Supportive/End of Life (EOL) Care Navigator
Sentara Health
Summary
Care Navigator serves as a vital resource for patients experiencing End of Life (EOL) issues in an in-patient hospital, Assisted Living Facility/Skilled Nursing Facility, emergency department or ambulatory practice. This role is dedicated to guiding patients through the often-complex health care system, ensuring they receive the appropriate support for Advanced Care planning (ACP) and exploration of post-acute hospice or palliative treatment that is available.
Job description
Job Description
- Prepare pre-rounding notes on patients when appropriate
- Attend huddles, rounds, and clinics as required to be available for patient consultation
- Review patient electronic medical records for ACP/living will and hospice/palliative eligibility
- Assist patient/families with location and review of existing documents and upload to chart
- Assist/facilitate completion or creation of advance care planning and support decision making
- Assure medical Power of Attorney (mPOA) demographics correctly documented in electronic medical record
- Make recommendations to patient/families, providers for next steps
- Collaborate with case management, hospice care transition coordinators, providers, facility staff, as appropriate to facilitate discharge to home or post-acute site
Key Responsibilities
- Meet with identified patients to establish their personal values and how they affect their medical treatment plan
- Search electronic medical record (Epic) for any advanced care plan (ACP) documents and review them with patient/family
- Facilitate completing ACP documents as needed
- Provide End of Life/Hospice education
- With patient/family consent, collaborate with case management/freedom of choice if required, to facilitate timely referrals to appropriate care
- Ability to adapt to diverse care environments
- Ensures Accountability
- Time management
- Instills Trust
- Manages Conflict
- Resourcefulness
- Self-Development
- Situational Adaptability
Requirements
- 1 year of healthcare experience in acute care, long-term care, home health, hospice, skilled nursing facility, or community-based program services
- Previous experience in end of life conversations, goals of care, hospice work preferred
Benefits
- Medical, Dental & Vision
- Adoption, Fertility & Surrogacy Reimbursement
- Paid Time Off & Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term & Short-Term Disability
- Critical Illness Plans
- Life Insurance
- 401(k)/403(b) Employer Match
- Tuition Assistance
- Student Debt Pay Down
- Pet Insurance
- Legal Resources Plan
- Annual Discretionary Bonus
Company overview
Sentara Health is a leading not-for-profit integrated healthcare delivery system serving Virginia, northeastern North Carolina, and Florida. Founded in 1888 and headquartered in Hampton Roads, Virginia, Sentara operates 12 acute care hospitals across its service area, with 10 hospitals holding prestigious Magnet® recognition for nursing excellence. The organization employs approximately 34,000 healthcare professionals and serves over 1 million health plan members through its Sentara Health Plans division. As one of the top 20 largest not-for-profit integrated health systems in the United States, Sentara is nationally recognized for clinical quality, safety, and innovation. The system has received numerous accolades including Health Quality Innovator of the Year (2024), Forbes' "America's Best-In-State Employer" (2024), and inclusion in IBM Watson Health's "Top 15 Health Systems." Sentara's comprehensive services span hospital care, outpatient facilities, home health, hospice services, and specialized programs like the Nightingale air ambulance service, which has completed over 20,000 missions since 1982.