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Experience:
No experience
Employment Type:
Intern/Co-op
Posted:
11/30/2015
Job Category:
Nursing
Industry:
Health Care & Medicine
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Palliative/Oncology Care Nurse
Kaiser Permanente | Portland, Oregon
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Job Description

Collaborates with members of the interdisciplinary Palliative Care Team to provide quality, cost-effective clinical coordination/care management for the population of patients who meet the eligibility criteria for palliative care. This care can be provided in the inpatient, or clinic setting. Assists in the identification of patients who may benefit from palliative care and advocates for appropriate services. Assesses needs, develops and implements plans of care for patients transitioning across care settings. Acts as an expert consultant in symptom management and facilitates optimal end of life care through a team approach. Provides/facilitates ongoing education of staff regarding palliative care.
 
Essential Functions:
As a member of an interdisciplinary team assesses the physical, medical, psychological, social and spiritual needs of the patient and family to identify goals of care and develop a plan of care to provide coordinated care that emphasizes supportive services. Collaborates with discharge planners, physicians, Clinic and CCS staff, and patients/families to identify appropriate program/services and plan for transitions of care when needed. Arranges and participates as a member of the health care team in case/family conferences and consults as appropriate. Develops and maintains effective relationships with all key stakeholders necessary for the success of both the individual case and the program. Provides patient care/consultation utilizing systems assessment, evidence standards and practice related to palliative care. Functions as an expert clinician/role model in assessment of patient needs, development of a plan of care and evaluation of outcomes for this specific patient population. Facilitate end of life goal setting with patients and families. Collaborates with facility staff to assist with discharge planning when needed.
Provide support and education to family and staff when death occurs in the inpatient setting. Participates in weekend rotation to provide consultation/transition assistance at Kaiser or contract facilities. Assures that patient/family receive right care at the right time so that quality and utilization are simultaneously enhanced.
Provides education and program development functions, including: Participates in orientation and ongoing CCS and volunteer education regarding transition of patients across care settings. Provides leadership in planning with CCS personnel to develop and implement policies and procedures related to patient transfers across care settings. Collaborates and communicates with CCS and Care Coordinator staff to assure provision of appropriate, timely care to patients in the home setting. Collaborates with others in the interdisciplinary healthcare team to assure that regulatory and compliance standards are met. Participates in quality and utilization management activities. Participates in professional committees/task forces as needed/requested. Performs other duties as requested. Assures professional competency through maintaining state-of-the-art skills and knowledge consistent with Medicare and JCAHO regulations, applicable nurse practice acts and agency policies. Participates in after hours call system for acute intervention services and case management for inpatient palliative care patients.
Collaborates with members of the interdisciplinary Palliative Care Team to provide quality, cost-effective clinical coordination/care management for the population of patients who meet the eligibility criteria for palliative care. This care can be provided in the inpatient, or clinic setting. Assists in the identification of patients who may benefit from palliative care and advocates for appropriate services. Assesses needs, develops and implements plans of care for patients transitioning across care settings. Acts as an expert consultant in symptom management and facilitates optimal end of life care through a team approach. Provides/facilitates ongoing education of staff regarding palliative care.
 
Essential Functions:
As a member of an interdisciplinary team assesses the physical, medical, psychological, social and spiritual needs of the patient and family to identify goals of care and develop a plan of care to provide coordinated care that emphasizes supportive services. Collaborates with discharge planners, physicians, Clinic and CCS staff, and patients/families to identify appropriate program/services and plan for transitions of care when needed. Arranges and participates as a member of the health care team in case/family conferences and consults as appropriate. Develops and maintains effective relationships with all key stakeholders necessary for the success of both the individual case and the program. Provides patient care/consultation utilizing systems assessment, evidence standards and practice related to palliative care. Functions as an expert clinician/role model in assessment of patient needs, development of a plan of care and evaluation of outcomes for this specific patient population. Facilitate end of life goal setting with patients and families. Collaborates with facility staff to assist with discharge planning when needed.
Provide support and education to family and staff when death occurs in the inpatient setting. Participates in weekend rotation to provide consultation/transition assistance at Kaiser or contract facilities. Assures that patient/family receive right care at the right time so that quality and utilization are simultaneously enhanced.
Provides education and program development functions, including: Participates in orientation and ongoing CCS and volunteer education regarding transition of patients across care settings. Provides leadership in planning with CCS personnel to develop and implement policies and procedures related to patient transfers across care settings. Collaborates and communicates with CCS and Care Coordinator staff to assure provision of appropriate, timely care to patients in the home setting. Collaborates with others in the interdisciplinary healthcare team to assure that regulatory and compliance standards are met. Participates in quality and utilization management activities. Participates in professional committees/task forces as needed/requested. Performs other duties as requested. Assures professional competency through maintaining state-of-the-art skills and knowledge consistent with Medicare and JCAHO regulations, applicable nurse practice acts and agency policies. Participates in after hours call system for acute intervention services and case management for inpatient palliative care patients.

