Nurse Practioner

Anchor Health -

Anchor Hospice

Job Title / Position :  Hospice / Palliative Care Nurse Practitioner (NP)

Reports To :  Clinical  Director

JOB DESCRIPTION SUMMARY

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinicaltraining who provides comprehensive hospice services in compliance with the state Nurse Practice Act andunder the supervision of a collaborating physician. He / She provides hospice care through the evaluation andassessment of the health history, health promotion, diagnosing medical conditions,  management of healthproblems by directing and developing the plan of care, prescribing medications or treatments,   coordinatingand collaborating with patients, families and other healthcare practitioners. Under the supervision of aphysician, the nurse practitioner visits patients, completes physical assessments, performs face to faceassessments 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 meetthe need of individuals and families within their homes and communities.

ESSENTIAL JOB FUNCTIONS / RESPONSIBILITIES

Patient Care

1.              Provides medical care, palliates and manages terminal  illness in compliance with   the state NursePractice Act under the   supervision of a collaborating physician.

2.              Completes history and physical examinations by evaluating the patient's medical condition and healthhistory, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosinghealth  conditions and documents the findings in the patient's  medical record.

3.               Manages health conditions and terminal illnesses  by developing an individuaiized plan of care,prescribing medications and  /  or treatments, obtaining consultations or making referrals andcoordinating hospice care services.

4.               Completes the hospice face to face visit requirements prior to the third and  subsequent hospicebenefit periods to assess hospice eligibility based on the hospice conditions of participation and thelocal coverage determinations. Provides clinical information to the hospice medical director forinterpretation for eligibility for hospice recertification.

5.               Makes recommendations to the hospice medical director regarding patient eligibility for certification   and   recertification   for   hospice   care.

6.               Reviews clinical information, coordinates and oversees patient care in consultation with the hospiceinterdisciplinary team and other healthcare practitioners.

7.              Assures that patient receives appropriate measures to control symptoms, through collaboration   with   interdisciplinary   team   members.

8.

Reviews and develops protocols for treatment and proposes options  for interventions based on the literature in collaboration with thecollaborating physician.

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9.               Consults   the   collaborating physician   when   the   patient's   plan   of   care   is   outside   standardized practice and protocols.

Communication

1.       Communicates   and   collaborates   with   the   interdisciplinary   group   to   create,   review   and revise the patient's plan of care.

2.       Consults with   the patient's attending   physician, the   hospice medical   director and   other healthcare   practitionersregarding   the   patient's   eligibility   for   hospice   care,   ongoing   care needs and medical   management related to   the patient's terminal condition.

3.       Communicates   with   other   community   health   practitioners   to   coordinate   the   plan   of  care.

4.       Attends   and   participates   in   hospice   interdisciplinary   group  meetings.

5.       Completes, maintains and submits   accurate and   relevant clinical   notes, physical examination   notes,   assessmentvisit   notes,   medical   orders,   collaboration   notes   and   other documentation in the medical record.

6.       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.

7.       Provides   and   maintains   a   safe   environment   for   the  patient.

8.       Assists   the   patient   and   family / caregiver   and   other team   members   in   providing continuity of  care.

9.       Works in   cooperation   with the family / caregiver   and   hospice interdisciplinary group to identify   the   goals of careand meet   the care   needs   of   the   patient and tamily / caregiver.

10.    Serves   as   a nursing resource   for   consultation   and   educations   to   members   of   the interdisciplinary team andother healthcare practitioners in   the community.

11.    Establishes,   builds   and   nurtures   relationships   with   staff   and   community   referral   sources   to facilitate program growth.

Additional  Duties

1.       Maintains   knowledge   of   and   compliance   with   current   Medicare / Medicaid,   state / federal   rules and regulations for hospice services

2.       Ensures   compliance   with   the   Medicare   conditions of   participation   and   other   state regulations   govern the provision of healthcare.

3.        Complies   with   all   Health   Insurance   Portability   and   Accountability   Act   (HIPAA)   requirements in   accordance with federal, state and   organizational   policies.

4.       Participates   in   organizational   monitoring   of   the   quality   of   medical   services   and   quality improvement initiatives.

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5.       Assumes responsibility   for personal growth. Develops, maintains and upgrades professional   knowledge   andpractice   skills through attendance   at   seminars,   conferences and participation   in   continuing education and in-service   classes.

6.       Fulfills   the   obligation   of   requested   and / or   accepted  assignments.

7.       Demonstrate   knowledge in   communication   and   counseling   patient / family   in   dealing   with end-of-life issues.

POSITION  QUALIFICATIONS

1.       Graduation   from   an   accredited   School   of  Nursing

2.       Has   a current   DEA  license

3.       Completion of an accredited Nurse Practitioner Program   which   conforms   with the Board's educational   standardsset forth   in   the California Code   of   Regulations   Section 1484 or certification   by   a   national   organization / associationwhose standards are   equivalent to   those set forth   in the   California Code of Regulations Section 1484 or   aregistered   nurse   who   has not completed a   nurse practitioner   program of   study which  meets  the Board ofRegistered Nursing's   educational standards   as   specified   in   the   California Code of   Regulations   Section  1484.

4.       Current   nursing   licensure   in   State   and   CPR  certification.

5.       Master's   degree with   a   minimum   of   one (1)   year   Nurse Practitioner experience and   a minimum of one (1) year hospice or palliative care experience.

6.        Accreditation from   an   approved certifying   body for   advanced practice   nursing as required by State.

7.       Certification in   a   specialist   area   preferred; (e.g.   Hospice   and   Palliative Nursing   (CHPN), Pediatrics or Geriatrics)

8.       Excellent   observation, verbal   and   written   communication   skill,   problem   solving skills, mathematical skills; nursing skills per competency checklist.

9.        Prolonged or   considerable   walking or standing.   Able to   lift, position and /   or   transfer patients.   Able   to   liftsupplies   and   equipment.   Considerable   reaching,   stooping,   bending, kneeling and / or   crouching. Visual acuity and   hearing to   perform   required   nursing skills.

10.    Must   be   a licensed   driver   with   an   automobile   that   is   insured in   accordance   with   state / or organizationrequirements   and is in   good working order.