Registered Nurse Advance Care Planning
About The Position
The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members. The RN Advance Care Planning Facilitator serves as a clinical expert in advance care planning, serious illness communication, and patient-centered decision making. This role facilitates advance care planning conversations, supports completion of advance directives and POLST/POST/MOST documents, provides caregiver education and training, and promotes system-wide adoption of advance care planning best practices. The facilitator works collaboratively with primary care, specialty care, palliative care, care management, social work, and community partners to ensure patients' healthcare preferences are understood, documented, and accessible.
Requirements
- Current Registered Nurse license.
- Minimum three years of RN experience, including acute, care management, hospice, and palliative care.
- Experience facilitating goals-of-care or serious illness conversations.
- Strong communication, presentation, and education skills.
- Demonstrated ability to work independently and collaboratively across multidisciplinary teams.
- Experience with electronic medical record documentation.
Nice To Haves
- Palliative care, hospice, care management, oncology, geriatrics, or chronic disease management experience.
- Advance Care Planning Facilitator Certification.
- Respecting Choices certification or equivalent ACP training.
- Experience developing educational materials and training programs.
- Quality improvement or program development experience.
Responsibilities
- Facilitate advance care planning conversations with patients and families.
- Assist patients with completion of advance directives and state-specific ACP documents.
- Facilitate POLST/POST/MOST discussions consistent with organizational policies and state regulations.
- Provide education regarding goals of care, surrogate decision makers, and treatment preferences.
- Support centralized ACP referral processes and patient outreach activities.
- Conduct ACP facilitator training programs and competency validation.
- Educate caregivers and clinical teams on ACP workflows, documentation standards, and communication skills.
- Review ACP documentation quality and work collaboratively with HIM and clinical teams to improve documentation accuracy.
- Participate in quality improvement initiatives, data collection, reporting, and program evaluation activities.
- Serve as a consultant and resource for ACP practices across the organization.
- Collaborate with palliative care leaders on ACP strategy, implementation, and program growth.
Benefits
- Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