Qualifications

Basic Qualifications:
Experience
Two (2) years of experience in an acute care setting. Require Medical/Surgical, Oncology and/or Critical Care Nursing.
Two (2) years of recent nursing experience in Palliative Care or Hospice, within the last five (5) years.
Education
Bachelor of Science in nursing.
License, Certification, Registration
Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
Basic Life Support (BLS) for Health Care Providers required upon hire/transfer.
Hospice and Palliative Care Nursing Certification (CHPN) within six (6) months of hire into position.
Valid driver's license.
 
Additional Requirements:
Demonstrated ability to interrelate with physicians, nurses, support staff and patients.
Familiar with care processes and systems in settings internal and external to Kaiser Permanente.
Familiar with and able to collaborate with community resources.
Working knowledge of Medicare regulations and criteria for levels of care for Hospice.
Thorough knowledge of principles of teaching, learning and delegation.
Knowledge of the principles of patient teaching and delegation, physical assessment and care planning, and appropriate utilization of acute hospital, long term care and home care resources.
Demonstrates customer-focused service skills.
Ability to work effectively within an interdisciplinary approach as a consultant vs. direct care provider.
Able to perform complete physical, psychosocial, and functional assessments.
Ability to complete concise, yet thorough clinical documentation of patient assessments and care.
Able to operate a motor vehicle in all weather conditions.
Ability to use a laptop computer keyboard by touch.
Ability to lift 30-50 lbs.
Ability to manipulate small objects involved in patient care.
Highly effective problem solving, written and verbal communication, organizational and time management skills.
Demonstrated ability to provide educational presentations to groups.
Demonstrated ability to develop written educational materials and clinical guidelines/ protocols.
Demonstrated ability to interrelate with physicians, nurses, support staff and patients, in interdisciplinary approach.


Preferred Qualifications:
Two (2) years of working in a palliative care program. (inpatient, home or clinic).
Three (3) years of hospital experience. Prefer medical/surgical or critical care nursing experience.
Four (4) years of experience in continuing care (home health/hospice/home based palliative), including at least two (2) years in hospice.
Discharge planning experience preferred.
Working knowledge of Palliative Care.
Working knowledge of Medicare regulations and utilization guidelines for acute care facilities.
Familiarity with PC environment and ability to use computers.
Working knowledge of adult learning principles and strategies.

Basic Qualifications:
Experience
Two (2) years of experience in an acute care setting. Require Medical/Surgical, Oncology and/or Critical Care Nursing.
Two (2) years of recent nursing experience in Palliative Care or Hospice, within the last five (5) years.
Education
Bachelor of Science in nursing.
License, Certification, Registration
Current Oregon and Washington RN license required. License in state where assigned required upon hire/transfer, application for license in secondary state required within 2 weeks of hire/transfer and must be obtained within 6 months.
Basic Life Support (BLS) for Health Care Providers required upon hire/transfer.
Hospice and Palliative Care Nursing Certification (CHPN) within six (6) months of hire into position.
Valid driver's license.
 
Additional Requirements:
Demonstrated ability to interrelate with physicians, nurses, support staff and patients.
Familiar with care processes and systems in settings internal and external to Kaiser Permanente.
Familiar with and able to collaborate with community resources.
Working knowledge of Medicare regulations and criteria for levels of care for Hospice.
Thorough knowledge of principles of teaching, learning and delegation.
Knowledge of the principles of patient teaching and delegation, physical assessment and care planning, and appropriate utilization of acute hospital, long term care and home care resources.
Demonstrates customer-focused service skills.
Ability to work effectively within an interdisciplinary approach as a consultant vs. direct care provider.
Able to perform complete physical, psychosocial, and functional assessments.
Ability to complete concise, yet thorough clinical documentation of patient assessments and care.
Able to operate a motor vehicle in all weather conditions.
Ability to use a laptop computer keyboard by touch.
Ability to lift 30-50 lbs.
Ability to manipulate small objects involved in patient care.
Highly effective problem solving, written and verbal communication, organizational and time management skills.
Demonstrated ability to provide educational presentations to groups.
Demonstrated ability to develop written educational materials and clinical guidelines/ protocols.
Demonstrated ability to interrelate with physicians, nurses, support staff and patients, in interdisciplinary approach.


