Nurse Practitioner - Per Visit

JOB SUMMARY

The Nurse Pra c titio n er is a registere d pro f essiona l nurse w i th advan c ed graduate education and clinical training who p r ovi d es c omprehensive hospi c e s ervi c es in compliance wit h the s tate Nurs e Pr a ctice Act and under the supe r vis i on of a colla b orating phys i cian. The Nurse Pra c tit i oner p r ovides hosp i ce c are through the evalu a tion an d asses s me n t of the health h isto r y, hea l th promot i on, d i agnosing medical condition s , management of health p r oblems by di r ecting and deve l oping the pl a n of ca r e, pr e scribing medic a tions or treatments , coordinating and collabor a ting with pat i ents, f a mili e s and othe r healthca r e practitio n ers.

Under the s u pervis i on o f a phys i cian, t h e nurse pra c tit i oner visits p atients, compl e tes physical assessments , per f orms face to face a s sessments and evaluate s hospi c e eligibility as assigned in consultat i on with the hosp i ce interdi s ciplinary te a m. The nurse pra c titio n er builds from t h e r e sour c es of the communi t y to plan an d direct serv i ces to meet th e need of individuals and f a milies within t h eir homes and communities.

II. DUTIES & RESP O NSIBI L ITI E S Patient Car e

1. Provides medical ca r e, pall i ates and manages te r mina l illness in compliance with the st a te Nur s e Practi c e A c t under t h e su p ervis i on of a c olla b orating physician.
2. Completes his t ory and physical ex a minat i ons, b y eva l uating the patie n t's medic a l condit i on and health history, ordering a n d interpreting r esults f r om labora t ory and diagnostic tests or procedure s , diagnosing h e alth condit i ons and d oc u ments th e findings in the p a tient's medical record .
3. Manages h ealth condition s and te r minal illnesses by d eve l oping an individualize d plan of care, prescribing medicat i ons a n d / or t r eatment s , obtaining consultat i ons or making r eferrals and coordinating hospi c e ca r e s ervi c es.
4. Completes the hospi c e fa c e to face visit requirement s prior to the third and subsequent hosp i ce benefit per i ods to assess h ospice eligibility ba s ed on the hospi c e c ondition s of p a rticipation and the local coverage d ete r m i nations. Provides clinical i n formatio n to the hospi c e medical director for interpretat i on for eligibility for hospice r ece r tificat i on.
5. Makes recommendat i ons to the hospi c e medica l director r egarding patient eligibility for certific a tion and r ece r tific a tion for h ospice care.
6. Rev i ews clinical info r m a tion, coordinate s and ove r sees patient care in consultat i on wit h the hospice interdisciplinary team and othe r healthca r e p r actitio n ers.
7. Assures tha t patien t re c eives appropriate me a sures to cont r ol s ymptoms throu g h colla b orat i on with interdi s ciplinary te a m members.
8. Rev i ews and develop s proto c ols f or t r eatmen t and propo s es opt i ons fo r inte r ventions base d on the lite r ature in colla b orat i on wit h the colla b orating p hysician.
9. Consults the collabo r ating physician when the pat i en t 's plan of care i s outsi d e standardized practice and p r oto c ols. Communicatio n
10. Communic a tes and colla b orates with t h e interdi s ciplinary group to cre a te, r ev i ew and revi s e t h e patient's plan of ca r e.
11. Consults with t h e patie n t's attending physician, the h ospice medical di r ector and other healthcare pr a ctit i oners r e garding the patient's eligibility for hospice care, ongo i ng care n e eds and medica l mana g ement related to the pat i ent's te r minal c ondition.
12. Communic a tes with othe r communi t y hea l th pract i tioners to coordin a te t h e pla n of care.
13. Attends and part i cipates i n hospice interdisciplinary g r oup meetings .
14. Completes, maintains and submits accurate and re l evant clinical notes , physica l ex a mination notes , asses s ment visit notes, medical orde r s, collaboration n ote s and other d o c umentat i on in the medical r ecord.
15. Educates/ c ounsels pat i ent s , famil i es, and/or careg i ve r s as to pr e ve n tative ca r e, medica l problems, p s ycho l ogical p r obl e ms, and spiritua l prob l em s in c onjunction with t h e interdisciplinary te a m to meet the tota l need s o f pati e nts.
16. Provides and mai n tains a s afe e n viro n men t fo r the p a tient.
17. Assists t h e patie n t and f a mily/ca r egiver and other te a m member s in providing continuity o f care .
18. Wor k s in c ooperat i on w i th the family/careg i ve r and hospice i n terdisciplinary group to identi f y the goal s o f car e and meet the ca r e need s o f the p a tient and fami l y/caregiver. 10 . Serve s as a nursing re s our c e fo r consultat i on and edu c ations to mem b ers of t h e i nterdisciplinary te a m and other h ealthcar e practitio n ers in t h e c omm u nity. 11 . Establishes, builds and nur t ures relat i onships with sta f f and community referra l sources to facilitate progr a m g r owth. Additional D u ties
19. Maintains k n ow l edge of a n d compliance with cur r ent Medica r e/Medicaid, state/federal rules and regulations for h ospice serv i ces
20. Ensures c ompliance with the Medicare condit i ons of participation and ot h er state regulat i ons govern the p r ovision of h ealthcare.
21. Complies with all Health I n surance Por t ability and A ccountability Act (H I PAA) r e q uireme n ts in accordan c e w i th fede r al, state and organizational p ol i cies.
22. Participa t es in organizat i onal monitoring of the quality of medi c al se r vic e s and q u ality improveme n t initiat i ves.
23. Assumes res p onsibility for personal g r owth. Deve l ops , maintain s and upgrades p r ofess i onal know l edge and pra c tice sk i lls through attendance at seminars , conferen c es and participation in continuing educat i on and i n-servi c e clas s es.
24. Fulfills the obligat i on of r equested an d /or acce p ted assignments.
25. Demon s trate k n owledge i n communicat i on and counseling patien t /fami l y in dealing with end-of-life iss u es . III. JOB REQ U IREMENTS (Education, Experie n ce, Knowl e dge, Skills & Abili t ies)
26. Graduation f r om an a c cre d ited School of Nursing and accredite d Nurse Pract i tio n er P r ogr a m.
27. Master's degr e e w i th a mi n imum o f one (1) year Nur s e Pr a ctit i oner exper i ence a nd a min i mum of one ( 1) yea r hospi c e or p alliative car e ex p erience.
28. Current nursing licensur e i n State and CP R ce r tificat i on.
29. Accreditat i on f r om an app r oved ce r tifying b ody for a d vanced pra c tice nursing as required by State .
30. Certificat i on in a speciali s t area pre f erred; (e.g. H ospi c e and Palli a tive Nursing ( C HPN), Pediatri c s or G eriatrics) .
31. Excelle n t obse r vat i on, ver b al and writ t en communic a tion skill, p r obl e m so l ving skills, math e m a tical s kills; nursi n g skills per competen c y checklist.
32. Pro l onged or considerabl e walking o r standing. Able to lift , posit i on and / or tra n sfer patie n ts. Able to lift supplies and e q uipment. C onsiderabl e re a ching, stooping, bending, kneeling and/or crouching. Visual acuity a n d hearing to per f orm requ i red nursing skills.
33. Must be a li c ensed driver with an automobile tha t is i nsured in accordance with state/o r organization r equir e ment s and is in good working or d er. The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.