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Nurse Practitioner, Heart Failure Program Coordinator

Job in Fairfield, Solano County, California, 94533, USA
Listing for: NorthBay Healthcare
Full Time position
Listed on 2026-01-25
Job specializations:
  • Nursing
    Clinical Nurse Specialist, Nurse Practitioner, Healthcare Nursing, Cardiology
Job Description & How to Apply Below

At North Bay Health, the Heart Failure Program Coordinator – Nurse Practitioner (NP) is an Acute Care Nurse Practitioner (ACNP) serving as a core member of the multidisciplinary Heart & Vascular team. This role integrates advanced clinical practice with comprehensive oversight of the Heart Failure Program. The NP independently evaluates, diagnoses, and manages complex heart failure and cardiovascular patients in collaboration with supervising cardiologists and inpatient/outpatient teams.

The NP provides patient care across both inpatient (Fairfield and Vacaville Hospitals) and outpatient settings while also leading program operations, quality initiatives, and performance improvement. The NP ensures evidence‑based practice, supports seamless transitions of care, monitors Heart Failure quality metrics, manages the Remote Patient Monitoring (RPM) operations, and leads program improvement and community outreach efforts. The NP provides routine direct care to cardiovascular patients.

Direct care duties include but are not limited to recheck and same‑day appointments, physical examinations, ordering diagnostic tests, performing procedures and treatments, establishing diagnosis, prescribing medications, and instructing patients and family members about medical conditions and treatment. Provides continuity for patient care with assigned physician practices. The Nurse Practitioner works in a collaborative/team model of care delivery to help maintain access to cardiovascular and improve overall patient health and satisfaction.

The role includes approximately: 50% Inpatient Hospital Rounding (HF and CV patients), 30% Outpatient Clinical Care and 20% Heart Failure Program & Remote Patient Monitoring (RPM) Management.

PRIMARY JOB DUTIES INPATIENT RESPONSIBILITIES (50%)
  • Performs daily hospital rounds on heart failure and cardiovascular inpatients in collaboration with the cardiovascular treatment team to identify and prevent 30‑day readmissions and decrease length of stay specifically among the congestive heart failure patient population.
  • Conducts admission H&P, orders diagnostic tests, interprets results, and develops treatment plans.
  • Manages acute decompensated heart failure, including IV diuretics, GDMT optimization, fluid/electrolyte management, hemodynamic monitoring, and device therapy coordination.
  • Participates in multidisciplinary rounds with cardiology, hospitalists, nursing, pharmacy, case management, and other care team members.
  • Coordinates comprehensive discharge planning to ensure effective transitions of care and reduce readmissions.
  • Provides inpatient heart failure education to patients and families.
  • Documents daily progress notes, clinical assessments, and treatment plans in the EMR.
  • Provides on‑call coverage for Vacaville and Fairfield Hospitals, ensuring continuity of care and timely response to heart failure and cardiovascular inpatient needs.
  • OUTPATIENT RESPONSIBILITIES (30%)
  • Integrates RPM data (including high BP alerts and physiologic trends) into outpatient clinical decision‑making to support early intervention and prevent avoidable ED visits or admissions.
  • Performs physical examinations and updates patient history.
  • Formulates a diagnostic impression and treatment plan as appropriate for patient needs.
  • Orders ancillary services as appropriate to meet patient needs.
  • Reviews all patient lab results and follows‑up on abnormal test results. Reviews lab results with patient.
  • Requests specialty consultation when appropriate.
  • Provides patient education as appropriate.
  • Provides management of patients with chronic and/or acute cardiovascular conditions and develops treatment plans, educating patients and their families on how to improve heart health, ordering diagnostic tests and interpreting their results, caring for patients experiencing cardiac emergencies.
  • Directs the overall clinical management of the patient and works closely with members of the cardiovascular team to ensure that patient is receiving appropriate services.
  • Updates patient summary record augmenting problems, clinical and social history, and medications as appropriate.
  • Identifies high‑risk problems and transfers care to appropriate…
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