Job Description

The Heart Transplant Nurse Coordinator for the Advanced Heart Failure Comprehensive Care Center provides direct care to patients with multiple, often complicated acute and chronic medical problems. The Nurse Coordinator is the primary point person for the program in the post heart transplant phase of care and works closely with the multidisciplinary team and multiple UCSF departments. The primary responsibilities (as assigned) of the Nurse Coordinator will be to serve as the primary coordinator for post-transplant services and facilitate and assist with all aspects of patient care following heart transplantation. Some key aspects of this position include providing ongoing patient support and education throughout post heart transplant care in both the inpatient and outpatient setting. This role will also require cross coverage for patients across the Advanced Heart Failure Comprehensive Care Center as needed.

% of time

Essential

Function

(Yes/No)

Key Responsibilities

(To be completed by Supervisor)

60%

Yes

Coordinates all post-heart transplant patient care across the continuum, throughout all phases of the transplant process, per provider orders and per protocols.Helps to assesses post-heart transplant graft function and general health status and collaboratively determines need for additional assessment or intervention. Coordinates any changes to medication regimen or other regimens with attending MD and /or APP and Pharm D. Frequent laboratory results oversight to detect changes that may need immediate action. Communicates with multidisciplinary team members, patients and families in a timely manner in regard to patient care issues. Facilitates patient activities with consulting departments and physicians. Assists other nurses and staff to assess, plan, implement and evaluate care of the transplant patient. Assessment of patient and family educational and other needs and direct communication of these needs to appropriate services, financial counseling, social work, nutrition etc.

5%

Yes

Facilitation and attendance at weekly heart transplant patient selection meetings. Completes necessary documentation according to United Network of Organ Sharing (UNOS) guidelines including, listing, status changes, letters of appeal, removal from the UNOS waitlist, andpost-transplant follow-up information.

5%

Yes

Identifies opportunities for improvement with the care of post-heart transplant patients. Participates in quality improvement initiatives. Participates in protocol and policy development to promote best practices in post-heart transplant care.

10%

Yes

Participates in inpatient Advanced Heart failure rounds for hospitalized patients periodically. Coordinates all teaching for post heart transplant patients. Helps to develop patient education materials and identify patient resources in all phases of heart transplant care. Provides education and consultation about heart transplantation for UCSF Health to promote positive outcomes for transplant patients. Serves as a community resource for information about heart transplantation. Provides cross coverage to other pre/post Heart Transplant coordinators for vacations and sick leave

5%

Yes

As appropriate, stays abreast of changes in Federal, State or Local Regulatory Agency requirements related to transplant services and reporting.Keeps a working knowledge of UCSF Policies and Procedures, follows guidelines appropriately and contributes to the maintenance of documents.

5%

Yes

Obtains necessary information for all registries and inputs data per regulatory requirements within the specified timeframe required.

5%

Yes

Insurance authorization – assisting financial counselors, pharmacists and pharmacy techs in obtaining authorizations by providing patient information to insurance companies for certification of treatment modalities.

5%

Yes

Assists with the collection and participation in all supported research protocols

100%

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Required Qualifications

• At least 3 (three) years of recent nursing employment experience
• Recent ambulatory RN experience in a cardiology clinic/practice OR RN coordinator experience in solid organ transplant clinic/practice
• Working knowledge of immunosuppressive therapies and management of end stage heart failure patients
• Experience with Nursing education/teaching classes to nurses or patients
• Prior experience working with Epic
• Strong MS Office computer skills (word, excel, power point), databases
• Excellent organizational skills, proficiency in meeting deadlines, ability to work independently, prioritize workload and manage numerous concurrent tasks in high stress environment
• Demonstrated excellent written and verbal communication skills
• Evidence of work on institutional projects, committees, and councils and/or processes at UCSF or other medical centers
• The flexibility to orient and work at all UCSF Medical Center locations in person on campus
• Demonstrated exemplary patient teaching skills and transferring of critical knowledge to patient and families with closed loop communication. Knowledge of Teach Back Method

Preferred Qualifications

• Cardiac ICU nursing experience with evidence of sound knowledge of hemodynamics
• Clinical competency in managing transplant candidates/recipients
• EPIC super-user
• Working knowledge in assessing advanced heart failure/pulmonary HTN/cardiac disease
• Clinical competency in managing transplant candidates/recipients
• BSN

REQUIRED LICENSES/CERTIFICATIONS

• Active Registered Nurse licensure in the State of California
• Active American Heart Association CPR certification