Palliative and Hospice Nurse Practitioner (Full-Time, exempt)

Adoray Home Health & Hospice is looking for a compassionate nurse practitioner to join our Palliative and Hospice Team.

The Palliative and Hospice Nurse Practitioner provides compassionate, patient-centered care to individuals living with a serious or progressive illness. Works collaboratively with patients, families, caregivers, physicians, specialists, and interdisciplinary teams. The NP provides episodic acute care, chronic disease management, symptom management, and advance care planning. This role partners with Home Health, Palliative Care, and Hospice teams to coordinate care and support timely, seamless transitions between service lines as patient needs and eligibility change. The NP also completes and coordinates hospice face-to-face recertification visits to support continued hospice eligibility.

As a 40 hour/week, exempt position, you are eligible for the entire Adoray benefit package, including Medical, Dental and Vision insurance, Short-term Disability, Voluntary Life and AD&D, Accident, 401K, Paid Time Off and Extended Illness Bank.

Requirements

Minimum Qualifications

• Board Certified APN (as a Geriatric, Adult or Family Nurse Practitioner preferred).
• Three years of experience as a nurse practitioner in clinical nursing care of geriatrics, adult/family practice, or oncology preferred.
• Experience with home health, hospice and palliative care strongly preferred.

Knowledge, Skills and Abilities

• High level of attention to detail
• Ability to work autonomously and make independent judgments.
• Ability to manage conflicting priorities and handle multiple tasks/projects concurrently
• Ability to work well as part of a team and independently
• Exhibit excellent written and verbal communication and organizational skills
• Exceptional leadership skills
• Display and promote high standards of ethical conduct and behaviors consistent with organizational standards
• Reliable transportation

Physical Requirements

Job involves standing more than four hours per day; stooping, bending, lifting/pushing up to 25 lbs. are regularly required.

Essential Functions

• Works closely with the Hospice Medical Director and other Adoray providers to promote high-quality, patient-centered care.
• Works collaboratively with the Hospice and Palliative Care Manager(s) and other team members to ensure smooth day-to-day operations, ensure the care provided to patients meets agency and regulatory standards.
• Makes initial assessment and follow up visits to patient to Palliative patients.
• Conducts ongoing planning and assessment activities based on patient’s condition.
• Assesses for and provides patient and family education related to patient’s health situation on an ongoing basis (i.e., medications, disease processes, treatments, etc.) and provides written teaching information as appropriate.
• Facilitate Advanced Care Planning conversations.
• Codes chart utilizing comprehensive palliative care billing codes.
• Obtains Medicare and Medicaid provider statutes with the respective state carriers.
• Provides and documents medically necessary services in accordance with mutually acceptable physician/NP protocols.
• Develops the appropriate treatment plan that maximizes the health potential of the patient
• Consult with collaborative physician, consulting practitioner(s), primary care physician and other specialist physicians as appropriate.
• Assists in all facets of care coordination for referrals.
• Provides clinical guidance to facility staff relative to patient care issues, assessments and interventions.
• Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided, and support of appropriate medication uses.
• Develops and maintains collaborative relationships with community providers
• The NP completes and coordinates hospice face-to-face recertification visits to support hospice eligibility. These visits are completed no more than 30 calendar days before the third benefit-period recertification and each subsequent recertification and include documentation of clinical findings consistent with regulatory requirements and organizational policy.
• Participates in a rotating on call coverage schedule (Mon- Sun) that may include holidays
• Integral part of the hospice clinical team, completing incapacitations, H & P, and Face to Face visits as requested.
• Completes documentation within 24 hours of encounter.
• Participate in monthly Palliative IDG meetings for ongoing collaboration with the patient care team and Medical Director.
• Collaborate with Home Health, Palliative Care, and Hospice teams to coordinate care across service lines. Facilitates appropriate and timely transitions between services based on changing patient needs and eligibility.
• Participates in quality improvement activities, monitors compliance with established standards, and identifies opportunities to improve patient outcomes and care delivery.
• Provides community education on an occasional, scheduled basis, as requested and based on organizational needs.
• In collaboration with PCP, refers patient to medical specialists and/or healthcare services as indicated.
• Assists in all facets of care coordination for referrals
• Comply with applicable laws and regulations with respect to Delegation Protocol Agreements, prescriptive authority, and NP scope of practice.
• Assists in development of clinical practice guidelines/standards in support of quality care
• Other duties as assigned
• Develops the appropriate treatment plan that maximizes the health potential of the patient including, but not limited to:
• Ordering and interpretation of appropriate diagnostic tests within scope of practice
• Identifying appropriate pharmacology agents
• Identifying appropriate non-pharmacologic interventions
• Developing an education plan as appropriate
• Interpretation of laboratory and radiology tests within scope of practice
• Ordering of durable medical equipment