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Nurse Practitioner, ICD Nurse Specialist III

Fontana, California

At Kaiser Permanente our nurses are leaders, clinicians, researchers, innovators, and scientists who are contributing toward being an industry-leading voice for advancing evidence-based care. Whether supporting the patient directly in our hospitals or clinics, providing care at home, serving our patients through innovative virtual technology, or managing care delivery teams, Kaiser Permanente nurses utilize scientific evidence and our integrated care model to optimize the total health of our members and the communities we serve. We invite nurses who are passionate about nursing excellence, high-quality compassionate care delivery, professionalism, integrity, teamwork and patient and family centeredness to join our teams so that we can continue to sustain and build upon our culture of excellence.

  • Job Type: Full-time
  • Job Level: Individual Contributor
  • Travel: No

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At Kaiser Permanente, we cultivate an environment of compassion, integrity, trust, and open communication that helps our teams do their best work. We believe that lifelong learning will expand our knowledge so we can better serve our patients. Our practice is rooted in research and evidence-based care. Our nurses reflect the rich diversity of our members and communities and provide culturally responsive and competent care that promotes understanding of our members needs and preferences. At Kaiser Permanente, nurses are highly skilled professionals who exemplify leadership, critical thinking, and collaborative problem solving and deliver the right care, at the right time, in the right setting.

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Kristen

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Working as a nurse at Kaiser Permanente has allowed me the perfect flexible schedule so that I can volunteer as Girl Scout Leader and room parent for both my children. My kids know that I am a hardworking mother who can provide, as well as a mom who can be present and be there for them – and that means everything to me.

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I chose Kaiser Permanente because their staff and providers really show that they care about you. Also, throughout my 12 years of working here I’m always learning something new, and I’ve had many opportunities for growth and development.

Nurse Practitioner, ICD Nurse Specialist III

Primary Location Fontana, California Worker Location Onsite Facility Fontana Medical Offices 3/Hospital Specialty Svcs Job Number 1321927 Date posted 11/21/2024
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Description:
Job Summary:

The ICD Nurse Specialist role at Kaiser Permanente Southern California Region is an advanced practice nursing role with the critical element being expert clinical practice. The role is built around the five role subcomponents as regulated by the California Board of Registered Nursing:  Clinical Practice, Research, Education, Leadership, and Consultation.  The ICD Nurse Specialist functions under the medical direction of the Electrophysiologist and/or Cardiologist evaluating, educating, and performing device programming, for patients with implantable cardiac devices (ICD and pacemaker).

Essential Responsibilities:


  • To ensure that nursing care needs of the cardiac device patient population are met, provides 24 hour clinical leadership by developing standards of practice, policies and procedures for cardiac device patient population that are consistent with professional practice standards.

  • Implementing methods and processes in specialty area to support change in nursing practice, care programs and clinical innovation.

  • Achieving improved patient/family outcomes.

  • Independently assess cardiac device transmissions, including electrograms, from patients using knowledge and experience in device programming.

  • Functions independently in the assessment and interpretation of cardiac device data from patients in outpatient clinic, inpatient hospital, and by remote interrogation.

  • Provides medical and/or technical programming recommendations and advice.

  • Performs interrogations and reprogramming as needed, on all types of implantable cardiac devices.

  • Evaluates clinical practice in cardiac device patients to ensure community/professional standards are met.

  • Effectively identifies, evaluates and addresses disease prevention and health promotion issue of the cardiac population with implanted devices, while administering quality patient care.

  • Follows selected patient population in order to coordinate care.

  • Provides nursing and medical services to individuals, families, and groups, with a focus on health promotion and disease prevention.

  • Rounds on hospital patients with implanted cardiac devices (includes community needs assessments).

  • Evaluates implantable device policies and procedures for clinical nursing practice for all areas of Cardiac Service.

  • Facilitates multidisciplinary collaboration based on clinical needs of patient/family.

  • Participates in basic science and clinical research projects conducted in Cardiac Services.

  • Prepares statistical reports and analysis setting forth progress, adverse trends and appropriate recommendations or conclusions.

  • Participates in outcomes research.

  • Reviews work of lower rated employees who interface with device patients, including, but not limited to: Care Managers, Nurse Educators, clinic nursing personnel, staff RNs and technicians assigned to device clinics.