Preferred Qualifications:
Two (2) years of working in a palliative care program. (inpatient, home or clinic).
Three (3) years of hospital experience. Prefer medical/surgical or critical care nursing experience.
Four (4) years of experience in continuing care (home health/hospice/home based palliative), including at least two (2) years in hospice.
Discharge planning experience preferred.
Working knowledge of Palliative Care.
Working knowledge of Medicare regulations and utilization guidelines for acute care facilities.
Familiarity with PC environment and ability to use computers.
Working knowledge of adult learning principles and strategies.

About Kaiser Permanente

Company Description

Serving approximately 8.7 million members in nine states and the District of Columbia, Kaiser Permanente is America's leading nonprofit integrated health plan.

Kaiser Permanente's mission is to provide high-quality, affordable health care services to improve the health of our members and the communities we serve.

Our Northern California Region provides integrated health care services to approximately 3.2 million members. Approximately 4,400 physicians of The Permanente Medical Group provide services at 20 medical centers and numerous medical offices.

Company History

Founded in 1945, Kaiser Permanente is the nation’s largest not-for-profit health plan, serving more than 8.6 million members, with headquarters in Oakland, Calif. It comprises:

  1.   • Kaiser Foundation Health Plan, Inc.

  • Kaiser Foundation Hospitals and their subsidiaries

  • The Permanente Medical Groups.

At Kaiser Permanente, physicians are responsible for medical decisions. The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Kaiser Permanente’s creation resulted from the challenge of providing Americans medical care during the Great Depression and World War II, when most people could not afford to go to a doctor. Among the innovations it has brought to U.S. health care are:

  • prepaid health plans, which spread the cost to make it more affordable

  • physician group practice to maximize their abilities to care for patients

  • a focus on preventing illness as much as on caring for the sick

  • an organized delivery system, putting as many services as possible under one roof

Mission & Values

As a health care organization in the 21st century, we have a mission--to provide quality care for our members and their families, and to contribute to the well-being of our communities.

Working Here

When you bring your career to Kaiser Permanente, the work you do directly affects the health of millions. From the business people who shape our policies, to the IT professionals enabling life-saving data, to the nurses and physicians on the front line of patient care, everyone here has a role to play in the care continuum. Knowing you have a place in that process and witnessing the outcome of the work you do is empowering. It gives you a cause to stand behind. And it makes you feel proud of the work you do every day. When people witness the impact of their contributions, they excel. Together we have the power to make a difference.

Hiring Information

The first step in beginning your career search is to look for open jobs that match your skills, qualifications, and interests. Each posting includes a description of the position and the minimum required qualifications. Once you find a position you are interested in, register for an account and provide your information for consideration online.

Benefits

As an employee, you are eligible for benefits according to your full-time/part-time status and the number of hours scheduled to work per week. Benefits may vary based on your Kaiser Permanente region, position, scheduled hours, and representation by collective bargaining or employee groups, but generally include:

  • generous vacation, holiday, and sick leave

  • medical care (including prescriptions), vision, mental health, and dental care

  • disability and life insurance coverage

  • educational opportunities and tuition reimbursement

  • employee assistance programs

  • health care, dependent care, and transit spending account options

  • retirement plans

In addition, we believe in recognizing stellar performance and sponsor a variety of programs designed to reward our skilled, innovative, caring, and committed staff.

In short, at Kaiser Permanente, we understand that there is a direct correlation between happy employees and happy members. We take pride in the compassion and dedication of our employees and find many ways to reward their hard work. In return, our employees take pride in being a part of a collaborative, professional team focused on quality, service, and care.

Honors & Awards

Kaiser Permanente of Northern California has earned an "Excellent" rating from the National Committee for Quality Assurance (NCQA)-the nation's leading reviewer of health plan quality for consumers and employers. Excellent is the top rating granted by NCQA, which reviews satisfaction surveys, preventive measures, physician credentialing, member services and improvement initiatives.*

Both our Northern and Southern California regions were the only health plans in California identified by the NCQA in its list of the best health care programs in the Pacific States. (NCQA's The State of Health Care Quality 2003)

The Joint Commission on Accreditation of Healthcare Organizations accredits all Kaiser Foundation Hospitals in California.

For the seventh straight year, no other health plan has earned higher ratings from the California Cooperative Health Reporting Initiative on more measures than Kaiser Permanente. The annual ratings measure clinical quality and member satisfaction. (CCHRI Report on Quality 2003)

Our Northern California region received more three-star "Excellent" ratings than any other health plan surveyed by California's Office of the Patient Advocate on California's Quality of Care Report Card 2003-04.

* Commercial HMO and Medicare-contracted product lines: April 2003.