Job Description
MAIN FUNCTION:

The Nurse Navigator is responsible for managing a patient’s successful transition from hospital to home, throughout the clinic experience, and ongoing care providing disease management, care coordination and patient triage. The Nurse works collaboratively with interdisciplinary staff internal and external to the organization, participates in quality improvement and evaluation processes related to the management of the Transitional HeartCARE Clinic.



DUTIES AND RESPONSIBILITIES:





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1.

Identifies the appropriate patients for Transitional HeartCare Clinic.



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2.

Assesses and cares for patients under the direction of the Provider.



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3.

Provides patient assessment in an ongoing and efficient manner focusing on the patients physical and cognitive needs.