CO Clinical Nurse

General summary/purpose:

The Department fo Medicine, Diivision of Cardiology is seeking aClinical Nurse. Under the direction of a Physician group, this position supports Heart Failure Cardiologists with their outpatient clinical duties at Johns Hopkins Hospital.

Specific duties & responsibilities:
Oversees personal and provider Epic in-baskets triaging appropriately. Pends new medications and prescription refills in Epic for physician signature. Follows up on lab and study results, notifying the physician and patient as appropriate. Returns patient phone calls. Prepares physicians for outpatient clinic appointments including obtaining detailed medical records for patients with complex medical histories and ensuring records are scanned into Epic. Populates patient history in Epic. Generates patient problem lists as requested by physicians. Is aware of the inclusion/exclusion criteria for ongoing clinical trials to help identify possible research candidates.

Scope of Responsibility: Knows the key formal and informal goals of the division and the clinic team and asks for guidance appropriately. Uses own judgment in achieving goals of good clinic practices, good documentation, and interactions with staff and health care professionals.
• Practices nursing per clinical protocols and under the nursing scope of practice for the State of Maryland.

• Provides primary nursing care to clinic patients. Primary nursing care begins with the first encounter with the patient by phone or in clinical setting and continues throughout the course of care. ​​​​​​​

Primary nursing care constitutes independent collection of medical information, physical exam, and assessment of patient to discuss with supervisor, then completion of medical documentation and implementation of treatment plan.

• Perform case management services to patients from initial intake visit through termination of services.
• Monitors and collaborates with organizations and payers to maintain continuity of care (e.g. letters of medical necessity, appeals for access to treatment, disability forms).
• Assist in overseeing clinical operations for area.
• Serves as a clinical resource on the nursing assessment of the complex patient.
• Regularly interfaces with multidisciplinary care team of providers and with clinic and research providers

Practices nursing per clinical protocols and under the nursing scope of practice for the State of Maryland. May perform case management services to patients from initial intake visit through termination of services. Assists in the development/updating of unit based protocols, standardized care maps and/or care plans.

Must maintain RN licensure and complete a minimum of four (4) hours of approved continuing education credits annually to maintain employment.

Scope of Responsibility: Knows the key formal and informal goals of the division and the clinic team and asks for guidance appropriately. Uses own judgment in achieving goals of good clinic practices, good documentation, and interactions with staff and health care professionals.

Decision Making: On a regular and consistent basis, exercises excellent clinical and administrative judgment and assumes responsibility for decisions, consequences, and results having an impact on people in the workplace and potential or actual research subjects. Uses judgment to maintain and improve the quality of service within the program. Exercises mature judgment and remains flexible in stressful situations.

Communication: Requires good oral and written communication skills. Has excellent interpersonal skills. Must have the ability to inter act with individuals at a variety of ages and levels.

Minimum qualifications (mandatory):

• Individual must be a registered nurse, licensed in the State of Maryland or state where practicing. Bachelor's degree in nursing or related discipline required. Master's degree strongly preferred. Minimum of two years’ experience in the specialty or a related area required. Additional experience may substitute for bachelor's degree. Related master's degree may be considered in lieu of experience. Current American Heart Association or American Red Cross CPR certification required. Must maintain current licensure and certification during duration of employment. Acceptable completion of the JHH or BMC credentialing process is required within two weeks of start date.
• At least one year working in a Cardiology environment strongly preferred

Certification: Current CPR certification. If not certified currently, will need to complete certification within sixty (60) days of hire.

Special knowledge, skills, and abilities:

• Ability to analyze data to synthesize and summarize information and to make judgments regarding patient care.
• Ability to use a computer keyboard to input and obtain data. Ability to apply principles of evidenced-based practice, scientific process, and service excellence in practice.

Technical qualifications or specialized certifications:

Any specific physical requirements for the job:

• Ability to stand and walk for extended periods.
• Ability to reach for, push, pull, and/or lift patients and equipment with little likelihood of injury.
• Ability to sit in a normal seated position for extended periods of time. Finger dexterity to manipulate objects with fingers rather than with whole hand or arm, for example using a keyboard.
• Ability to see within normal parameters, to hear within normal ranges, and ability to move about.