Per Diem Hospice and Palliative Nurse Practitioner

Qualifications

• Current unrestricted Nurse Practitioner in Michigan required. Minimum of one-year experience in a Medicare-certified home health/hospice agency preferred. Demonstrated knowledge of home health nursing/hospice and/or outpatient services preferred. Willing and able to meet the agency need to support hospice Medical Director/designee. Understanding of performance improvement with the ability to communicate and operationalize performance improvement initiatives at the departmental and organizational level. Excellent interpersonal skills, sound judgement, effective organizational, prioritization and follow-through skills, attention to detail, tact, dependability, emotional intelligence, ability to maintain confidentiality and promote positive, constructive relationships with communication and collaboration at all levels required. Positive, professional interpersonal skills. Meets health requirements demanded of all clinical/field staff who provide service through the agency. Position Specific Responsibilities
• Performs routine and urgent assessments: Availability PRN/Contingent Conducts medical evaluations of predominantly elderly, frail, seriously ill patients in their home environment. Orders, performs, and interprets laboratory and radiology tests within scope of professional practice to assess patient’s clinical problems and health care needs. Prescribes medications including controlled substances to the extent delegated and licensed. Orders treatments and durable medical equipment as indicated. Performs other therapeutic measures as indicated. Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Communicates these goals among Interdisciplinary Team. Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborate with other physicians as needed. Assists in all facets of care coordination for palliative care referrals. Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided. Ensuring continuity of care by serving as a liaison between patient and other members of the multidisciplinary care team or with other specialty areas. Participates in Quality Assurance activities and committee related to Nurse Practitioner scope of practice and policies/procedures. Complies with applicable laws and regulations with respect to Collaborative Agreements. Provides training and ongoing education and onboarding support for staff. Defines goals for professional growth and participates actively in professional activities and organizations. Engages in active and frequent self-care activities for personal and professional growth and longevity. Adheres to the practice of confidentiality regarding patients, families, staff and the Organization.
• Collaborates/communicates with Medical Director, attending Physician, hospital staff, and Interdisciplinary Team: Participates in Interdisciplinary Team meeting bi-weekly. Collaborates/communicates with Interdisciplinary Team needs of patient for clinical and psycho-social interventions. Assists in identifying the need for intervention of other Interdisciplinary Team members. Effectively communicates patient and family needs to Interdisciplinary Team. Completes and submits required clinical documentation within 24 hours of visit completion.
• Educates patient and caregiver regarding: Care of patient. Disease process. Goal setting. Symptom control. Treatment options. Prognosis. Advance Care Planning.
• Supervises nurse trainees, including graduate and advanced practice nurses in field placements.
• Must be able to operate an automobile/has access to personal transportation.
• Able to lift/transfer/push/pull up to 100 pounds infrequently using assistive techniques and devices appropriate to manage the task.
• Must be able to complete multi-tasks and meet multi-deadlines.
• Proactively promotes census growth and seeks to offer care that meets the unmet diverse needs of the community.
• Performs other duties as assigned.