  • Oversees, coordinates, and evaluates information provided by vendor representatives from cardiac device companies.

  • Identifies clinical quality indicators for cardiac device populations.

  • Conducts systematic reviews when required.

  • Sets and develops standards of practice, policies, and procedures for a specialty population that are consistent with professional standards of practice.

  • Implements methods & processes to sustain change in nursing practice, programs of care, and clinical innovation.

  • Facilitates evaluation of records by physicians, peers, and quality standards, according to protocols and receives and implements constructive directives.

  • Makes recommendations on cost/quality strategies, works within budget.

  • Assists physicians and management in coordination of ICD and/or Pacemaker Service, including but not limited to: Communicating and consulting with referring medical center physicians and personnel on ICD and/or Pacemaker issues and patient care.

  • Serves as clinical/technical resource for referring medical centers on implanted devices.

  • Trains and evaluates nursing personnel from other medical centers on devices and operation of device clinics.

  • Maintains device database.

  • Assist with device recalls affecting Southern California region.

  • Develops, implements/coordinates, and evaluates specialty education programs for cardiac device patients and their families.

  • Develops, implements/coordinates, and evaluates specialty education programs for nursing staff, including nurses in the communities.

  • Assist in training and education of nursing/technical personnel assigned to ICD and/or Pacemaker.

  • Provides educational assistance to Cardiology and EP Fellows and Family Practice/ Internal Medicine Residents on cardiac devices.

  • Coordinates ICD patient/family support group.

  • Schedules, coordinates, and performs interrogation.

  • Interprets, and evaluates therapeutic and diagnostic tests on cardiac device patients working with the Electrophysiologists and/or Cardiologists.

  • Explains necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.

  • Records physical findings and formulates plan, based on patients condition.

  • Consults and collaborates with physician and other healthcare providers as needed regarding patient care management issues and in the development of comprehensive patient care plan.

  • Submits healthcare plans and goals for periodic review by physicians.

  • Maintains accurate and confidential medical records.

  • Documents all procedures, evaluations, treatments, outcomes, education, and referrals, consistent with NCQA (National Committee for Quality Assurance), JCAHO (Joint Commission on Accreditation of HealthCare Organizations) and state regulatory standards.

  • Analyzes new knowledge gained from conferences, workshops, professional literature, or hands on training and assimilates this knowledge into clinical practice.

  • Assists in interviewing staff and provides input into evaluations regarding clinical competence and provides coaching and counseling.

  • As an ICD-NP, performs additional duties including but not limited to: physical examinations, initiates drug therapy, taking responsibility for such therapy when performed prior to consultation with a physician, establishes and documents the health care plan and prognosis.

  • May be required to collaborate with physicians on general cardiac medications and anticoagulation.

  • Other duties as assigned.
Basic Qualifications:

Experience


  • Minimum two (2) years experience in area of specialty required.


Education


  • Clinical masters degree in nursing required.

  • Graduate of an accredited RN and NP program.


License, Certification, Registration


  • Registered Nurse License (California)



  • Nurse Practitioner Furnishing Number (California)



  • Nurse Practitioner Certificate (California)



  • Advanced Cardiac Life Support



  • National Provider Identifier



  • Drug Enforcement Administration Registration



  • Nurse Practitioner National Certificate



  • Basic Life Support


Additional Requirements:


  • Demonstrated clinical expertise in Cardiology and ability to collaborate with physicians on titration of arrhythmia-related medications.

  • Proficient in 12 lead ECG and arrhythmia interpretation.

  • Proficient computer skills to manage cardiac device data in spreadsheets, databases, and vendor programs.

  • Must be able to work in a Labor/Management Partnership environment.


Preferred Qualifications:


  • ICD/pacemaker experienced RN.

  • Experience in cardiac services preferred.



Notes:


Will be trained in Fontana Medical Center during orientation process.


Primary Location: California,Fontana,Fontana Medical Offices 3/Hospital Specialty Svcs Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon - Fri Working Hours Start: 08:00 AM Working Hours End: 04:30 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: B22|AFSCME|KPCSP-CNMs Job Level: Individual Contributor Department: Medical Offices D at Ontario - Electrophysiology-Outpatient - 0806 Pay Range: $72.12 - $88.55 / year The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.

Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

  • Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.

  • Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.

  • Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.
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