Care at Home Community Navigator

A critical member of our health care delivery team, KP Care at Home (KPCAH) clinicians help our members when they are at their most vulnerable. In this role, you’ll practice positive, compassionate care — working efficiently and safely. You’ll have the chance to immediately apply learnings to patient treatment while offering solutions to issues instead of contributing to issues. Our clinicians embody the KPCAH vision of providing world-class, high-quality care and support in the comfort of a familiar environment. This is an opportunity to show that you’re an effective healer, a highly adaptable team player, and an individual of impeccable integrity.

Job Type:Standard
Job Level:Entry Level
Travel:Yes, 75 % of the Time

Success Profile

We’re looking for Care at Home clinicians who possess the following traits.

Adaptable
Collaborative
Problem-Solver
Team Player
Sincere
Responsible

Benefits

Our compensation and benefits are designed to help you and your family stay healthy and thrive in and beyond work.

Our Culture

Our values, who we are and what we stand for, are represented by three core pillars:

Commitment - We are deeply committed to our members, their health, dignity, safety, and their choice to receive care and support in their home.

Compassion - We provide compassionate care to our patients who need services, are recovering, or have chosen to age with dignity in their home.

Comfort - We take seriously our responsibility to comfort our patients and support their caregivers to safeguard the quality of life of our patients.

Hear From Our People

Carlos

I started my nursing career in 2010, at the time I did not know anything about hospice or palliative care. I can tell you now that working as a hospice nurse has been one of the best decisions I have made in my life — I wouldn’t change it in a million years. I have been very blessed to be able to care for my patients and family members throughout these difficult times during the end-of-life process. As a hospice nurse, I appreciate that being able to treat them as family is something that aligns with the Kaiser Permanente core values.

Becky

PT
Riverside

It’s humbling to be able to work with people during some of their toughest days. Being a home health physical therapist for Kaiser Permanente gives me opportunities to connect with members and their family to improve their mobility. It is a rewarding experience to be able to help someone improve their overall health at home.

Jennifer

PTA
Riverside

I’m proud to assist patients in a unique setting within Kaiser Permanente health care — at a patient’s home. I can work with them in their own environment to address their specific needs during their physical rehabilitation. Being a part of Kaiser Permanente’s home care rehab team that delivers the highest quality care and compassion is an honor and I look forward to the rest of my career here.

Ali

PT
San Diego

I love being a part of the dedicated team at KP Care at Home. We’re a home health agency that exemplifies the high-quality care our communities deserve. We pride ourselves on extending Kaiser Permanente's incredible care into the home and to optimize recovery in one's comfortable surroundings. As a caring and compassionate person, KP Care at Home has supported me in being the best for my patients.

Michelle

LVN

Having been in health care for over 17 years in the home care setting, one thing that stands out in working for KP Care at Home is the ability to grow within the team. I love being able to hone in and master your skills and building such a great support system with colleagues. Teamwork is what makes an entity function like a well-oiled machine, and I’m proud to say that we have that in this team.

Care at Home Community Navigator

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Description:

Job Summary:

The Kaiser Permanente Care at Home (KPCAH) Care at Home Community Navigator (CAH CN), in conjunction with the other members of the agency admission care team, is responsible for activities and actions related to promoting the services and expertise of Hospice to patients and family members and to the community. The CAH CN requires the individual to customarily and regularly work within Kaiser Permanente (KP) and externally with the community to establish and promote Hospice services and coordinate care to assure smooth care transitions for utilization of KP Care at Home Hospice.

Essential Responsibilities:

