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AIM Navigator RN/Hospice/Per Diem

Job ID JR121625 Date posted 04/14/2022
La Mesa, California
  • Grossmont Hospital
  • Day
  • Per Diem
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Overview

At Sharp, being a nurse means transforming the health care experience for your patients, for your colleagues and for yourself. In a collaborative environment with state-of-the-art facilities and advanced clinical practices, we encourage you to follow your passions wherever they take you.

As a recognized leader in nursing excellence with Magnet® recognitions for high-quality, patient-centered care, we invite you to join us in providing health care the way it should be. We offer a wide variety of nursing positions — from RNs and clinical nurse leads to case managers and clinical nurse specialists.

Success Profile

Wondering what qualities it takes to be a successful nursing professional at Sharp? View some of the traits we’re looking for below.

  • Innovative
  • Collaborative
  • Resourceful
  • Advocate
  • Person-centered
  • Critical Thinker

We are Sharp

Our Mission and Values

At Sharp, our mission is to improve the health of those we serve with a commitment to excellence in all that we do. We aim to offer quality care and services that set community standards, exceed patients’ expectations and are provided in a caring, convenient, cost-effective and accessible manner.

We have a vision to transform the health care experience through a culture of caring, quality, safety, service, innovation and excellence. Our goal is to be the best place to work, the best place to practice medicine and the best place to receive care.

Our team members are the driving force behind our mission and vision. At Sharp, we’re focused on providing an environment that will meet the needs of both our patients and our employees. Our team members are encouraged to connect with their passions and recommit to the purpose of their work each day.

Benefits

  • Medical, vision
    dental and more

    Our flexible benefits include a choice of two HMO medical plans (both of which include vision), two PPO dental choices, flexible spending accounts, accident insurance, long-term disability insurance and life insurance.

  • Generous vacation
    holiday and sick leave

    We offer one of the most generous plans among health care systems in San Diego, and new Sharp employees start with 25 days of paid time off in just the first year.

  • Wellness
    programs

    We focus on your overall well-being by giving you tools to improve both yourself and your life — mentally, physically, spiritually, emotionally and environmentally. Our focus is on balanced health and wellness to help you reach your health goals and enjoy life along the way.

  • Employee assistance
    program

    At Sharp, we understand that personal problems occasionally arise and you may need to seek outside professional advice. We’re here to help. Our employee assistance program helps employees develop and maintain a lifestyle that supports good health and productivity.

  • Retirement
    plans

    We’re proud to offer two retirement plans to match your needs. The Sharp$aver 401(a) plan matches your after-tax contributions and the 403(b) plan offers a long-term savings plan for pre-tax and Roth contributions with available loan and withdrawal provisions.

  • Educational opportunities
    and tuition reimbursement

    We support and encourage the growth and development of our employees through educational courses for credit in institutions of higher learning, continuing education programs (conferences, workshops, seminars) and specialty certification examinations.

  • Discount programs,
    perks and other benefits

    Our employees are eligible to participate in several group voluntary benefit plans — including group legal, college savings, critical illness insurance, group auto and home insurance and pet insurance.

Job Details

Hours

Shift Start Time:

8:30 AM

Shift End Time:

5 PM

Additional Shift Information:

Weekend Requirements:

Every Other

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 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

California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree in Nursing

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