Merrifield Hospital - Clinical Liaison Job at Capital Caring Health
Location: Merrifield, VA
Schedule: Monday - Friday 8:30am - 5:00pm
GENERAL DESCRIPTION SUMMARY
The Clinical Liaison provides the primary coordination of hospital-based hospice and palliative care. The Clinical Liaison receives all hospice and palliative care referrals and arranges for admission to the hospice or palliative consultative service, interfaces with the patient/family, and with the attending physician. The Clinical Liaison triages all incoming referrals and coordinates interdisciplinary team members required to best meet the immediate needs of the patient.
In collaboration with the hospice and palliative care medical consultant (when applicable), the Clinical Liaison initiates the care plan and discharge planning and communicates with the interdisciplinary team regarding patient goals and treatment plan. The Clinical Liaison makes nursing assessments, judgments and treatment decisions based on customer needs and wishes and in accordance with the level of professional skills. The Clinical Liaison promotes Capital Caring Health and Capital Palliative Care Consultants programs to acute care facilities through collaborative relationships with the facility by providing opportunities for professional development and community education.
Essential Duties & Responsibilities - Within the philosophy, objectives and policies of Capital Caring Health, carries out the following essential functions:
Quality Provision of Services:
1. Initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychological and environmental needs and activities of daily living.
a) Risk for pathological grief
b) Cultural and spiritual implications
c) Verbal and non-verbal communication patterns
2. Implementing the individualized plan of care and recommending revisions to the plan as necessary
a) Managing discomfort and providing symptom relief
b) Specialized nursing skills related to palliative and end-of-life care
3. Initiating appropriate preventive and rehabilitative nursing procedures.
4. Preparing clinical and progress notes that demonstrate progress toward established goals
5. Use of case management approach and referring to other services as needed.
6. Determining the scope and frequency of services needed based on acuity and patient/family needs.
7. Identifies opportunities/barriers to meeting patient/family needs. Identifies necessary resources to best meet the needs of the customer.
8. Completes a nursing assessment and collaborates with the IDT to determine the service line for care (palliative care or hospice care) most appropriate and initiates the consult to the appropriate healthcare provider.
9. Initiates a plan of care in accordance with the nursing process. Identifies treatment plan in collaboration with patient/family, primary physician, consultant physician and other members of the IDT. Identifies problems, goals, and interventions. Revises plan of care as needed.
10. Assists in coordination of transfer of care to home or another facility.
11. Works with IDT in monitoring treatments and medication utilization outside of traditional practice, always being conscious of optimal resource management.
12. Procures discharge needs of the the patient/family (i.e. DME, medications, home care needs, community services) through vendor/agencies identified by CH/CPCC.
13. Participates in quality improvement activities, QUAPI program and hospice sponsored in-service training. Serves on committees or teams as approved by the clinical supervisor/general manager.
14. Refers all CH/CPCC deaths during hospitalization to Bereavement service follow-up.
15. Evaluates own needs for support and uses identified system(s) to meet the need.
16. Assumes responsibility for own professional growth and development in order to maintain and improve competence. Practices evidence-based specialty practice and maintains competence through personal advancement of education and educational opportunities offered by acute care facility, Capital Caring Health and National Hospice and Palliative Care professional organizations. Develops new skills by participating in ongoing education and maintaining knowledge of current nursing practice through journals, literature review, etc.
Organizational/Regulatory Compliance:
1. Participating in in-service programs.
2. Evaluating own needs to support and using identified systems to meet the need.
3. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
4. Participating in the hospice performance improvement program.
5. Seeing, treating, and writing orders for hospice patients if State law permits the registered nurse who is qualified to do so.
6. Works closely as a team member with acute care facility IDT, Capital Caring Health (CH) and Capital Palliative Care Consultants (CPCC) to provide quality and timely service to patients and their families with difficult to manage disease and end of life care.
