Affinity Hospice

Hospice Nurse Practitioner PRN

Location

Birmingham, AL

Type

Part Time

PRN Nurse Practitioner

Position Overview

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/she provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, and management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating and collaborating with patients, families, and other healthcare practitioners. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face-to-face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities.

Essential Job Functions

  • Must be able to read, write, speak, and understand the English language
  • Must have reliable transportation to travel to patient homes per patient schedule and agency needs, as appropriate
  • Using effective body mechanics, must be able to lift 20 lbs. floor to waist; lift 10 lbs. waist to shoulder; lift and carry 20 lbs. and push/pull 40 lbs.
  • Must be able to ensure agency is in compliance with all applicable federal, state, and local regulatory agencies
  • Must be able to sit, stand, bend, lift, and move intermittently throughout the work day
  • Must be able to document and chart appropriately and within specific time frames
  • Must be able to follow physician orders and nursing treatment plans for patients
  • Must be able to (or assist with) lift, turn, move and position patients
  • Must be able to knowledgeably and competently deliver nursing care to patients
  • Must be able to evaluate patient needs through ongoing assessment and revise care plans based on changes in patient condition
  • Must be able to concentrate and use reasoning skills and good judgment
  • Must be able to communicate and function in an interdisciplinary team
  • Must practice regular and dependable attendance
  • Must be able to coordinate and oversee medical care and treatment and provision of services of other professionals to patients

Specific Requirements

  • Must be able to read, write, speak, and understand the English language
  • Must have excellent verbal and written communication, organizational, problem solving, and basic math skills
  • Must be competent in standard Microsoft Office applications, internet, and email
  • Must comply with accepted professional standards and practice
  • Must have excellent observation and good nursing judgment
  • Must be able to concentrate and use reasoning skills
  • Must be able to interact professionally with the community
  • Must possess the ability to work harmoniously with professional and non-professional personnel
  • Must be knowledgeable of nursing practices and procedures based on state practice acts
  • Must be self-directed and possess leadership and supervisory skills
  • Must understand and follow company policies and procedures
  • Must possess the ability to make independent decisions when circumstances warrant such actions
  • Must have a valid driver’s license and auto liability insurance with automobile being in good working condition
  • Must be able to multi-task and accept additional duties as assigned
  • Must present a professional image
  • Must practice regular and dependable attendance

Education and Experience

  • Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program and Current nursing licensure in State and CPR certification
  • Master's degree with a minimum of (1) year Nurse Practitioner experience and a minimum of (1) year hospice or palliative care experience
  • Accreditation from an approved certifying body for advanced practice nursing as required by State
  • Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics)
  • Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist
  • Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills
  • Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order

Working Conditions

  • Will work in and travel to patient homes as well as agency office
  • Sits, stands, bends, lifts, and moves intermittently during working hours
  • Subject to frequent interruptions
  • Attends and participates in continuing education programs
  • Possible exposure to infectious waste, diseases, conditions, etc. including exposure to the AIDS and Hepatitis B viruses
  • Subject to hostile and emotionally upset patients, family members, caregivers, etc.
  • May work beyond normal working hours, weekends, and holidays as needed and in other positions temporarily as necessary
  • Involved with patients, associates, caregivers, government agencies/personnel, etc. under various circumstances

General Responsibilities

  • Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis, treatment and follow-up for patients referred to palliative care.
  • Establish the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team
  • Provides medical care, palliates, and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician
  • Completes history and physical examinations, by evaluating the patient’s medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient’s medical record
  • Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating hospice care services
  • Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification
  • Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care
  • Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners
  • Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members
  • Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician
  • Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols
  • Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care
  • Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition
  • Communicates with other community health practitioners to coordinate the plan of care
  • Attends and participates in hospice interdisciplinary group meetings
  • Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record
  • Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients
  • Provides and maintains a safe environment for the patient
  • Assists the patient and family / caregiver and other team members in providing continuity of care
  • Works in cooperation with the family / caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family / caregiver
  • Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community
  • Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth
  • Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services
  • Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare
  • Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies
  • Participates in organizational monitoring of the quality of medical services and quality improvement initiatives
  • Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes
  • Fulfills the obligation of requested and/or accepted assignments
  • Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues

 

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Company Website: www.affinityhospice.com

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