Available Positions

Navian Hawaii offer an excellent benefits package which includes medical/dental/life insurance, 403B Retirement Plan, PTO for vacation and sick time, flexible spending plans and other voluntary benefits.

All positions require a valid driver’s license, use of personal vehicle with valid insurance, registration and safety check.

Click on a position to see the full job description.

Admissions Nurse (FT)

Under the supervision of the Admissions Manager, the Admissions Nurse is responsible for generating and responding to referrals from hospitals and other community partners. The Admissions Nurse will possess and demonstrate the ability to develop strong relationships with hospitals, physicians, nursing facilities and other referral sources through outreach, education and networking. Working with the physician and interdisciplinary team, the Admissions Nurse provides education to patients and their caregivers about hospice, evaluates for eligibility and works with the interdisciplinary team to develop an initial plan of care utilizing principles of hospice and palliative care.

Primary Responsibilities:

  • Ensures all communication with referral sources is prompt, professional and emphasizes a strong commitment to customer service
  • Raises awareness of Navian Hawaii through the development of a strong presence in the health care community through vigorous outreach and education.
  • Educates patients and their caregivers about Navian Hawaii’s philosophy and services as well as the transfer process, insurance benefits, placement options and other necessary information. Obtains and communicates all relevant patient data for the determination of insurance benefits, discharge planning and care team follow-up.
  • Coordinates patient admission to Navian service, facilitates a smooth transition from hospital and/or transfer to contracted facility and arranges for the timely acquisition of all necessary equipment and services.
  • Documents and completes all activities in accordance with hospice protocol within the regulatory time requirement.
  • Provides report to nurse case manager, social worker, on-call staff and other personnel to ensure a trans-disciplinary team approach to patient and family care needs and goals.
  • May be required to assume on-call duties after hours or on holidays or weekends as assigned by the Admissions Manager.
  • Engages in regular educational activities including those offered through Navian Hawaii to improve own professional practice.
  • Performs other duties as required.

Knowledge and Skills Requirements:

  • Strong hospital and community referral network or demonstrates ability to develop one.
  • Outstanding communication, education, public speaking and customer service skills.
  • Ability to prioritize, problem solve, manage multiple tasks and work independently.
  • Ability to collaborate with others on the interdisciplinary team and with community partners.
  • Skilled in providing holistic care to patients and their families. Ability to identify and address psycho-social needs.
  • Knowledge of Centers for Medicare and Medicaid Services guidelines related to hospice care preferred.
  • Familiarity with insurance providers including Medicare, Medicaid and private insurance carriers.

Experience and Educational Requirements:

  • A current Hawaii license, in good standing, as a registered nurse. BSN preferred.
  • At least two years of experience in hospice, long term care, or related field.
  • Marketing/sales experience preferred.

Hours:
This is a salaried position. Schedule will either be 5 shifts per week of 8 hours or 4 shifts per week of 10 hours.

After Hours Nurse (FT)

We are currently seeking an After Hours Nurse (Full time) to assess the needs of the patients as well as their families after hours. The primary duties include but are not limited to making home visits to provide necessary skilled interventions as well as support for the patient and their families. All documentation of such visits will include; providing pertinent report to attending physician and/or obtains new medication orders; assessing the need for skilled nursing by phone; and reporting any administratively complicated situation to the Patient Care Manager.

Primary Responsibilities:

  • Uses clinical judgment to assess the needs of the patient and their families, and initiates intervention to meet the immediate needs by utilizing principles of palliative care and following (but not limited to) the following guidelines:
    • Assesses the need for skilled nursing by phone.
    • Makes home visits to calm a situation, to provide necessary skilled interventions, and when a patient expires.
    • When indicated, gives pertinent report to attending physician and/or obtains new medication orders.
    • Reports any administratively complicated situation to the Patient Care Coordinator
  • Seeks consultation from patient’s primary care physician or Navian Hawaii Medical Director and implements orders/recommendations.
  • Makes routine/follow up calls or home visits to new admissions and current patients while on duty, utilizing backup system as needed, in accordance with Navian Hawaii’s 24 hours per day 7 days per week service and admission policy.
  • Obtains updated patient information and physician orders by:
    • Accessing report via the voice mail system or directly from the RN Case Managers
    • Reviewing patient medical records in the EMR system or
    • From another On-Call RN with whom the start of work interfaces, whichever is appropriate to the timing of the start of duty hours
  • Clears calls with answering service within 10 minutes of receiving a phone message.
  • Documents all phone calls, home visits and medication orders in accordance with Navian Hawaii protocol.
  • Provides clinical report to Interdisciplinary Team regarding all occurrences during after-hours shift and interventions done for those occurrences by 7:00 AM.
  • If patient calls and/or visits are initiated within the last hour of the shift, call logs must be updated and re-distributed to staff before the end of the work shift.
  • Assumes the role of either primary or backup call when other After Hours staff is on leave.
  • Perform other related duties as assigned by the Patient Care Manager or Director of Clinical Operations.

