Remote Heart Failure Nurse Navigator

University Hospitals; Ravenna (OH); On-site; USD 75,000 - 95,000; Full time

Job summary

University Hospitals seeks a Clinical Nurse Navigator for CHF in the Portage area to coordinate care across the continuum, working with patients, families, physicians, and post-acute providers. The role emphasizes education, care planning, and ensuring smooth transitions from hospital to outpatient care.

The position involves remote triage, collaboration with cardiology teams, and leadership in patient advocacy and PHI safety, supporting high-quality, coordinated healthcare delivery.

Responsibilities

• Implements best practice elements related to heart failure and chronic illness care across the health care continuum to ensure high quality coordinated care of patients.
• Rounds on/reviews assigned patients regularly and evaluates patient progress with plan of care. Communicates plan of care to patient and family and solicits concerns, questions, and issues for resolution.
• Work as an interdisciplinary care team member to manage the care journey and anticipate care support and education needs of patients diagnosed with heart failure and other chronic illness'
• Coordinate discharge medication process, pharmacy location, and ensure patient has medications for discharge at applicable facilities
• Working with the hospital care transitions team, perform transition of care management to CHF patients after discharge from the hospital, bridging the transition from hospital to outpatient care and preventing readmissions.
• Remotely manage the care of heart failure patients, triage calls, and escalate high risk patients using remote assessment skills and nursing expertise with provider oversight.
• Collaborate with Advanced Heart Failure cardiologists on patients with chronic heart failure and advanced heart failure, specifically partner on early referrals for evaluation for advanced heart failure therapies (LVAD and transplant).

Job description

University Hospitals seeks a Clinical Nurse Navigator for CHF in the Portage area to coordinate care across the continuum, working with patients, families, physicians, and post-acute providers. The role emphasizes education, care planning, and ensuring smooth transitions from hospital to outpatient care.

The position involves remote triage, collaboration with cardiology teams, and leadership in patient advocacy and PHI safety, supporting high-quality, coordinated healthcare delivery.