Advanced Illness Management

4 weeks ago

San Diego CA United States Sharp Healthplan Full time

Hours:

Shift Start Time:

9:30 AM

Shift End Time:

8 PM

AWS Hours Requirement:

10/40 - 10 Hour Shift

Additional Shift Information:

Weekend Requirements:

Every Other

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$65.250 - $75.720 - $86.180

The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience.

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 BSN (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.
* 2 Years Minimum two (2) years of 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

  • Advanced Illness Management

    1 week ago

    San Diego, United States Sharp Healthcare Full time

    [Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours**: **Shift Start Time**: 9:30 AM **Shift End Time**: 8 PM **AWS Hours Requirement**: 10/40 - 10 Hour Shift **Additional Shift Information**: **Weekend Requirements**: Every Other **On-Call Required**: No **Hourly Pay Range (Minimum - Midpoint -...

  • Nurse Practitioner

    3 weeks ago

    Lufkin, TX, United States Curo Health Services Full time

    Nurse Practitioner - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Nurse Practitioner

    3 weeks ago

    Lufkin, TX, United States Curo Health Services Full time

    Nurse Practitioner - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Nurse Practitioner

    1 week ago

    Lufkin, TX, United States Curo Health Services Full time

    Nurse Practitioner - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Nurse Practitioner

    1 week ago

    Plano, TX, United States Curo Health Services Full time

    Nurse Practitioner - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Nurse Practitioner

    1 day ago

    Jacksonville, FL, United States Curo Health Services Full time

    Nurse Practitioner - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Palliative RN

    3 weeks ago

    Lufkin, TX, United States Curo Health Services Full time

    Palliative RN - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Palliative RN

    1 week ago

    Lufkin, TX, United States Curo Health Services Full time

    Palliative RN - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • LPN Clinical Coordinator

    4 weeks ago

    Southern Pines, NC, United States Curo Health Services Full time

    Our Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and...

  • Nurse Practitioner Preceptor

    6 days ago

    Jacksonville, FL, United States Curo Health Services Full time

    Nurse Practitioner Preceptor - Palliative Care Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the...

  • Afterhours Palliative Care RN

    3 days ago

    Jacksonville, FL, United States Curo Health Services Full time

    Afterhours Palliative Care RN - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every...

  • Advanced Training Manager

    7 days ago

    San Diego, United States Blackstone Consulting Full time

    Description/Job Summary $60.50/hr Location: Southern California Travel Required -up to 4 weeks at a time. To safeguard the health and safety of our employees, families, customers, visitors and community at large, COVID 19 vaccination will be a requirement for employment, and we will consider accommodations for medical and religious-based reasons. You will...

  • Palliative Care RN

    2 weeks ago

    Plano, TX, United States Curo Health Services Full time

    Palliative Care RN - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Palliative Care RN

    1 week ago

    Plano, TX, United States Curo Health Services Full time

    Palliative Care RN - Advanced Illness ManagementOur Company Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We...

  • Advanced Training Manager

    1 week ago

    San Diego, United States Blackstone Consulting, Inc Full time

    Job DescriptionJob DescriptionDescription/Job Summary$60.50/hrLocation: Southern CaliforniaTravel Required -up to 4 weeks at a time.To safeguard the health and safety of our employees, families, customers, visitors and community at large, COVID 19 vaccination will be a requirement for employment, and we will consider accommodations for medical and...

  • Advanced Practice Provider, TEMP

    4 weeks ago

    San Diego, United States GEO Corrections & Detentions Full time

    Job Description Benefits Information **THIS IS A 1099 / CONTRACT POSITION** **POSITION IS TEMP**Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based...

  • Advanced Practice Provider, TEMP

    1 week ago

    San Diego, United States GEO Corrections & Detentions Full time

    Job Description Benefits Information **THIS IS A 1099 / CONTRACT POSITION** **POSITION IS TEMP**Overview Are you looking for a career you can feel good about? We hire only those that strive to do their best. By joining our family, you'll receive the honor and recognition that comes with working for the industry's global leader in evidenced based...

  • Program Manager

    1 day ago

    San Diego, United States KBR Full time

    **Title**: Program Manager - Advanced Technology & Rapid Prototyping **Location**:North Charleston SC, San Diego, CA, DC/metro Area with flexibility with remote and hybrid teleworking. KBR is a leading provider of innovative solutions for defense, technology, and information systems, specializing in advanced technology experimentation and integration. We...

  • Quality Manager

    1 month ago

    San Diego, United States Advanced Test Equipment Corporation Full time

    **Employment Type**: Full-Time **About This Position**: Advanced Test Equipment Corp. (ATEC) is the rentals, sales and service leader for test and measurement instruments, offering thousands of choices for rent or purchase, and equipment calibration. As a leading provider of test and measurement equipment, Advanced Test Equipment Rentals has established...

  • Advanced Training Manager- San Diego County

    3 weeks ago

    San Diego, United States Blackstone Consulting Full time

    Description/Job Summary $60.50/hr Location: San Diego, San Marcos Travel Required -up to 4 weeks at a time. To safeguard the health and safety of our employees, families, customers, visitors and community at large, COVID 19 vaccination will be a requirement for employment, and we will consider accommodations for medical and religious-based reasons. You will...