Knowledge and Skill Requirements:

  • Ability to exercise independent, sound judgment in planning and providing patient care.
  • Ability to problem-solve, demonstrate reason and analyze situations.
  • Skilled in providing holistic nursing care to patients.
  • Ability to identify and provide for psychosocial needs of caregivers.
  • Ability to be flexible and organized in planning.
  • Ability to establish and maintain effective working relationships with staff, clients, family members, the public, and representatives of other agencies and organizations.
  • Ability to communicate effectively with all levels of individuals.

Experience and Educational Requirements:

  • Current Hawaii license as a Registered Nurse.
  • At least one year of experience, preferably in hospice care, but minimally geriatrics or long term care. Relevant experience as determined by the Patient Care Manager.

Hours:
Available to work 4:00 pm – 12:00 am or 12 am through 8:00 am (8 hour shifts), Monday through Friday, and 8:00 am – 4:00 pm on weekends and holidays.

Bereavement Counselor (FT)

The Bereavement Counselor (BC) assists in providing a quality bereavement program for Navian Hawaii comprised of delivering grief services to our clients. The BC demonstrates commitment to the philosophy, goals, and objectives of hospice care and works in coordination with other members of Navian Hawaii’s Interdisciplinary Team.

Primary Responsibilities:

  • Provide bereavement counseling and complicated grief follow-up for surviving family members.
  • Assists in evaluating and development of all aspects of the Bereavement Section and its programs.
  • Responsible for Condolence Cards, mailings, and follow-up calls.
  • Update Excel spreadsheet.
  • Involved in the implementation of the Bereavement Internship Program. Includes mentoring of the intern.

Bereavement Counseling:

  • Develop and implement the bereavement plan of care for family members in accordance with Medicare and Navian Hawaii guidelines. Document care in the medical record in accordance with established policies and procedures.
  • Provides bereavement counseling and complicated grief follow-up for surviving family members.
  • Collaborates with Interdisciplinary Teams on providing grief support, including support such as reviewing complicated cases and identifying bereavement risks for family members.
  • Develops grief resources for patient/families, support groups, and related departments.
  • Facilitates bereavement support groups.
  • Prepares reports as requested.

Community Support and Involvement:

  • Coordinates annual Memorial Service and other bereavement events.
  • Provide educational programs and materials for the staff and larger community on loss, grief and bereavement to enhance delivery of bereavement services.
  • Respond to community bereavement requests as needed (e.g. crisis outreach, one-on-one bereavement counseling, school and workplace outreach for sudden loss and community grief education.).
  • Provide support the Volunteer Department regarding the bereavement aspects of the Volunteer Training and volunteer bereavement services.

Experience and Educational Requirements:

  • Professional Clinical Degree from an accredited institution.
  • Bachelor’s degree or above preferred.
  • At least two years of direct practice experience in counseling clients with grief and loss issues in hospice or a related healthcare field preferred.

Clinical Manager (FT)

The Clinical Manager works alongside the Patient Care Managers and Admissions Manager in a hybrid role.

Primary Responsibilities:

Clinical Oversight for Admissions:

  • Works hand-in-hand with Admissions Manager in providing clinical oversight of admissions process
  • Works in collaboration with the medical team and admission nurses to determine eligibility for hospice and/or integrated care
  • Ensures compliance with State and Federal regulations regarding the obtaining and processing of referral information (ie: NOE, CTI, ICD-10, etc.)
  • Audits admission documents (ie: benefit period, HPOA verification, CTI/BE, F2F upon admission, change of attending forms,1147 etc.)
  • HIS corrections, extraction, and upload.
  • Review referral documents for special needs and provide necessary support and/or alternatives.
  • Provides clinical training to team members and work closely with Admission Manager in developing performance improvement plans.
  • Collaborates with Patient Care Managers to ensure smooth hand off from admissions to case management.
  • Supports Intake with necessary requests/verifications, etc.
  • Works with Kailua Home on possible admits into the facility.
  • Acts as the point person with referral sources for all clinical issues and/or admission needs.