The KPCAH CAH CN is responsible for:
Hospice program optimization develops and increases access to KPCAH Hospice services for Kaiser Permanente members within the appropriate agency service areas.
Cultivating positive relationships with KP staff, members, internal and external customers, and existing and potential partners within the community.
Responding to customer and community needs regarding community education as it relates end-of-life Hospice care services.
Clinical Operations:
Serves as a liaison between physicians, KP medical centers, KP contracted hospitals, skilled nursing facilities (SNF), community living (Assisted Living Facility (ALF) and Care and Foster Homes and assists with coordination of referrals/admission process and services, and resolution of patient issues.
Provides patient and family with information and resources on Advance Directive/POLST and coordinates follow-up with MSW as needed.
Responsible for KPCAH referral processes for Hospice, which includes:
Responds to inquiries, requests for information, and follows up on referrals for admission,
Provides information on programs and benefits.
Engages a colleague to enter orders/referrals in the electronic health record. For internalized hospice referrals, coordinates DME, medication, inclusive of home infusion medication and pumps with Agency/Team.
Coordinates care with ALF, Care Home and SNF, as above.
Ensures documentation is complete in the electronic health record.
Coordinates start of care with designated Agency representative to coordinate start of care then alerts patient/family and others (i.e., SNF, Care Home, ALF, etc.) to timeline as needed. Consults with KPCAH Agency Director of Patient Care Services/designee and/or Clinical Supervisor as needed.
Provides patient/family education related to KPCAH philosophy and available services.
May assist in securing the completion of requisite forms, such as Election of Benefit (BOE); documents Health Care Agent (family member, DPOA, conservator); identifies mortuary, if known.
Participates in medical center rounds (Care Without Delay (CWD), Inpatient Palliative Care (IPC), etc.) to proactively identify and assist with Hospice eligible patients and their families with care transitions at the right place and right time.
Participates in IDG meetings and works with the IDG to determine the patient/family plan of care as needed.
Exhibits excellent customer relations to patients, visitors, physicians, and co-workers; shows courtesy, compassion, and respect.
Conforms to the critical service standards established for the department and the medical centers.
Administrative/Community Education:
Engages in weekly community outreach with Admissions Coordinators and Business Development leaders at the contracted SNFs and surrounding residential care facilities to relationship build and facilitate timely Hospice placement.
Provide hospice education to contracted SNF/ALF/B&C facilities when applicable.
Maintain a comprehensive working knowledge in the field of community educational resources and share information with appropriate organizational personnel. Regularly ensure community education needs are met through assessments and strategies designed to meet community services as determined.
Establish and provide feedback about community, customer, and payer and patients perceptions of Kaiser Permanente Hospice as a high-quality provider in the community.
Identifies risk factors for community and family needs and makes appropriate referrals to agency activities as assigned. Actively participate in the Quality Assurance Performance Improvement (QAPI) process as directed by the Area Administrator and/or Director of Patient Care Services. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
Performs other duties as assigned.

Basic Qualifications:

Experience

One (1) year of community-based experience OR
One (1) year of KP work experience.

Education

High school diploma or GED.

License, Certification, Registration

Driver's License (from any state) required at hire

Basic Life Support required at hire from American Heart Association

Additional Requirements:

Requires daily on campus attendance and participation.
Requires weekly community outreach and visits with existing contracted providers, hospice placement settings and identifying new potential providers.
Requires attendance at Agencies and meetings as needed.
Demonstrated ability to work effectively & collaboratively within patients, multidisciplinary team, community agencies and institutions.
Demonstrated ability to communicate effectively with members of the hospice interdisciplinary team.
Proficient computer skills required such as EMR, Excel, Word, PowerPoint, etc.
Demonstrated ability to multi-task and manage complex situations.
Utilizes effective verbal and non-verbal forms of communication.

Preferred Qualifications:

One (1) year of recent (within the last three (3) years) experience as an LVN in a Home Health, Home-Based Palliative or Hospice, care, or acute care setting.
One (1) year of recent Admissions Coordinator or Business Development work in a SNF, Care Home, or ALF.
Case Management / discharge planning experience.
Experience in helping transition patients to the appropriate level of care (right place, right time).
Knowledge of medical terminology.
Active LVN License in Hawaii, if applicable (preferred, but not required).
Graduate of an accredited school as a Licensed Vocational Nurse, or
Bachelors degree in healthcare related field.

Primary Location: Hawaii,Honolulu,Moanalua Ancillary Building Scheduled Weekly Hours: 20 Shift: Day Workdays: Sun, Mon, Tue, Wed, Thu, Fri, Sat Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Part-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-HI-01|NUE|Non Union Employee Job Level: Entry Level Department: Moanalua Medical Center - Hospice Admin-Outpatient - 1201 Pay Range: $27450 - $35475 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Travel: Yes, 75 % of the Time On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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