Palliative Nurse Navigator

Responsibilities

• Coordinates and navigates palliative care for patients.
  • Facilitates access to palliative care services in HMH.
  • Identifies new outpatients as they are diagnosed with a serious illness and provides patient and family palliative education.
  • Connects patients and family with available resources in the health system and community.
• Palliative Care Plan:
  • Participates with palliative encounters; provides initial patient needs assessment.
  • Facilitates patient's advance care planning discussions.
  • Completes controlled substance prior authorizations when needed.
  • Facilitates telephone encounters to assess symptoms, palliative medication modifications, transitions of care, provides education and emotional support.
  • Documents assessment and follow up, and any encounter notes in the patients' medical record.
• Relationships:
  • Buils and maintains professional relationships with health care professionals and provides them education regarding outpatient palliative care services.
  • Collaborates with the referring provider/practice to act as a resource for the patient and family during initial or follow up palliative encounters and provides continuity of care.
• Quality:
  • Participates in appropriate committees/councils.
  • Tracks the flow of patients through palliative care services across the continuum of care.
  • Aids in reviewing reports of activity to the clinical leader.
• Palliative Care Conferences:
  • Collaborates with the palliative care team to transition patients from other care settings to the outpatient palliative clinic and across various settings.
  • Identifies patients for the applicable palliative sub specialty clinics or other palliative services.
• Education:
  • As applicable, represents palliative services.
  • Provides community organizations with information about palliative services provided and offered to patients.
  • May participate in community health fairs, meetings, or programs relevant to the promotion of the program.
  • Provides education on palliative care for various team members, orientation, and nursing education, as indicated.

Qualifications

• Graduate of licensed school of nursing; RN with at least 5 years of clinical experience in a relevant clinical specialty.
• Proficient computer skills- proficiency in Google, Microsoft, EPIC.
• Strong organizational, time management, critical thinking RN skills.
• Ability to work independently and exercise sound judgment in interactions with providers, Clinicians, patients, and their families.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.