- Salary
- $45 – $49/hr
- Location
- Hilo, Hawaii, US
- Type
- Part-time
- Source
- BetterTeam
Description
Status: Non-Exempt
Referral Coordination & Eligibility Determination | Comprehensive Nursing Assessment & Symptom Management | Interdisciplinary Care Planning & Care Transitions | Patient, Family & Caregiver Education & Support | Documentation, Compliance & Program Development.
- Assess patients’ medical status to determine eligibility for the Kupu Care Program.
- Perform initial and physical nursing assessments, considering goals of care and expected disease progression.
- Manage complex pain and symptoms within the palliative care framework.
- Develop and initiate the Initial Plan of Care in collaboration with the Kupu Care Physician, Primary Care Physician (PCP), and Specialists.
- Assess urgency of care and coordinate appropriate interventions when needed.
- Document assessments and coordinate medication reconciliation with PCPs and Specialists.
- Conduct medication review and reconciliation based on patient condition.
- Ensure patients receive necessary durable medical equipment (DME) and medical supplies when ordered and appropriate.
- Provide education and support to patients and caregivers on disease processes and care regimens.
- Contribute to patient and family understanding of palliative care and the interdisciplinary care approach.
- Communicate detailed admission reports with Clinical team members, including Physician/APRN, Social Work, and Spiritual Care.
- Educate and facilitate conversations around advance care planning and POLST with patients and families.
- Identify and recommend appropriate community resources for patient and family support.
- Document all nursing and admission-related information per palliative care guidelines.
- Provide education and training to patients, caregivers, and members of the Kupu Care Team.
- Conduct routine nursing visits as assigned.
- Practice clinical care in alignment with Hawaii Care Choices mission, vision, values, policies, and procedures.
- Support organizational cost containment efforts while maintaining quality of care.
- Follow and promote safe work practices according to Hawaii Care Choices policies and procedures.
- Participate in meetings and committees as requested.
- Assist with program development and special projects.
- Perform hospice admissions for patients transitioning from Kupu Care to hospice.
- Communicate effectively and timely with team members and staff.
- Maintain productivity standards, including required visit credits per week.
- Identify patients who may be eligible for hospice and coordinate communication for transition.
- Ability to exercise independent sound judgment in planning and providing quality hospice nursing care.
- Ability to provide unsupervised health care services in private residences, as well as to handle and administer controlled and prescribed medications.
- Ability to identify and provide for psychosocial needs of the patient and care givers.
- Duties require excellent critical thinking and assessment skills.
- Adequate educational and experiential level to meet the needs of the patients and care givers and regulations established by State and Federal law.
- Possession and maintenance of a valid Hawai’i State nursing license.
- Possession of current CPR Certification.
- Graduate of a RN Nursing Curriculum; BSN preferred.
- Minimum two (2) years of experience in a health care organization with similar patient care situations.
- Coverage scheduled as needed, dependent on the agency's need.