Clinical Care:

  • Works in collaboration with Patient Care Managers in providing oversight of the Oahu field staff
  • Supervises Pod E (pink team) and Pediatrics clinical support
  • Provides direct supervision of assigned clinical team members to assure quality patient care, exceeding productivity standards, and compliance
  • Oversees Interdisciplinary Group Meetings in development, review and revision of the patient, family plan of care in accordance with CMS conditions of participation
  • Provides accurate and timely documentation of all patient care activities
  • Is an active member of QI Workgroup, and contributes to the analysis of quality data and implements Performance Improvement Plans to achieve quality goals
  • Performs supervisory visits with field staff

Experience and Educational Requirements:

  • Registered Nurse with current license (in good standing) with the State of Hawaii, BSN preferred
  • At least 3 years of management experience in a health care setting
  • Hospice Experience preferred
  • CPR Certification

Director of Clinical Operations (FT)

We are currently seeking a Director of Clinical Operations to join our team of passionate professionals who care for those in need. We need a seasoned nurse leader who values collaboration and service to be a part of a dynamic leadership team. Quality and service focus with the ability to strategically manage the Clinical Operations department while emphasizing the importance of compassion, ensuring that every patient and family served by your team has the best care possible.

Primary Responsibilities:

Clinical Care:

  • Responsible for the overall coordination and delivery of patient services delegating responsibility as appropriate to Patient Care Managers and other clinical support staff.
  • Works in conjunction with the Director of Clinical Administration to provide clinical leadership for the organization.
  • Oversees delivery of patient services and compliance with agency policy in all patient care settings, including care provided in the patients’ homes, in various hospitals and nursing homes, neighbor island program(s) and in Navian Hawaii’s Homes.
  • Assures scheduling, supervision and ongoing education of departmental staff.
  • Responsible for the maintenance of medical records, assuring accuracy, completeness and compliance with licensing regulations, certification standards, legal and ethical standards.
  • Chairs regular meetings of the Clinical Department.
  • Chairs regular meetings of the Clinical Team whose responsibility is the establishment of procedures governing the day-to-day provision of hospice care and services.
  • Provides guidance in communication, coordination, and effective operations related to patient care through development and utilization of recording and reporting systems, manuals and other resource materials.
  • Develops policies, procedures and guidelines to fulfill program objectives.
  • Serves as backup on call 24 hours/day 7 days/week as needed.
  • Participates in the quality assurance program, revising operations as indicated. 

Program Development:

  • Actively engages in the development of programs within Navian Hawaii in order to accomplish strategic objectives and other desired goals of the organization.
  • Directs the quality improvement/utilization review program, integrating quality outcomes with staff development activities.

Clinical Education:

  • Contributes to the development of in-service education for Navian Hawaii staff and volunteers.
  • Actively engages in public and professional education, directly through Navian Hawaii’s efforts and/or in collaboration with others in the community.
  • Supports Medical Students and Interns and works in collaboration with local universities.
  • Identifies educational needs of nursing facility staff related to hospice care and Navian Hawai‘i philosophy and assists in training nursing facility staff.

Administration:

  • Develops the annual budget proposal for the Clinical Department. Is responsible to maintain the departmental expenditures within budget or allowed variances.
  • Assists in the development of personnel policies and monitors compliance in areas of responsibility. Participates in the development and revision of written patient care objectives and procedures.
  • Serves as a member of Navian Hawaii’s Leadership Team and participates in overall agency planning.
  • Responsible for assuring compliance with licensing and Medicare certification, including all rules and regulations from Chapter 94.1 and CMS, as applicable.

