Job description

JOB SUMMARY: The Hospice and Palliative Care Nurse Practioner is a key role with hospice and palliative care clinical operations to ensure optimal patient care delivery and staffing resources.

ESSENTIAL FUNCTIONS

Palliative Care

• Works collaboratively with the team in the development and implementation of the palliative care program.
• Reviews intake information of all palliative care patients and assigns to an appropriate case manager (including self).
• Works collaboratively with the Hospice and Palliative Care Manager(s) and other team members to ensure smooth day-to-day operations, ensure the care provided to patients meets agency and regulatory standards.
• Makes initial assessment visit to patient to admit patient to palliative home health services.
• Determines need for other disciplines (OT, SpT, SW) or services, and obtains order and notifies office staff.
• Determines frequency of visits for patients.
• Develops and updates realistic, measurable patient goals with patient and/or caregiver.
• Conducts ongoing planning and assessment activities based on patient’s condition.
• Assesses for and provides patient and family education related to patient’s health situation on an ongoing basis (i.e., medications, disease processes, treatments, etc.) and provides written teaching information as appropriate.
• Codes chart utilizing comprehensive palliative care billing codes.
• Upon hire, annually and as needed for revisions at times other than the annual review; signs, dates and complies with the Delegation Protocol Agreements and protocols that describe prescribing privileges, treatments, tests and procedures that define the scope of APN practice.
• Uses the nursing process as the framework for managing patient care.
• Obtains Medicare and Medicaid provider statutes with the respective state carriers.
• Meets with collaborating physician in accordance with applicable state and federal law.
• Provides and documents medically necessary services in accordance with mutually acceptable physician/NP protocols.
• Develops the appropriate treatment plan that maximizes the health potential of the patient including, but not limited to:

Ordering and interpretation of appropriate diagnostic tests within scope of practiceIdentifying appropriate pharmacologic agentsIdentifying appropriate non-pharmacologic interventionsDeveloping an education plan as appropriateInterpretation of laboratory and radiology tests within scope of practiceOrdering of durable medical equipment

• Consult with collaborative physician, consulting practitioner(s), primary care physician and other specialist physicians as appropriate.
• Assists in all facets of care coordination for referrals.
• Provides disease management instruction and education to patients and their families.
• Provides clinical guidance to facility staff relative to patient care issues, assessments and interventions.
• Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided, and support of appropriate medication uses.
• Acts as a clinical resource to coordinate complex cases for safe and appropriate transitions to other care settings.

Hospice

• Completes Face to Face Encounter patient visits within required timeframe for all hospice patients approaching their 3rd or greater benefit period.
• Serves as primary care provider for hospice patient if patient desires.
• Documents medical history, pertinent patient information, disease progress, functional and physical decline, medication usage, and/or diagnostic studies as required to complete the Face-to-Face Encounter patient visit.
• Educates/counsels patient, families and/or caregivers regarding medical management, psychological issues, and spiritual concerns as needed in conjunction with the IDT to meet the total needs of patients.
• Participates in IDT meetings and care conferences as requested but will not replace Physician as a member of the IDT.
• Assists the hospice team as necessary in the development of a comprehensive assessment of patient and families.
• Provide on-call phone triage for case managers on weekly rotating basis.
• Provides physician back up and coverage responsibilities where appropriate, including writing prescriptions and narcotic refills as needed for partner
• Provides vacation coverage for partner hospital geriatric providers in the home, skilled nursing facility or assisted living.

Job Type: Part-time

Pay: $110,000.00 - $120,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical specialties:

• Hospice & Palliative Medicine

Weekly schedule:

• Monday to Friday

Work Location: On the road

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