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Medical Office Nurse RN

MidMichigan Health Midland, MI

  • Posted: July 16, 2020
  • Full-Time

The heart failure (HF) RN will function as the liaison between clinic staff, advance practice providers and for heart failure patients. The RN will work directly with the advance practice providers to assess, plan, implement and evaluate programs, education and community resources for the HF patients and support persons. He/she will provide individualized assistance to patients, families and support persons to overcome health system barriers and facilitate timely access to medical and psycho-social care to prevent avoidable readmissions into the acute care setting. They will work within protocols and the RN scope of practice for tele-management (TM) appointments with patients to provide continuing management of patients in their home environment.


(40%)* Assist providers with direct patient care via tele-management appointments and nurse visits. Assess patient for signs or symptoms of complications and make adjustments in the patient's treatment regimen following approved tele-management protocols and guidelines per the HFC. Reviews clinic schedules to establish a plan and tele-management schedule for each patient based on the recommendations generated from their clinic visit.

(20%)* Provides initial new patient education for both inpatient referrals and outpatient new clinic visits. Schedule initial TM appointments and clinic appointments for patients prior to hospital discharge. Follows the HF inpatient list to monitor for pending discharges to ensure clinic follow up.

(20%)* Interacts positively with patients and families in an ongoing way. Provides information to patients so they may fully utilize and benefit from MPG services and the services of MidMichigan Health.

(20%)* Promotes continuity of patient care through information sharing and communication with other departments and health professionals to optimize coordination of care.


Provide support to other clinical staff/MAs on clinic days by helping with direct patient care as needed. Maintain current knowledge of HF treatment and best practices.

Participates in the development of standardized orders, nursing care plans, policies and procedures related to HF.

Designs, implements, and executes a standardized follow-up schedule or plan with cardiology offices, home health care agencies and subacute rehabilitation facilities.

Monitors and maintains an inpatient Heart Failure list to track patient progress for appropriate follow up at discharge.

Utilizes clinical expertise to assess, conduct, coordinate and evaluate education initiatives for patients, families, the community and caregivers.

Actively participates in the Heart Failure Program meetings and assists with tracking outcomes of follow-up appointments and results of any interventions.

Follows HF hospital readmission rates and develops and implements strategies to reduce preventable HF readmissions.

Acts as a first point of contact for patients and other community resources for health care questions or concerns post-discharge and directs patients to appropriate resources as indicated.

Teaches patients about the HF disease process, alterations in lifestyle and self-care concepts to achieve/maintain their optimal health and emphasize patient empowerment through education and support by phone and during regular HFC office visits in coordination with the providers.

Works collaboratively and takes direction from the HFC medical director and Advance Practice Providers.

Coordinate patient care with ancillary services during HFC visits including Pharmacy, Case Management, Social Work, Palliative Care/Hospice etc. as appropriate.

MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows An employee may be required to participate in further learning opportunities offered by MidMichigan Health.

Other duties as assigned.


Associates Degree, Nursing

BSN preferred

Registered Nurse, State of Michigan Licensure

Basic Life Support certification is required within 30 days of hire or transfer date

Working knowledge of the organization's EMR computer programs preferred or knowledge of similar software. PC software knowledge must include: Excel and Word.

Preferred experience with developing spreadsheets and quality/data tracking. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the healthcare system or similar setting.

Excellent interpersonal skills needed to communicate successfully with individuals and interact with people at all levels to communicate concepts in a clear and understandable manner. Demonstrates flexibility, resourcefulness, creativity and self-direction.

Working knowledge of the organization's Lawson, Epic and Kronos computer programs preferred or knowledge of similar software.

Heart Failure Nurse Certification preferred.

Effective verbal and written communication skills and ability facilitate meetings/teams.

Ability to assess learning needs of others and demonstrates ability to teach.


Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.

Overall vision and hearing is necessary with or without assisted device(s).

Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.

Some exposure to blood borne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required.

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.

Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.

Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

MidMichigan Health


Midland, MI
48640 USA
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