Pediatric Nurse Practitioner (Full Time)

About the role

The Pediatric Advanced Practice Registered Nurse (Acute Care) is responsible for working in collaboration with the pediatric patient, primary care physician, medical director, clinical nursing leadership and other pediatric care team members in an active practice to deliver hospice and palliative care and related health care services to patients and families.

This position is based in the field, requiring travel to patient homes, facilities, and offices throughout Oahu using a personal motor vehicle.

Working conditions include indoor settings in patient homes, Hospice Hawai’i homes, nursing, and acute care facilities, with possible outdoor work in all types of weather.

Navian Hawaii is a legacy kamaaina nonprofit hospice and palliative care organization deeply committed to serving our community. For more than 44 years, we have demonstrated compassion, dignity, and excellence in delivering care to individuals and families facing serious illness and end-of-life journeys. We proudly extend our services across Oahu as well as in-patient at our Kailua Home (closed for renovation, re-opening in 2027).

Responsibilities

• Available as a consultant to patients, families and staff regarding end-of-life issues and to collaborate on symptom management, improve the patient and family experience of care, and improve the efficiency and effectiveness of resource use
• Provides direct patient care (or assists others to provide such care) to hospice patients and their families in collaboration with the patient’s primary care physician, the hospice physician, hospice nursing staff and volunteers, and other members of the care team including Social Work and Chaplain Services
• Care is directed at meeting the physical, psychological, social and spiritual needs of the patient and family
• Prescribes or recommends drugs or other forms of treatment
• Records physical findings, and formulates plan and prognosis, based on patient's condition
• Consults with the Medical Director and palliative care physician(s) as needed
• Consults primary physician of services provided and collaborates with other physicians to prepare comprehensive patient care plan
• Monitors and maintains progress of patients and reports progress to Medical Director
• Has the ability to work collaboratively with pediatric hospice employees and volunteers as part of an Interdisciplinary Group
• Participation in Interdisciplinary Group Meetings
• Provides on-call coverage during the extended hours and weekends as needed
• Provides training and continuing education to staff in collaboration with the education department
• Assists in development of clinical practice guidelines/standards/policies/procedures in support of quality palliative care
• Identifies needs within different stakeholder organizations and recommends the development of systems within Navian Hawaii to meet those needs
• Completes required face-to-face visits as assigned
• Providing clinical assessment results to the hospice medical director after making face-to-face visits with patients, as assigned
• Participating in the recertification process and collaborating with the Interdisciplinary Team to promote coordination of patient care
• Maintaining accurate, up-to-date records
• Other related duties as assigned by the Medical Director

Qualifications

• Valid Registered Nurse License in the State of Hawai’i
• Valid Advanced Practice Nurse License in the State of Hawai'i
• Valid DEA/State NED Certification and full prescriptive authority
• Eligible to obtain NPI Medicare enrollment
• 2 years of experience of direct pediatric patient care required
• Hospice or Palliative experience preferred
• HPNA Certification preferred

Skills

• Demonstrates