Nurse Clinician – RN

Location: Wenatchee, WA
Facility: Wenatchee Valley Hospital
Schedule: Full Time
Shift: Day Shift

Job Description



To facilitate and assist Cardiovascular Service Line in providing service excellence and quality patient care by coordinating patient care activities in multiple settings utilizing a variety of nursing skills and functions. The Registered Nurse working in the Device clinic supports continuity of care for the patient with an implanted cardiac device. By utilizing the nursing process, the nurse will assess, analyze, plan, implement and evaluate the effectiveness of the cardiac implanted device problem solving and working closely with Electrophysiology staff and physicians and others in the Cardiovascular Service line to provide the highest quality care. The nurse will facilitate device patient care optimizing patient/family satisfaction, and contributes to improvement in cost/quality measures.



1. Provides timely interrogation of patient’s implanted cardiac devices through accurate assessment, analysis of rhythms and interrogation results, intervenes on any results that are outside of normal limits, cardiac rhythm abnormalities or when battery life is declining. Consults the Electrophysiology physician for any concerns while the patient is in office or for remote monitoring checks, loop recorders or external defibrillators. Maintains open lines of communication with all team members.

2. Documents all device interrogations in clinic and remote accurately, timely and reflecting the plan of care consistent with Device clinic standards and Electrophysiology and or Provider direction.

3. Provides coordination of patient follow-up with initial wound checks, indepth in home and in clinic monitoring education, warnings and precautions.

4. Plans and anticipates the patient care by performing reviews of patient appointments, pre surgical clearance documentation, medical records, physician and staff work schedules, documents thoroughly and consistently all aspects of device therapy and monitoring.

5. Facilitate and supervise patient device tracking in all aspects of care concerning the patient; before, during, and after implant, generator change out, explant.

6. Completes charges in a timely manner and reviews reports for outstanding charges.


1. Participates in teaching/training of other health care delivery staff related to device problem solving and therapies including physicians, APC”S, nurses and medical assistants.

2. Serves as a resource for devices and decision maker for other staff on team regarding patient care issues and is available to respond to and act as leader in emergent patient situations ensuring safe and efficient transfer of care within the department and to a higher level of care.

3. Serves as a liaison with other health care agencies or services to promote coordinated health care across the OP-IP continuum. Works very closely with Industry representatives to assure timely and high quality care for the device patient.

4. Provides direct patient care and required by specific patient populations served within the Cardiovascular Service Line.

5. Triages and coordinates care for “urgent/emergent” patients and acts as a resource to staff and providers.


1. Provides patient teaching related to cardiac device therapy, defibrillation, monitoring, reporting and maintenance as well as general health maintenance, prevention, safety, self care, and other interventions to achieve individualized patient directed goals.

2. Participates in scheduled office visits as requested and acts a resource in resolving client needs or problems.

3. Provides phone consultation services with appropriate follow up for defined patient population(s) served.

4. Supports team physician(s) by serving as her/his liaison for patients, other health care workers, and the public.

5. Responsible for the coordination of complicated patient care issues including patient follow-up and appropriate referral to other resources.


1. Participates in departmental Quality Improvement and or Research projects as assigned

2. Maintains professional appearance and manner.

3. Role models excellent customer service standards

4. Demonstrates ongoing continuing education and staff development per WVMC guidelines

5. Attends required meetings


1. Serves on Cardiovascular Service Line committees and workgroups

NOTE: This list of job functions is not intended to be all inclusive and may be expanded to include other functions that may be deemed necessary.



Registered Nurse graduate of an accredited school of nursing.

Preference for previous experience in Cardiology in an ambulatory care setting or for specialized experience important to the function of the respective department.


Current Washington State RN license

ACLS within 6 months of hire


Knowledge of professional nursing theory and practice, the nursing process in evaluating and providing patient care.

The ability to apply and modify the principles and methodology of nursing to provide service excellence and quality patient care.

Must have the ability to relate effectively with coworkers, physicians and general staff as part of a team. The RN in this position must be able to communicate well to patients, family members and the general public.

Capability of independent work ethic with minimal supervision.

Strict attention to detail and the ability to respond calmly and effectively in a stressful environment.

Additional Information

About Confluence Health: Confluence Health was formed in 2013 as an affiliation between the Wenatchee Valley Medical Center and Central Washington Hospital to create an integrated, rural healthcare delivery system with 2 hospitals, multi-specialty care in 30+ service lines and primary care in ten communities across North Central Washington state. Over 225 physicians and 100 advanced practice clinicians serve an area of approximately 12,000 square miles and cover nearly every corner of this region through specialty outreach. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost effective manner. Our Setting and Lifestyle: We are located in the heart of Washington State and just 2.5 hours east of Seattle. Our region offers a diversity of recreational opportunities in breathtaking landscapes, from alpine country to the high desert, orchards to vineyards, cross country skiing to fly fishing and everything in between. Cycling, mountain biking, rafting, hiking; it is all right here. The region also offers a family friendly environment with good schools and opportunities for the entire family to be involved in culture and arts.