Responsibilities:

The advanced practice provider (Nurse Practitioner/Physician Assistant) within the ambulatory setting works in collaboration with, and is an integral member of, a multidisciplinary health care team. The APP provides comprehensive care in the Cardiology ambulatory practice.

Assumes active role in overall HF program development at JNE. Works collaboratively as a team member with HF Specialists / APPs / RNs and ancillary AHPs to oversee population management of Heart failure ( HF) patients via real time identification of inpatients with diagnosis of HF on daily basis, tracks appropriateness of care setting and resource utilization, assists with identification of advanced HF patients, collaborates with clinical staff to ensure optimal GDMT, ensures appropriate discharge plan and coordinates both patient / family and staff education regarding HF. Works with hospital based Quality Improvement staff to maintain metrics on HF outcomes such as readmissions, Length of Stay and HF Quality indicators. Coordinates Quality Improvement processes for HF care. Oversees / provides Transitional care after discharge for patients transitioned to rehabilitation facilities, skilled facilities, personal care facilities, out-patient programs, and home with home care or home as per the Hospital to Home (H2H) guidelines. Provides coaching to clients to enable them to gain disease self-management skills and cope with transitions across care settings. Patient population ranges from young adulthood through late adulthood. Works closely with Outpatient HF Clinic staff.

Work with the multidisciplinary Heart Failure disease management program at Jefferson Health employing current, established guidelines for the medical management of heart failure patients. Incorporate the expertise of a multidisciplinary toward patient-centered care. Assist in the development of policies, procedures, and treatment protocols for a standardized and evidence-based approach to medical management of the heart failure patient. Work in a leadership role in the Heart Failure Task Force to define optimal systems of care delivery to improve heart failure outcomes.

Directly administer medical care to heart failure patients and oversee the care provided by other disciplines. Introduce newly approved treatment and diagnostic modalities and develop expert understanding and ability to prescribe and utilize new treatment/diagnostic tools. Develop high level of expertise in treatment of heart failure patients receiving device therapies such as CRT, ICD and LVAD.

Maintain active involvement in and responsibility for the medical management of patients across the spectrum of the Comprehensive Heart Failure Program, including the inpatient, outpatient, ER and Observation settings as well as continued management of heart failure patients transferred to partnered skilled facilities. Collaborate in an ongoing fashion with the Medical and Clinical Directors and cardiologists of the Comprehensive Heart Failure Program. Foster a good working relationship with referring physicians. On call responsibilities include telephone availability to Heart Failure VNA and hospital RN and resident staff.

Qualifications

Qualifications

Master's Degree

National Board Certification as an Acute Care Nurse Practitioner or Physician Assistant

BLS certification

Closing Statement

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jefferson's mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold & Think Differently and Do the Right Thing

As an employer, Jefferson maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.