AIM Navigator (Temporary position)/RN/Per diem

Company: SHARP HEALTHCARE
Location: La Mesa
Posted on: June 16, 2022

Job Description:

Hours

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.

Required Qualifications
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
experience.
3 Years Recent pertinent clinical experience as defined by the CBA.
California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED

Other Qualification Requirements
Hospice and Palliative Care Nursing Certification preferred or obtained within 2 years of placement in new role.

Essential Functions

Care coordination
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 care.
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 patient/family needs.
Provide education to patient/family on disease progression in order to help increase understanding of patient condition and treatment options.
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 guidelines.
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.
Job knowledge
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.
Teamwork
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 conflict resolution.
Exhibits the 12 Sharp Standards of Behavior in a positive and meaningful way.

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