The Nurse Clinician Senior serves as a central point of clinical expertise for the Ventricular Assist Device Program. This position is responsible for managing all inpatient VAD and outpatient VAD patients across the continuum of care; works independently to ensure quality patient care in assigned areas; ensures quality improvement activities are in place; evaluates the effectiveness of patient care and support services; facilitates pre-operative implant work-up and ensures all records are available for review; ensures family/patient training is occurring daily; makes daily rounds on all in-patient VAD patients; facilitates outpatient clinic visits; determines environmental need of patients; establishes clinical standards, policies and procedures.