Responsible for the evaluation and treatment of patients in the hospice and/or palliative programs. The Nurse Practitioner functions as a member of the Interdisciplinary Team/Group (IDT/IDG) and collaborates closely with the Medical Director/Chief Medical Officer, physicians, nurses and other health care professionals.
KEY REPORTING RELATIONSHIPS:
- Medical Director, Chief Medical Officer, Palliative Director or Clinical Director specific to the affiliate.
- Performs physical exams and conducts consultations to evaluate the patient’s health status, including relevant health and medical history and current physical or psychosocial complaints; formulates differential diagnoses based on the information obtained.
- Determines clinical appropriateness of hospice and/or palliative admissions, transfers from palliative care to hospice and discharge of hospice or palliative patients as needed. Provides appropriate recommendations of care such as hospice, rehabilitation, ongoing aggressive and/or palliative care. Collaborates with other healthcare providers and agencies to provide and coordinate services for patients and families/caregivers.
- Assesses the individual needs of the patient, including pain and symptom management, goal setting, clarification of treatment options, advanced care planning, illness and end-of-life issues. Participates in the development of the patient’s Plan of Care (POC) in IDT/IDG meetings, facilitating discussions and clarification of patient and family goals.
- Writes orders, prescribes medications and other treatment modalities for symptom control; communicates recommendations to referring provider and nursing staff.
- Orders and interprets laboratory and diagnostic tests relative to the patient’s needs.
- Conducts face-to-face visits with hospice patients at time of recertification according to statutory requirements.
- Prepares and maintains timely and accurate patient records to support sound medical practice and coding for reimbursement for services provided.
- Provides ongoing support to clinical staff.
- Works with HIM Department to ensure medical documentation is authorized/approved as required.
- Other duties as assigned.
- Supports the mission and values of hospice and palliative care.
- Provides patient care (neonates to geriatrics) as determined by the Plan of Care (POC) and in accordance with discipline. Utilizes critical thinking skills, education, mentoring, guidance and interventions to achieve goals of care.
- Possesses knowledge of patient rights; ensuring an atmosphere which allows for the privacy, dignity and well-being of all patients in a safe and secure environment.
- Understands the correlation between excellent patient care and the results of Hospice Item Set, CAHPS and other publicly-reported industry and/or accreditation quality benchmark programs.
- Treats patients, family members and other clients with concern and empathy; respects their confidentiality and communicates in a courteous and respectful manner. Maintains and respects professional and personal boundaries. Adheres to HIPAA regulations, and maintains confidentiality of all patients and families.
- Performs job duties within the standards of practice framework.
- Has proficient nursing skills and pain management knowledge, as well as principles of pharmacology including, medication dosages, calculations, interactions and side effects.
- Works independently with minimum direction, anticipates and organizes workflow, prioritizes and follows through on responsibilities.
- Attends team meetings and in-services on a regular basis. Participates in continuing education and professional development courses, to include annual education requirements as assigned to the discipline.
- Works in a high volume environment with rapidly changing priorities.
- Understands the importance of providing accurate and timely point-of-care documentation in Electronic Medical Record (EMR). Uses, clear concise and professional written and verbal communication.
- Responsible for meeting visit frequency, case load and/or visits per shift requirements; takes on-call rotation as needed and/or assigned.
- Possesses knowledge of necessary computer systems including Microsoft Office, Outlook and agency electronic medical records (EMR).
- Promotes a holistic approach to patient care.
- Cooperates with all co-workers; demonstrates flexibility to perform other duties as assigned.
Minimum Education: Graduate from a nationally accredited educational program as an advanced practitioner of nursing, or adult, family or geriatric nurse practitioner.
Minimum Experience: One to two (1-2) years of experience as a Nurse Practitioner; experience in Hospice, Internal Medicine, Family Practice, Pediatrics, Oncology or related field of medicine preferred .
- Current Colorado RN and APN/NP licenses.
- Board certified as Adult or Family Nurse Practitioner by the AANP or ANCC.
- Valid Colorado state driver’s license.
- Prescriptive authority and DEA number.
- Current CPR Certification (Pathways, The Denver Hospice and Pikes Peak affiliates).
- Must be able to obtain hospital privileges at all local hospitals.
- Ability to lift minimum of 50 lbs.
- Lifts, positions, pushes, and/or transfers patients
- Prolonged, extensive or considerable standing/walking/sitting
- Manual dexterity and mobility
- Visual and auditory acuity
- May be exposed to infections and contagious diseases
- Regularly exposed to risk of blood borne diseases
- Occasional exposure to radiation hazards
- Subject to varying and unpredictable situations
- Occasional exposure to unpleasant patient or unit elements (sound, odor, sight, behavior)
- May perform emergency care
- Exposure to variety of electro-mechanical hazards
- Able to maintain job performance in emergency or crisis situation