Job Summary:Screens and evaluates appropriateness of palliative care referrals. Gathers patient and family data in preparation for the palliative care consult by the palliative care team. Coordinates palliative care consults. Assesses member palliative care needs and monitors the quality of outcomes.Essential Responsibilities:
Screens, assesses and prioritizes palliative care consult referrals. Schedules and plans palliative care consults for the palliative care team.
Clarifies eligibility status in accordance with Health Plan policies and procedures.
Ensures the appropriate administration of benefits by accurate interpretation and by applying the benefit within limitations, and in a manner that exhibits judgment and an understanding of issues.
Identifies issues, trends, and barriers that delay the patients timely transition to the next level of care and communicates this information to others.
Expresses opinions and uses negotiation skills to influence financial outcomes related to hospital days, alternative care and other referred services.
Formulates and executes plans for health care services in collaboration with HPMG.
Identifies appropriate referrals and resources, takes action and makes commitments to solve individual patient care management problems.
Develops patient care alternatives to ensure the delivery of high quality, cost effective care.
Participates in discharge planning.
Seeks clarification of incomplete or illegible records including inpatient and outpatient records and reports problems for corrective action.
Identifies and reports potential risk cases or situations.
Displays an awareness of individual rights of patients and educates the member about those rights.
Maintains confidentiality of patient records, information, and departmental activities involving patient information.
Practices within ethical and legal guidelines using established policies and procedures.
Functions as a liaison, problem solver, and consultant for community social services, health care agencies, providers and various Kaiser Permanente departments.
Provides case management, referral management, and benefit interpretation for attending physicians, service chiefs, area physician managers, and medical facility managers.
Works with Medical Center staff and physicians to develop appropriate plans of care for individual patients or groups of patients.
Assists with routine department functions. Completes departmental documentation.
Participates in departmental activities related to education, staff meetings, and guideline and policy development.
Makes recommendations on pain and symptom management to the palliative care team, HPMG, community physicians and other disciplines involved in the members care.
Demonstrates competency to adhere to organizational policies, procedures, and rules.
May perform patient care to the extent necessary to maintain clinical expertise, competency, and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
Provides direct patient care on an as needed basis. Provides services that are within scope of license and in compliance with all legal, regulatory, and policy requirements relevant to clinical role performed.
Incorporates the KP Nursing Vision, Model and Values throughout their Nursing Practice.
Basic Qualifications:
Experience
Minimum one (1) year of experience in acute hospital.
Education
Associates degree from an accredited school of nursing.
License, Certification, Registration
Registered Nurse License (Hawaii) required at hire
Basic Life Support from American Heart Association
Additional Requirements:
Knowledge of medical diagnosis, care pathways, nursing care, ambulatory care, utilization management, member benefits, and Medicare benefits.
Preferred Qualifications:
Minimum one (1) year of recent experience in Palliative Care in hospital or outpatient setting.
Case management or home health experience.
Successful completion of palliative care training including: pain and symptom management, nutrition and hydration, psychosocial and spiritual care, and hospice.
Bachelors degree in nursing.
COMPANY: KAISERTITLE: Palliative Care RN CoordinatorLOCATION: Honolulu, HawaiiREQNUMBER: 1267493External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.