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 practice
• Identifying appropriate pharmacologic agents
• Identifying appropriate non-pharmacologic interventions
• Developing an education plan as appropriate
• Interpretation of laboratory and radiology tests within scope of practice
• Ordering 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.

QUALIFICATIONS

Adoray expects employees to understand and to incorporate the values of our organization in their day-to-day practice. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Qualifications

• Graduate of an accredited Geriatric, Adult or Family Nurse Practitioner Master’s program.
• Board Certified APN (as a Geriatric, Adult or Family Nurse Practitioner preferred).
• Experience with home health, hospice and palliative care strongly preferred.

Knowledge, Skills and Abilities

• High level of attention to detail
• Ability to work autonomously and make independent judgments.
• Ability to manage conflicting priorities and handle multiple tasks/projects concurrently
• Ability to work well as part of a team and independently
• Exhibit excellent written and verbal communication and organizational skills
• Exceptional leadership skills
• Display and promote high standards of ethical conduct and behaviors consistent with organizational standards