7. Assesses care options based on referral source and patient/family needs and secures a CH/CPCC referral.
8. Obtains written referral from attending and secures all consent documentation.
9. Confirms insurance source and/or hospice benefit.
10. Responsible for census generation and daily coordination of activities in the facility. Communicates this activity at the beginning and ending of day to hospice and palliative care medical consultant (when applicable) to promote consensus, consistency, and continuity of care.
11. Completes all documentation in a timely manner as required by regulatory standards and to meet standards of acute care facility and CH/CPCC to promote communication and accurate exchange of information to all team members.
People/Communications:
1. Consulting with and educating the patient/family regarding:
a) The disease processes
b) Self-care techniques
c) End of life care
d) The processes for dealing with issues of ethical concern
2. Coordinating all patient/family services and prioritization of needs with the members of the interdisciplinary team.
3. Informing the physician and other personnel of changes in the patient’s needs and outcomes of the intervention.
4. Supervising LPNs/LVNs and paraprofessionals providing services to the patient according to regulatory guidelines.
5. Providing specialized hospice training to other staff, family members and informal caregivers to ensure adequate care.
6. On-going evaluation of patient/family response to care.
7. Assessing the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout the care.
8. Communicating information using the current process and technology available to the organization.
9. Explains hospice and palliative care philosophy, goals, and services to patients/families, nursing staff and medical staff to ensure understanding of principles of care.
10. Contributes to patient and family counseling and education. Consults with and educates the patient/family regarding (1) the disease process, (2) self-care techniques, (3) end of life care and, and (4) the processes for dealing with issues of ethical concern.
11.Collaborates with facility case manager/discharge planner and community agencies to coordinate a plan of care and available resources.
12. Participates in facility committees relevant to the professional role and those that promote CH/CPCC philosophy and ideals.
Financial Stewardship
1. Achieves expected productivity standard (based on patient visits, coordination, and discharge planning) as defined by the organization and in alignment with best practices/the Capital Caring Health model.
Please Note :
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Schedule: Monday - Friday 8:30am - 5:00pm
GENERAL DESCRIPTION SUMMARY
The Clinical Liaison provides the primary coordination of hospital-based hospice and palliative care. The Clinical Liaison receives all hospice and palliative care referrals and arranges for admission to the hospice or palliative consultative service, interfaces with the patient/family, and with the attending physician. The Clinical Liaison triages all incoming referrals and coordinates interdisciplinary team members required to best meet the immediate needs of the patient.
In collaboration with the hospice and palliative care medical consultant (when applicable), the Clinical Liaison initiates the care plan and discharge planning and communicates with the interdisciplinary team regarding patient goals and treatment plan. The Clinical Liaison makes nursing assessments, judgments and treatment decisions based on customer needs and wishes and in accordance with the level of professional skills. The Clinical Liaison promotes Capital Caring Health and Capital Palliative Care Consultants programs to acute care facilities through collaborative relationships with the facility by providing opportunities for professional development and community education.
Essential Duties & Responsibilities - Within the philosophy, objectives and policies of Capital Caring Health, carries out the following essential functions:
Quality Provision of Services:
1. Initial and ongoing assessment of the impact of the terminal diagnosis on the patient’s physical, functional, psychological and environmental needs and activities of daily living.
a) Risk for pathological grief
b) Cultural and spiritual implications
c) Verbal and non-verbal communication patterns
2. Implementing the individualized plan of care and recommending revisions to the plan as necessary
a) Managing discomfort and providing symptom relief
b) Specialized nursing skills related to palliative and end-of-life care
3. Initiating appropriate preventive and rehabilitative nursing procedures.
4. Preparing clinical and progress notes that demonstrate progress toward established goals
5. Use of case management approach and referring to other services as needed.
6. Determining the scope and frequency of services needed based on acuity and patient/family needs.
7. Identifies opportunities/barriers to meeting patient/family needs. Identifies necessary resources to best meet the needs of the customer.