Experience and Educational Requirements:

  • Current Hawaii license as a Registered Nurse.
  • Bachelor of Science in Nursing required, Master’s in related field preferred.
  • Management experience in a health care setting required.
  • Desired three years supervisory experience in a home health agency, hospice, or related program.
  • Demonstrated administrative ability including knowledge of health care policies/program responsibilities.
  • Experience in development of administrative policies and procedures and design of programs for implementation and compliance.
  • Demonstrated excellence in written and oral communication skills and team building

Director of Marketing & Development (FT)

Under the supervision of the President & CEO, the Director of Marketing & Development is responsible for providing leadership to staff and volunteers in the planning, implementation and evaluation of marketing and development activities required to achieve the business and campaign goals of Navian Hawaii. The Director promotes an integrated customer service campaign throughout the agency.

Duties and Responsibilities:

  • Shares in the overall planning and management of Navian Hawaii with special emphasis on customer service and development.
  • Responsible for planning, implementation and evaluation of overall marketing and development strategy, campaigns and related materials with the Marketing and Development Committee and any relative sub-committees.
  • Responsible for planning, implementation and evaluation of health care professionals marketing strategy and overall customer service activities, promoting an increase in the number of referrals and overall census.
  • Strategizes with the Management Team and appropriate program staff for achieving programmatic financial goals.
  • Supervises the Marketing and Development Team.
  • Continually seeks to improve and maintain development, marketing and management skills and knowledge.

Qualifications and Requirements:

  • Bachelor’s degree in related field and two or more years of experience in marketing, development or general business operations. Preferred experience in non-profits or health care industry.
  • Knowledge of the fundamentals of management, leadership, human relations, quality outcomes, customer service and the ability to practice these skills to achieve the objectives of Navian Hawaii.
  • Able to represent Navian Hawaii professionally and conduct business in an ethical and confidential manner.
  • Demonstrated skills in written and oral communications, consultation, training and supervision.
  • Ability to develop long and short range goals and follow through with implementation.
  • Ability to work harmoniously with a broad range of clientele, staff, volunteers and the community as a representative of Navian Hawaii.
  • Demonstrates ethical conduct and judgment that is in harmony with the mission and values of Navian Hawaii.

Supplies & Facilities Coordinator (FT)

The Supplies & Facilities Coordinator (SFC) will support our Patient Care staff by maintaining an adequately stocked inventory of the proper medical supplies necessary to meet the needs of our patients. This will be done by working closely with the Physicians and Patient Care Managers to order special requested supplies in addition to the standard items weekly for our patients and maintaining our inventory. The SFC will also support our operational success by coordinating the maintenance of Navian Hawaii’s facilities and inventory including but not limited to medical, , office and facility supplies. The SFC will ensure that our facilities receive consistent maintenance by creating and carrying out a maintenance schedule, complete minor repairs and oversee any projects which will enable us to provide the level of service that we promise to our patient’s and the community.

Primary Responsibilities:
Supplies
We must emphasize that the most important function of this position is to maintain our medical supplies inventory and to fill supply orders for our patients by retrieving the orders from QuickBooks that are entered by the Nurse Case Manager and then packing the listed items to be picked up and delivered by Patient Care staff for all locations.

Procurement:

  • The single point of contact working with outside vendors to order/ acquire medical, administrative, janitorial supplies and any special supply orders for special needs patients as approved by the Patient Care Manager for all locations: Iwilei, Kailua, Molokai, Lanai
  • Place Weekly supply orders and ensure the orders adhere to agreements and contracts; report non-conformances to Director of Finance.
  • Regularly run price comparison on frequent order items to ensure that the company obtain the best quality at the most cost-saving products and services
  • Maintains effective cost control over all supplies purchased via company credit cards; reconciles all receipts for submission to the accounting department monthly.
  • Track orders and confirm lead times, delivery dates, and costs, prepare and reports, and communicate potential interruptions to requestors.
  • Schedule/ expedite deliveries, resolve shortages, missed or late deliveries, and other problems
  • Responsible for updating and maintaining the procurement policies and procedures with new/ revised information on an ongoing basis.
  • Interface with department managers to plan and prioritize purchasing activities.
  • Review and sign off on packing slips prior to forwarding them to finance department.
  • Assist finance department in resolving reception and invoice discrepancies for all locations.
  • Prepare and submit Request for Proposal (RFP) for bids on orders/projects based on procurement policies.

