Cardiology Heart Failure Nurse Navigator, Full Time Days, 8a - 4p, Atlantic Health, Morristown Medical Center

About the role

The Heart Failure Navigator is a specialized clinical professional responsible for coordinating and optimizing care for patients with heart failure across the continuum—from inpatient care through discharge and outpatient management. The role focuses on improving clinical outcomes, reducing readmissions, achieving LOS targets, and ensuring adherence to evidence-based heart failure guidelines.

Responsibilities

• Identify and follows heart failure patients during inpatient admission and outpatient encounters
• Coordinate multidisciplinary care (cardiology, primary care, nursing, case management, pharmacy, rehab)
• Facilitate smooth transitions of care from hospital to home, rehab, or outpatient follow-up
• Ensures post hospital discharge appointments are in place prior to discharge
• Ensure adherence to evidence-based clinical guidelines (e.g., GDMT for heart failure)
• Monitor patients for clinical deterioration and intervene early
• Collaborate with providers to optimize medical therapy
• Review labs, imaging, and diagnostics relevant to heart failure management
• Provide education on:
• Disease process and symptom recognition
• Medication adherence
• Dietary restrictions (e.g., low sodium)
• Daily weight monitoring and self-management
• Reinforce discharge instructions and self-care plans
• Develop and implement strategies to reduce 30-day readmissions
• Conduct post-discharge follow-up calls or visits
• Track and report quality metrics (LOS, readmissions, mortality, compliance)
• Monitor LOS and develop strategies to help achieve targets
• Ensure timely follow-up appointments (cardiology and primary care)
• Coordinate discharge needs (home care, equipment, medications)
• Address barriers to care such as transportation or medication access
• Participate in heart failure program development and accreditation initiatives
• Analyze data to identify trends and opportunities for improvement
• Support regulatory compliance (e.g., Joint Commission, CMS metrics)

Qualifications

• Bachelor's in Nursing or related field
• Valid State or national Nursing License
• 2 years of experience in Acute Care or relevant area
• Preferred: Heart Failure certification (e.g., CHFN)

Benefits

At Atlantic Health, our commitment to our communities is reflected in the respect, development, and opportunities we give to our more than 22,000 team members. Our headquarters is in Morristown, New Jersey, and we operate multiple facilities and sites of care throughout the region. We have received numerous awards and recognitions for the services we provide to our patients, team members, and communities.

• Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team members)
• Life & AD&D Insurance
• Short-Term and Long-Term Disability (with options to supplement)
• 403(b) Retirement Plan: Employer match, additional non-elective contribution
• PTO & Paid Sick Leave
• Tuition Assistance, Advancement & Academic Advising
• Parental, Adoption, Surrogacy Leave
• Backup and On-Site Childcare
• Well-Being Rewards
• Employee Assistance Program (EAP)
• Fertility Benefits, Healthy Pregnancy Program
• Flexible Spending & Commuter Accounts
• Pet, Home & Auto, Identity Theft and Legal Insurance