Summary: The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art & science of nursing, and advocating for the health of patients, families, and communities. The Nurse Coordinator is responsible for coordinating care for patients receiving treatment in a specialty service, including the evaluation, assessment, scheduling, consultation and treatment of patients in order to implement a seamless progression of care to meet the patient's needs. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department.

Department Specific Job Responsibilities:
  1. Partner with BIDMC Nursing/Case Management to develop specific preferred provider relationships. These will include: VNA's, rehabilitation and skilled nursing facilities. To keep it manageable; goal number about 10, based on geographic need and location. Ensure appropriate cardiac rehab referrals.
  2. Develop relationship with preferred providers to coordinate requirements specific to the cardiac surgery population. Partner with preferred providers to educate staff about post-operative surgery care and develop escalation protocols for communication back to Cardiac Surgery team with any concerns. Develop indication for use of electronic communications i.e. pictures to review healing progress.
  3. Develop processes with preferred providers to eliminate/reduce transfers to small regional ERs and redirect back to BIDMC when appropriate. Maximize the use of high risk transition clinics (NP, CDAc) to enable more intensive management for patients at high risk of readmission. Increase follow up calls at set intervals (post discharge day 1 & 7 & prn) according to best practice guidelines.
  4. Develop readmission audit to determine overlap and gaps in service line and institutional efforts in patients who are readmitted. Create standard approach/assessment for all readmitted patients to inform and tailor care plans. Attend high risk multidisciplinary rounds. Collaborate with multidisciplinary team to develop risk tailored medication plan and identify barriers to tailored care plan.
  5. Develop metrics and dashboard for reporting purposes. Review discharges for coding accuracy using a prepared checklist for each discharge. Partner with the clinical documentation improvement nurses to insure that the acuity of the patient's hospital stay is accurately recorded.
Essential Responsibilities:
  1. Collaborates with physicians and other health care providers to coordinate the care for patients from referral/consultation to discharge /follow up. Assists with pre-authorization process.
  2. Serves as contact and facilitator to receive consults and patient information. Coordinates and insures all patient scheduling including but not limited to consultation, diagnostic and treatment procedures.
  3. Gathers information for history and physical. Performs and documents evaluations and assessments of patient. Assists in ordering labs, x-rays, and diagnostic procedures.
  4. Works in collaboration with surgeons and physicians in educating the patients and their families in medical care. Assists in development of patient/family educational materials. Participates in patient rounds and case conferences.
  5. Updates clinical knowledge and skills through consultation, formal and informal education, and review of literature for self and clinical team. Provides leadership for process improvement related to the care of these patients.
Required Qualifications:
  1. Associate's degree in Nursing required. Bachelor's degree in Nursing preferred.
  2. License Registered Nurse required., and Certificate 1 Basic Life Support required.
  3. 1-3 years related work experience required.
  4. American Heart Associate - Basic Life Support Certificate
  5. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications:
  1. Prior experience in specialty service preferred.
Competencies:
  1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
  2. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
  3. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
  4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
  5. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
  6. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
  7. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
  8. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.
Age based Competencies:
Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.
Physical Nature of the Job:
Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift.

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