Process Supply Orders:

  • Fill supply orders for our patients by retrieving the order from Quickbooks that are entered by the Nurse Case Manager, packing the listed items to be delivered and collecting the signed packing slip when packed supplies are picked up by the Patient Care staff
  • Weekly shopping for supplies including but not limited to grocery, and household/hardware items for Kailua Home which you are responsible for delivering.
  • Ships supplies to Molokai and Lanai as needed using the most appropriate/cost-efficient method through local suppliers, US Mail, or large-scale shipping carriers.
  • Close out all patient supply orders in QuickBooks daily by using the signed packing slips after the orders are picked up and delivered to ensure accurate inventory
  • Daily management and inventory of standard medical, office and building supplies by tracking usage and updating the prices and vendor information into QuickBooks inventory software.
  • Maintain inventory spreadsheet and perform inventory count bi-annually of all locations.
  • Follows through with customer inquiries, requests and complaints. Forwards difficult and non-routine inquiries or requests to appropriate level for resolution.
  • Responsible for receiving and distributing of all supplies to respective departments/ locations.
  • Maintains a clean and safe supply room by organizing, rotating, and discarding expired items

Facilities Maintenance

  • Perform daily inspections of the common areas in the office; including lunch and restrooms, copy areas etc.
  • Create and carry out a regular maintenance schedule for the following recurring tasks for all locations to ensure a clean environment:

Building Maintenance:

  • Termite Inspection
  • Air conditioning maintenance and repairs
  • Painting (Interior)
  • Floor Waxing
  • Carpet Cleaning
  • Window Cleaning
  • Fire Safety/Extinguisher Maintenance for Iwilei & Kailua

Operational:

  • Paper shredding services coordination
  • Janitorial Services
  • Furniture Repairs (Desks, tables, chairs, etc.)
  • Work with contractors and vendors while managing projects such as office renovations, updates and build outs for all locations.
  • Prepare weekly status report, tracking all ongoing and completed Facilities projects.
  • Facilitate office/conference rooms set up for meetings and events as well as coordinate internal office moves/changes.
  • Report and take steps to repair/ correct any deficiencies noted during facility inspections.
  • >Work closely with the landlord/property manager to maintain effective communications regarding office/facility needs.

Experience and Educational Requirements:

  • Associates Degree Preferred
  • 2-3 years of experience in Facilities Maintenance
  • 1-2 years of Inventory Management
  • Project management and database skills (for example: use of Access or SQL) are very desirable
  • Excellent written and verbal communication skills in English
  • Proficiency with computer skills, including Microsoft Office, Outlook, internet searches
  • Knowledge of general office equipment

Hours:
Generally Mondays through Fridays, 8:00 am through 4:30 pm. However, position requires after hours work including weekends and holidays, as needed.

Hospice Aide – Community (PT)

We are currently looking for a CNA to provide services that benefit our patients and their care givers. 

Primary Responsibilities:

  • Assists patients with personal hygiene, i.e., bathing, mouth care, skin care, hair care and shaving.
  • Assists patients with other ADL’s, i.e., toileting, dressing, feeding.
  • Assists with ambulation and transfer activities.
  • Assists with ROM exercises as ordered.
  • Positions for comfort.
  • Assists with use of equipment and devices.
  • Assists with nutritional and dietary needs as requested by the Nurse Case Manager.
  • Assists in providing a safe and sanitary environment for the patient, i.e., changes bed linen when necessary, tidies room as needed, adjusts lighting and placement of objects in the room for safety and comfort.
  • Reports to the Nurse Case Manager any significant changes in the patient’s condition or coping of the caregivers.
  • Documents all care in accordance with agency protocol.
  • Participates in Interdisciplinary Team conferences.
  • Performs other related duties as assigned by the Nurse Case Managers, the Patient Care Manager(s) or the Director of Nursing and/or Clinical Administration.
  • Collaborates with the Interdisciplinary Team on an ongoing basis to help assure quality and continuity of care.
  • Performs travel as required for patient/family care.
  • Complies with all established agency policies and procedures.
  • Provides related in-service education for hospice staff and volunteers.
  • Actively supports the mission of Navian Hawaii and exhibits hospice philosophy in all job-related roles.
  • Complies with all health and safety regulations and requirements.
  • Performs other duties as assigned.

