AIM Navigator (Temporary position)/RN/Per diem
Company: SHARP HEALTHCARE
Location: La Mesa
Posted on: June 16, 2022
Shift Start Time: 8 AM
Shift End Time: 4:30 PM
Additional Shift Information:
Weekend Requirements: As Needed
On-Call Required: No
What You Will Do
The Advanced Illness Management Navigator's role is to use the
nursing process to determine the specialty needs of people living
with serious advancing illness and facilitate the development of a
care plan and interventions aligning patient goals, preferences and
values with care received. The AIM Navigator is an expert clinical
practitioner, using an evidence-based approach and in collaboration
with key stakeholders to ensure safe and effective care and care
coordination. The AIM Navigator partners with care team members to
coordinate care, resources, and ensures transitions of care are
realistic, safe and attainable. The AIM Navigator participates in
data gathering, analysis, and provides recommendations for
improving overall quality of care based on outcomes. The AIM
Navigator serves as an expert resource, educator, and role model in
the care and management of those living with serious advancing
illness. Functions as a member of the Interdisciplinary Team
coordinating care with various team members.
Bachelor's Degree in Nursing Equivalent clinical experience may
substitute for BSN.
5 Years Nursing experience.
3 Years Clinical experience in geriatrics, palliative, end of life
or similar clinical
3 Years Recent pertinent clinical experience as defined by the
California Registered Nurse (RN) - CA Board of Registered Nursing
Other Qualification Requirements
Hospice and Palliative Care Nursing Certification preferred or
obtained within 2 years of placement in new role.
Evaluates patient's and family's progress towards goals and
coordinates safe and effective discharge.
Evaluates patient/family response to care in relation to individual
wishes and discharge goals.
Re-evaluates for changes in status to ensure that the current plan
is still effective.
Documents patients'/families' response to interventions, progress,
and any alteration of the plan.
Actively participates in ongoing evaluation of effectiveness AIM
interventions in alignment with an HRO.
Communication and coordination
Communicates and coordinates with the patient/family and other
members of the health care team to ensure safe and effective
Facilitates goals of care conversations, POLST review and works
with healthcare team to align goals of care with care received.
Identifies, coordinates and facilitates patient/family care
conferences as needed.
Collaborates with the Interdisciplinary team to support
Provide education to patient/family on disease progression in order
to help increase understanding of patient condition and treatment
Facilitates transitions in care to improve patient safety, minimize
risks and improve quality of life.
Works collaboratively with other team members and departments to
determine best treatment options within payer coverage
Ensures appropriate documentation resides in the medical record
(per organizational protocol and policy).
Implements plan of care and strategies to meet the anticipated
clinical, quality, and financial outcomes.
Communicates and collaborates with internal and external healthcare
team members to coordinate appropriate resources to ensure safe and
effective patient/family care is delivered.
Collaborates with the Interdisciplinary team to facilitate their
implementation of plans for timely discharge, placement, and/or
provision of post-discharge resources and services.
Ensures patient, family, physician, and team members understand
plan of care.
Collaborates with case management on appropriate transitions of
care based on needs and patient/family wishes.
Documents patient information in palliative care power form to
ensure accurate data collection.
Performs comprehensive assessment and prioritizes care
interventions based on patient/family needs.
Engages in person centered goals of care discussions using evidence
based approach, guiding patient/family towards care choices that
align with their goals, preferences, and values.
Facilitates communication and care coordination with care team
members and patient/family to ensure safe and effective care.
Designs care planning and transitions of care that focus on a safe,
effective plan that allow for patient to be in safest environment
with intent of minimizing care transitions after discharge.
Interfaces with healthcare team in educator role, assisting care
providers to increase knowledge and competency in the care and
management of people living with serious advancing illness.
Promotes positive communication, cooperation and assistance to
co-workers, other healthcare providers and team members.
Works collaboratively with AIM Team members and other stakeholders
to ensure standardizations, integration, and desired outcomes.
Provides constructive feedback to peers and manager to facilitate
Exhibits the 12 Sharp Standards of Behavior in a positive and
Knowledge, Skills, and Abilities
Clinical expertise in the field of geriatrics, palliative, and end
of life care required.
Demonstrates knowledge and application of evidence based clinical
principles, clinical guidelines and practice standards in the care
and management of people living with serious advancing illness.
Is a skilled communicator; demonstrated critical thinking and
problem solving skills; educator; and mentor to others.
Incumbent demonstrates effective time management, prioritization
and documentation skills and is proficient with Information Systems
and computer programs.
Sharp HealthCare is an equal opportunity/affirmative action
employer. All qualified applicants will receive consideration for
employment without regard to race, religion, color, national
origin, gender, gender identity, sexual orientation, age, status as
a protected veteran, among other things, or status as a qualified
individual with disability or any other protected class
Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA
Board of Registered Nursing
Keywords: SHARP HEALTHCARE, La Mesa , AIM Navigator (Temporary position)/RN/Per diem, Healthcare , La Mesa, California
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