RN Palliative Care Coordinator - Erie - Full Time

Highmark Health•Erie, PA

About The Position

GENERAL OVERVIEW: This job collaborates with palliative care providers and other members of the interdisciplinary team to support effective outcomes and shared goals for patients and their families. Professional role model utilizing expertise in care management to promote a collaborative professional environment that supports excellence of care and achievement of optimal resource utilization. ESSENTIAL RESPONSIBILITIES Assumes role in assessment of patient physical, psychosocial, and economic needs for effective transition of care planning to a variety of levels of care. Contributes to the development of the transition plan for the patient and the family. Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes. Interviews and collects patient specified data and chart review related to readmission. Knowledgeable of and complies with accreditation and regulatory requirements. Integrates performance improvement principles and customer service principles into all aspects of job responsibilities. Participates in Goals of Care conversations with patient or designated proxy. Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys. Participates in Highmark data tracking to improve clinical outcomes. Participates in department-specific quality initiatives. Assures appropriate order sets are used. Utilizes the nursing process to assess, plan, evaluate, and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse, and hospital policy, including patient and family. Perform symptom assessment/management and med titration. Assumes responsibility for AHN required continued education and own professional growth. Performs others duties as assigned or required.

Requirements

Minimum Bachelor's Degree in Nursing, or relevant experience and/or education as determined by the company in lieu of bachelor's degree
Act 34 Criminal Background Clearance Certificate
Act 33 Child Abuse Clearance Certificate
Act 73 FBI Fingerprinting Criminal Background Clearance Certificate
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC).
CPR certification

Nice To Haves

Discharge planning and community resource knowledge
1 year in a Home Care or hospice role
Case Management experience
1 year in Critical Care
Time management skills
Strong communication skills

Responsibilities

Assumes role in assessment of patient physical, psychosocial, and economic needs for effective transition of care planning to a variety of levels of care.
Contributes to the development of the transition plan for the patient and the family.
Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes.
Interviews and collects patient specified data and chart review related to readmission.
Knowledgeable of and complies with accreditation and regulatory requirements.
Integrates performance improvement principles and customer service principles into all aspects of job responsibilities.
Participates in Goals of Care conversations with patient or designated proxy.
Coordinate care between Highmark entities, including Endorsed LLC (Enhanced Community Care Management), Healthcare@Home, and Journeys.
Participates in Highmark data tracking to improve clinical outcomes.
Participates in department-specific quality initiatives.
Assures appropriate order sets are used.
Utilizes the nursing process to assess, plan, evaluate, and implement a patient plan of care according to the individual needs of the patient as prescribed by physician, nurse, and hospital policy, including patient and family.
Perform symptom assessment/management and med titration.
Assumes responsibility for AHN required continued education and own professional growth.
Performs others duties as assigned or required.