Penn Medicine

Title: Ambulatory Nurse II Location: PA-MediaJob ID: 320627 Category: Nursing Work Type: FT Job Description: Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Entity: Clinical Care Associates—Penn Primary Care and Penn Specialty Practices Department: Phone Triage Position Location: Fully Remote Hours: Full-Time, M-F 8:30-5 Summary: - The Ambulatory Nurse II Colleague is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. - The Ambulatory Nurse II Colleague possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Ambulatory Nurse II position description addendum. The Ambulatory Nurse II Colleague exhibits UPHS organizational behavioral competencies which reflect its mission and are embedded in the professional practice competency domains. - The Ambulatory Nurse II Colleague independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the elderly. The Ambulatory Nurse II Colleague demonstrates within the competency domains of Continuous Quality Improvement, Evidence Based Practice and Research, Leadership, Person and Family Centered Care, Professionalism, Safety, Technology/Informatics, and Teamwork (Definitions listed below). - The Ambulatory Nurse II Colleague works closely with the interprofessional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. Responsibilities: - Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. - Safety: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. - Professionalism: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA’s Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. - Person and Family Centered Care: The nurse recognizes the patient (or the patient’s designee) as the source of control and a full partner in providing compassionate and coordinated care based on respect for the patient’s preferences, values, and needs. - Leadership: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Penn Medicine. - Informatics/Technology: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. - Teamwork: The nurse effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. - Continuous Quality Improvement (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Credentials: - Basic Cardiac Life Support (Required) - Registered Nurse - PA (Required) Requirements: - Diploma or ASN from an accredited school of nursing (Required) - More than 15 months of relevant professional nursing experience (Required) - Multi-State RN License (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

Title: Senior Remote Device Associate Location: PA-Philadelphia Job ID: 317734 Category: Clerical/Administrative Work Type: FT Work Schedule: Full Time Job Description: Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Job Title: Senior Remote Device Associate Department: EPS Lab Location: Hospital of the University of Pennsylvania- 3400 Spruce St Hours: Full Time Senior Remote Device Associate Summary: The Senior Remote Device Associate is responsible for routine functioning of the Remote Cardiac Device Monitoring Program, including analyzing rhythms, determining actionable alerts, enrolling patients, scheduling transmissions, reporting results to physicians and advanced practice staff, as well as billing for services and follow up on failed transmissions and non-compliance. Incumbent uses clinical judgment within scope to prioritize device alerts and abnormal transmissions per established policies and protocols and notifies physician or non-physician practitioners of urgent issues requiring further attention. Integrates a knowledge base from physiology, pathophysiology, and cardiac device function to perform competent evaluations, diagnostic review, and assists the Electrophysiology team and their clinical manager/ practice manager in supporting the delivery of highest quality care. Incumbent is responsible for managing all office functions related to the above, plus personal interaction with patients in clinic and via phone/email to demonstrate, teach and troubleshoot. Incumbent is responsible to promote organizational values of service excellence by demonstrating courtesy and respect for patients and their families, visitors, and other employees. Responsibilities: REMOTE DEVICE RESPONSIBILITIES: • Evaluate implantable loop recorder alerts and scheduled transmission; escalate to provider. • Analyze rhythm, begin report and send to appropriate provider for feedback. • Determine actionable alerts for ILRs, pacers and ICDs and communicate to EP team. • Arrange device clinic visits for patients with abnormal device function. • Serve as a resource and mentor to Remote Device Associates. • Retrieves orders from providers, calls patients to confirm enrollment and assures that monitors are sent. Instructs patient to call the office when monitor is received and facilitates setup and successful transmission. • Enrollment, scheduling, processing transmissions: • Enrolls patient within 1 weeks’ time in the appropriate Remote system, orders monitor to be sent as needed. • Schedules pacer/ICD patients for automatic transmissions every 91 days, and loop recorder patients per current policy. • Checks each remote monitoring site EVERY DAY (Mon-Fri) whether patients are scheduled to transmit or not to ensure no alerts occurred. Alerts are scanned to PennChart with telephone encounter message routed to the AP for the attending’s service (and alternate APs if primary is off), and the remote team. • If alert is urgent such as continued recurrent shocks or notices sustained VT, the associate contacts the covering AP in the office asap. • Scans scheduled transmissions into PennChart within 2 days for physician review. • Creates encounter in PennChart under patient's EP MD correlating with day of transmission. • Completes billing utilizing EP office visit smartset. • Completes/updates Device Questionnaire in EPIC. • Completes remote transmission letter and sends to patient – utilizes My Penn Medicine when possible. • Ensures patient has been seen in the office within the last year. If not seen within past year sends telephone encounter to Physician team including AA, AP, and MD. • Follows established Protocol for patients with missed transmissions/ noncompliance. Follow up on Missed Transmissions: • All device company sites should have few to zero missed transmissions. • If missed transmissions are noted, associate contacts patient to ensure home monitor is plugged in and guides patient to send transmission. Calls placed to patient should be entered into PennChart and a follow up transmission should be scheduled in remote monitoring site. • Completes remote transmission letter and sends to patient - utilizes My Penn Medicine when possible. • If patient misses 2 transmissions compliance letter is to be sent to patient and a message entered in PennChart with cc to Provider team including AA, MD, and AP. • If patient does not respond or send transmissions for 1 year, they will receive a final certified letter and is subject to disenrollment from HUP remote monitoring department per policy. ADDITIONAL RESPONSIBILITIES: • Reports promptly when called to clinic to meet with patients in order to teach, demonstrate and answer questions related to all types of remote monitoring modalities. May also perform these duties via telephone encounters or MPM within EMR, if applicable. • Where applicable, may check demo home monitoring equipment to ensure that it is in proper working order. • Reports broken equipment to supervisor. • Gives clear explanations to patients regarding remote monitoring processes and expectations for compliance. • Provides patients with follow up instructions and clinic contact information in clinic or in EMR. • Complies with yearly education requirements (i.e., HIPAA, OSHA, Safety, CLIA). Qualifications: • H.S. Diploma/GED and 5 years of experience in a patient care setting required. Must have understanding of medical terminology, cardiac anatomy and pacemaker/ ICD / loop recorder function. Good understanding of cardiac rhythm disorders (Required) • 2 years Cardiac Device Training Schools or CRM/EP Educational Institutes (Preferred) • Associate's Degree and experience with direct patient care (Preferred) • Bachelor’s Degree and 2 years Must have understanding of medical terminology, cardiac anatomy and pacemaker/ ICD / loop recorder function. Good understanding of cardiac rhythm disorders required (Preferred) Licenses, Registrations, and Certifications • Current / active International Board of Heart Rhythm Examiners (IBHRE) Cardiovascular Device Remote Monitoring Specialist (CDRMS) certification OR obtain within 12 months of hire (Required) • Current /active Certified Rhythm Analysis Technician (CRAT) certification (Required) • CPR certification eligible Skills & Abilities: • Must be proficient with computers including the use of Word, Outlook, Excel, Internet Explorer. • Must be experienced with web-based medical applications and be responsible for accurate data entry. • Must have excellent reasoning and computation skills required to enroll and schedule patients in monitoring programs, troubleshoot problems, and enter information accurately and completely in the electronic medical record. • Must have experience and be comfortable interacting with patients in clinic setting to demonstrate, instruct and answer questions regarding the various remote transmission modalities. • Must be proficient with email communication and other electronic communication to patients, such as MyPennMedicine. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.