Disease Team Program Coordinator

Responsibilities:

• Works with other disease specific coordinators to understand and apply current clinical practice guidelines and evidence based practices for the standardization of care.
• Evaluates identified patient records for compliance with evidence based standards of care for disease specific populations.
• Participates and collaborates with entity quality groups to support strategies to improve entity based Penn Medicine team goals and disseminate data as necessary.
• Initiates face to face communication with nurses, attending/consulting physicians and other health care providers to discuss, confirm or make suggestions regarding patient management and evidence based standards.
• Interfaces with interdisciplinary care team, patients, and families as needed to support discharge needs, and address readmission risks. Provides timely notification to continuum of care social workers for patients that require post discharge follow up. Follows readmission trends and reports back identified areas of opportunity.
• Collaborates with other disease team clinical experts to identify and address opportunities for formal and informal education for nursing and health care providers, as well as address departmental education as needed.
• Participates in community outreach via health screenings and educational presentations as needed
• For assigned populations remains current with American Heart Association (AHA) guidelines, accountability for Get With the Guidelines registry, and initiatives to maintain AHA Quality care award status.
• Participates in system wide meetings for assigned populations, along with other duties as assigned to support the unit, department, entity, and health system organization.
• Maintains partnership with external abstractors to ensure accuracy in Quality data abstraction.

Credentials:

• Registered Nurse - PA (Required)
• Basic Cardiac Life Support (Required)
• Advanced Cardiac Life Support (Required)

Education or Equivalent Experience:

• Bachelor of Science Nursing (Required)
• BSN degree and 5+ years experience in critical care/cardiovascular nursing. Must document a minimum of 8 hours of heart failure specific education, and an additional 8 hours of cardiovascular related education annually. Familiar with GWTG recommended.