Advanced Practice Provider - Palliative Care/Hospice

Monument Health Rapid City Hospital•Rapid City, SD

About The Position

Under physician supervision, the Nurse Practitioner may assume primary responsibility in the specialty area in accordance with applicable federal, state, and local regulations. The position manages selected at-risk or complex patients and patient populations in collaboration with physicians, nurses, and other healthcare team members. The provider uses clinical knowledge, critical thinking, and skills to plan, coordinate, and provide continuing care. This is a blended inpatient/outpatient practice, with more than 20% of work in each setting. The provider acts as an agent of the supervising physician for delegated medical services within the Advanced Practice Clinician’s scope of practice. The role involves assessing, diagnosing, treating, and managing patients’ healthcare needs; applying clinical interventions; evaluating outcomes; and adjusting care plans. The provider may share practice call requirements and perform procedures in the practice; there is no operating room or first-assist requirement. The provider completes timely documentation, complies with applicable scope-of-care requirements and physician guidance or protocols, and makes appropriate referrals or transfers. The role includes comprehensive or problem-focused assessments, ordering tests and therapies in collaboration with medical staff, ongoing patient assessment and care planning, recognizing and responding to patient and family distress, and responding appropriately to emergencies. Other duties may be assigned.

Requirements

Certified Nurse Practitioner (CNP) certification in South Dakota, as applicable: South Dakota Board of Nursing and South Dakota Board of Medical and Osteopathic Examiners.
Certified Nurse Practitioner (CNP) certification in Wyoming, as applicable: Wyoming State Board of Nursing and Wyoming Board of Medicine.
Knowledge of disease processes and the ability to conduct comprehensive health histories and physical examinations or problem-focused assessments.
Ability to work within the applicable scope of practice and under physician supervision.

Nice To Haves

At least 1 year of clinical experience.
At least 1 year of healthcare experience.

Responsibilities

Assess, diagnose, treat, and manage patients’ healthcare problems and needs.
Apply clinical interventions, evaluate outcomes, and implement changes to the plan of care.
Anticipate and communicate changes in patient status to meet patient needs.
Act as an agent of the supervising physician for delegated medical services within the Advanced Practice Clinician’s scope of practice.
Complete thorough and timely documentation in accordance with facility policy.
Comply with applicable federal, state, and local scope-of-care regulations and with supervising physician guidance or protocols.
Refer or transfer patients appropriately and provide referral information to patients and physicians.
Conduct comprehensive health histories and physical examinations or problem-focused assessments, as appropriate to the patient’s status.
Order appropriate tests, procedures, and therapies in collaboration with medical staff and in accordance with organizational and unit-specific policies and procedures.
Perform and document ongoing patient assessments and formulate plans of care in collaboration with other medical providers.
Recognize physical, developmental, and psychosocial distress in patients and families, and provide appropriate interventions.
Respond appropriately to emergency situations based on individual patient needs.
May share in practice call requirements.
May perform procedures in the practice.
Perform other duties as assigned.