8. Completes a nursing assessment and collaborates with the IDT to determine the service line for care (palliative care or hospice care) most appropriate and initiates the consult to the appropriate healthcare provider.
9. Initiates a plan of care in accordance with the nursing process. Identifies treatment plan in collaboration with patient/family, primary physician, consultant physician and other members of the IDT. Identifies problems, goals, and interventions. Revises plan of care as needed.
10. Assists in coordination of transfer of care to home or another facility.
11. Works with IDT in monitoring treatments and medication utilization outside of traditional practice, always being conscious of optimal resource management.
12. Procures discharge needs of the the patient/family (i.e. DME, medications, home care needs, community services) through vendor/agencies identified by CH/CPCC.
13. Participates in quality improvement activities, QUAPI program and hospice sponsored in-service training. Serves on committees or teams as approved by the clinical supervisor/general manager.
14. Refers all CH/CPCC deaths during hospitalization to Bereavement service follow-up.
15. Evaluates own needs for support and uses identified system(s) to meet the need.
16. Assumes responsibility for own professional growth and development in order to maintain and improve competence. Practices evidence-based specialty practice and maintains competence through personal advancement of education and educational opportunities offered by acute care facility, Capital Caring Health and National Hospice and Palliative Care professional organizations. Develops new skills by participating in ongoing education and maintaining knowledge of current nursing practice through journals, literature review, etc.
Organizational/Regulatory Compliance:
1. Participating in in-service programs.
2. Evaluating own needs to support and using identified systems to meet the need.
3. Applying specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility.
4. Participating in the hospice performance improvement program.
5. Seeing, treating, and writing orders for hospice patients if State law permits the registered nurse who is qualified to do so.
6. Works closely as a team member with acute care facility IDT, Capital Caring Health (CH) and Capital Palliative Care Consultants (CPCC) to provide quality and timely service to patients and their families with difficult to manage disease and end of life care.
7. Assesses care options based on referral source and patient/family needs and secures a CH/CPCC referral.
8. Obtains written referral from attending and secures all consent documentation.
9. Confirms insurance source and/or hospice benefit.
10. Responsible for census generation and daily coordination of activities in the facility. Communicates this activity at the beginning and ending of day to hospice and palliative care medical consultant (when applicable) to promote consensus, consistency, and continuity of care.
11. Completes all documentation in a timely manner as required by regulatory standards and to meet standards of acute care facility and CH/CPCC to promote communication and accurate exchange of information to all team members.
People/Communications:
1. Consulting with and educating the patient/family regarding:
a) The disease processes
b) Self-care techniques
c) End of life care
d) The processes for dealing with issues of ethical concern
2. Coordinating all patient/family services and prioritization of needs with the members of the interdisciplinary team.
3. Informing the physician and other personnel of changes in the patient’s needs and outcomes of the intervention.
4. Supervising LPNs/LVNs and paraprofessionals providing services to the patient according to regulatory guidelines.
5. Providing specialized hospice training to other staff, family members and informal caregivers to ensure adequate care.
6. On-going evaluation of patient/family response to care.
7. Assessing the ability of the caregiver to meet the patient’s immediate needs upon admission and throughout the care.
8. Communicating information using the current process and technology available to the organization.
9. Explains hospice and palliative care philosophy, goals, and services to patients/families, nursing staff and medical staff to ensure understanding of principles of care.
10. Contributes to patient and family counseling and education. Consults with and educates the patient/family regarding (1) the disease process, (2) self-care techniques, (3) end of life care and, and (4) the processes for dealing with issues of ethical concern.
11.Collaborates with facility case manager/discharge planner and community agencies to coordinate a plan of care and available resources.
12. Participates in facility committees relevant to the professional role and those that promote CH/CPCC philosophy and ideals.
Financial Stewardship
1. Achieves expected productivity standard (based on patient visits, coordination, and discharge planning) as defined by the organization and in alignment with best practices/the Capital Caring Health model.
Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.