Position Summary
The Pediatric Advanced Practice Registered Nurse (Acute Care) is responsible for working in collaboration with the pediatric patient, primary care physician, medical director, clinical nursing leadership and other pediatric care team members in an active practice to deliver hospice and palliative care and related health care services to patients and families.
Primary Responsibilities
- Available as a consultant to patients, families and staff regarding end-of-life issues and to collaborate on symptom management, improve the patient and family experience of care, and improve the efficiency and effectiveness of resource use
- Provides direct patient care (or assists others to provide such care) to hospice patients and their families in collaboration with the patient’s primary care physician, the hospice physician, hospice nursing staff and volunteers, and other members of the care team including Social Work and Chaplain Services
- Care is directed at meeting the physical, psychological, social and spiritual needs of the patient and family
- Prescribes or recommends drugs or other forms of treatment
- Records physical findings, and formulates plan and prognosis, based on patient's condition
- Consults with the Medical Director and palliative care physician(s) as needed
- Consults primary physician of services provided and collaborates with other physicians to prepare comprehensive patient care plan
- Monitors and maintains progress of patients and reports progress to Medical Director
- Has the ability to work collaboratively with pediatric hospice employees and volunteers as part of an Interdisciplinary Group
- Participation in Interdisciplinary Group Meetings
- Provides on-call coverage during the extended hours and weekends as needed
- Provides training and continuing education to staff in collaboration with the education department
- Assists in development of clinical practice guidelines/standards/policies/procedures in support of quality palliative care
- Identifies needs within different stakeholder organizations and recommends the development of systems within Navian Hawaii to meet those needs
- Completes required face-to-face visits as assigned
- Providing clinical assessment results to the hospice medical director after making face-to-face visits with patients, as assigned
- Participating in the recertification process and collaborating with the Interdisciplinary Team to promote coordination of patient care
- Maintaining accurate, up-to-date records
- Other related duties as assigned by the Medical Director
Knowledge and Skills Requirements
- Demonstrates sound decision-making in the care of patients and families through use of the nursing process
- Work independently to plan and provide patient care
- Provide holistic nursing care to patients
- Identify psychosocial needs of caregivers and provide basic care to meet those needs
- Establish and maintain effective working relationships with staff, clients, family members, the public, and representatives of other agencies and organizations
- Communicate effectively with all levels of individuals
- Acute care or ICU experience highly preferred
Experience and Education Requirements
- Valid Registered Nurse License in the State of Hawai’i
- Valid Advanced Practice Nurse License in the State of Hawai'i
- Valid DEA/State NED Certification and full prescriptive authority
- Eligible to obtain NPI Medicare enrollment
- 2 years of experience of direct pediatric patient care required
- Hospice or Palliative experience preferred
- HPNA Certification preferred
Employment Requirements
- A legally compliant background check
- Drug screen & physical exam
- Valid Driver’s License
- Reliable transportation with valid registration and insurance
- TB clearance
- CPR BLS Certification
Working Conditions
- Indoors in patient homes or Hospice Hawai’i homes, nursing, and acute care facilities; may include outdoors in all types of weather
Work Location
This position is based in the field, requiring travel to patient homes, facilities, and offices throughout Oahu using a personal motor vehicle
Hours
- Generally, Monday through Friday 8am-4:30pm or 4 days a week from 8am-6pm
- Position may require weekend, night, or holiday availability
- Rotating night and weekend coverage
- Requires one week per month on-call availability
Salary
$108,000-$140,000 Annually
About Us
Navian Hawaii is a legacy kamaaina nonprofit hospice and palliative care organization deeply committed to serving our community. For more than 44 years, we have demonstrated compassion, dignity, and excellence in delivering care to individuals and families facing serious illness and end-of-life journeys. We proudly extend our services across Oahu as well as in-patient at our Kailua Home (closed for renovation, re-opening in 2027).