Stormont Vail Health 1500 SW 10th Avenue Topeka Kansas 66604 United States
Apr 04, 2019Full-time
Summary: The Care Manager (Palliative Medicine) serves in an expanded nursing role to collaborate with patients and their health care team including the Palliative Medicine team, Primary Care Providers, specialists, and hospital staff and physicians to provide a model of care that ensures the delivery of quality, efficient and cost-effective Palliative Medicine services across the continuum. The Care Manager (Palliative Medicine) functions as a coordinator of patient care, assesses, plans, implements, monitors, and evaluates all options and services with the goal of optimizing the patient’s quality of life. The Care Manager (Palliative Medicine) integrates evidence-based clinical guidelines, preventative guidelines, protocols, and other metrics in the development of transitions of care plans that are patient-centric, promoting quality and efficiency in the delivery of healthcare for the targeted high-risk population. The Care Manager (Palliative Medicine) monitors patients across the health continuum with a focus on effective and safe transitions through the healthcare system with a goal to optimize resources, quality of life and reduce avoidable readmissions back to acute care. The Care Manager (Palliative Medicine) manages performance feedback metrics to further refine the care model to maximize clinical, quality, and fiscal outcomes for the targeted population. This role will also complete tasks related to patient assessments, rounding with the PM&SC providers, providing support for organizing and completing of tasks with PM&SC providers, providing support of discharge processes and patient charges. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson’s Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Watson’s Caring Theory ensures the development of therapeutic relationships and involves human beings and their spirit in every aspect of care delivery, and is demonstrated through the implementation of then (10) carative behaviors: 1. Attentive listening 2. Comforting 3. Honesty 4. Patience 5. Responsibility 6. Providing information to allow informed decisions 7. Touch 8. Sensitivity 9. Respect 10. Calling the patient by name Essential Duties and Responsibilities include the following. Other duties may be assigned. Actively participates with Palliative Medicine team meetings and participates in the expansion of Palliative Medicine services. Collaborates with the Palliative Medicine team and Palliative Medicine physicians, social work staff, and other care team members to ensure optimal care coordination for the patient. Establish and maintain a supportive, collegial role with primary care/specialty practices engaged in improvement activity, particularly including assigned practices and their individual improvement team members. Communicates with families, institutions, and other healthcare providers regarding patient’s treatment and status. Initiates communication with patients upon learning they have been identified as high risk / targeted population. Guides patients through the health care system Facilitates interaction and communication with health care staff providers. Provides disease/treatment specific education to both patients and families Oversees scheduled appointment(s) Oversees patient testing and admissions Reviews patient records Efficiently documents medical information using the appropriate forms and/or electronic applications Collects and tracks data related to targeted populations Implements interventions based on data and established guidelines Monitors data for trends and individual outliers Analyzes data for process improvement opportunities to impact patient outcomes Demonstrates leadership qualities including time management, verbal and written communication skills, listening skills, priority setting, and work organization. Demonstrates critical thinking through problem solving and decision-making. Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. Demonstrates ability to be self-directed and purposeful in seeking the necessary knowledge and skills to enhance professionalism in order to provide high-quality care. Demonstrates ability to work autonomously and be directly accountable for practice. Demonstrates ability to function effectively in a fluid, dynamic, and rapidly changing environment. Participates in system wide/department patient care quality improvement activities as well as standards development Demonstrates appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and department activities in accordance with the Kansas State Nurse Practice Act. Demonstrates knowledge of the Kansas State Nurse Practice At and follows the statutes and regulations therein Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience: Graduate of an accredited school of nursing, BSN required. Masters Preferred. 3 years of professional nursing, or directly related (example LPN or Respiratory Therapy), experience in acute care or outpatient clinic setting. Case/Care Management experience preferred. Palliative Care RN certification or actively seeking such certification strongly preferred. Meets educational preparation or other qualifications within specified time frames as determined/outlined by department guidelines. Certificates and Licenses: Current RN licensure in the State of Kansas. CPR certification is required. Additional certification may be required for certain patient care settings or populations. The department director will provide specific information and the timeframe in which such certification must be attained at the time of hire/transfer into department. Language Ability: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyzes, and interprets general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to effectively present information and respond to questions from physicians, patients, co-workers and the general public. Math Ability: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems collects data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Computer Skills: Basic keyboarding skills Supervisory Responsibilities: The Care Manager (Palliative Medicine) functions in both the inpatient and outpatient care setting and is available as a resource for the care team. As identified in the Kansas State Nurse Practice ACT AND Joint Commission regulations, RN staff have as their underlying role; coordination of patient care activities, delegation of specified care team members, and supervision of team members and evaluation of patient response to care provided. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. It is possible for individual to come in contact with patient’s blood and/or other high-risk body fluid. Requires exposure to communicable diseases, medicinal preparations and other conditions common to a clinic environment. The noise level in the environment is moderate. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the job the employee is regularly required to talk and hear. The employee is frequently required to stand, walk, and to use hands and fingers to handle or feel. The employee is occasionally required to reach with hands and arms, climb or balance and stoop, kneel, crouch, or crawl. The employee is frequently required to lift up to 25 pounds. The employee is occasionally required to lift up to 50 pounds. The vision requirements include; peripheral vision, depth perception and ability to adjust focus.