Knowledge and Skills Requirements:

  • Ability to be flexible and organized in planning.
  • Ability to establish and maintain effective working relationships with staff, clients, family members, the public, and representatives of other agencies and organizations.
  • Ability to communicate effectively with all levels of individuals.

Experience and Educational Requirements:

  • Current certification as a home health aide or nurse’s assistant.
  • One year of direct patient care experience. Valid driver’s license and reliable transportation.

Nurse Case Manager (PT) – Moloka’i

We are currently seeking a Nurse Case Manager Part-Time on Moloka’i to utilize principles of palliative care and holistic philosophy to provide care that reflect skilled nursing judgement, medical necessity, measurable patient caregiver objectives and reasonable goals. The primary duties include but not limited to provide case management services to best benefit patients and caregivers; care provided reflects compliance with federal and state regulations; documents all nursing and case management activities in accordance with hospice protocol; participates in Interdisciplinary Team conferences and may be required to assume on-call duties after hours on holidays or weekends as needed.

Primary Responsibilities:

  • Works with the physician and the Interdisciplinary Team to assess, plan, implement and evaluate the plan of care for patients and their caregivers.
  • Utilizes principles of palliative care and holistic philosophy to provide holistic care. Provides direct supervision of Hospice Aides.
  • The Nurse Case Manager’s plans reflect skilled nursing judgment, medical necessity, measurable patient/caregiver objectives and reasonable goals.
  • Provides case management services to best benefit patients and caregivers.
  • Care provided reflects compliance with federal and state regulations, along with Navian Hawaii’s policies and procedures.
  • Documents all nursing and case management activities in accordance with hospice protocol and keeps attending physician informed of changes in patient condition.
  • Functions as primary nurse within the framework of an Interdisciplinary Team.
  • Requests support services from other Interdisciplinary Team members as appropriate.
  • Demonstrates good judgment in seeking and accepting guidance; facilitates clear and honest communication with other team members.
  • Participates in Interdisciplinary Team conferences and shares expertise with the team.
  • Maintains anticipated productivity as set by the Patient Care Manager, Director of Clinical Operations, President and Medical Director, patient caseload will vary, primarily based on patient census.
  • May be required to assume on-call duties after hours on holidays or weekends as assigned by the Patient Care Manager or designee.
  • Gives end of day report to the RN on-call at the end of each workday.
  • Travels as required for patient/family care.
  • Supports Quality Improvement, Performance Improvement and Compliance initiatives in accordance with direction from the clinical leadership team.
  • Engages in regular educational activities including those offered through Navian Hawaii, to improve own professional practice.
  • Other duties as assigned/required by the Patient Care Manager or Director of Clinical Operations

Experience and Educational Requirements:

  • A Current Hawaii license, in good standing, as a registered nurse. BSN preferred.
  • At least one year experience as a staff nurse in an acute hospital. Hospice and/or home health nursing experience preferred.

Social Worker (Part-Time)

We are currently looking for a Social Worker to join our team to work closely with hospitals, physicians and care providers to offer an additional layer of care, improve patient outcomes, reduce healthcare costs and extend lives. Our Social Workers conduct comprehensive bio-psycho-socio-cultural assessments for patients and families receiving end-of-life care and create and implement therapeutic treatment plans.

Primary Responsibilities:
The primary duties include but not limited to provide crisis intervention, individual, couple and group therapy to patients and families for a diverse range of issues related to grief/loss, adjustment to illness, relationships/family dynamics, mental health, abuse, symptom/pain management, spirituality and bereavement. Participates in the provision of social work services in a transdisciplinary care team setting and collaborates with team members in developing a patient centered plan of care. Lastly, participates in regular clinical supervision with designated Clinical Social Worker.

Experience and Educational Requirements:

  • Master’s Degree in Social Work from an accredited school of social work;
  • Possession of a current license to practice as a Licensed Social Worker (LSW) in the State of Hawaii;
  • At least one year of experience in a related social work field.

How to Apply

Navian Hawaii offer an excellent benefits package which includes medical/dental/life insurance, 403B Retirement Plan, PTO for vacation and sick time, flexible spending plans and other voluntary benefits.

All positions require a valid driver’s license, use of personal vehicle with valid insurance, registration and safety check.

Interested candidates, please email your resume with salary requirements to

hr@navianhawaii.org

No phone calls please.

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