Hospice NP- PRN

Pennant GroupPhoenix, AZ
14h

About The Position

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. The Nurse Practitioner provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, 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. Cornerstone Home Health and Hospice is dedicated to providing a comprehensive array of services within the Home Health, Hospice, and Home Care healthcare industries. Our offerings encompass a wide range of personalized care delivered directly within patients' homes, tailored to meet their unique needs and preferences. Within the realm of Home Health, our services include skilled nursing care, medication management, wound care, physical therapy, occupational therapy, speech therapy, and chronic disease management. In the Hospice setting, we provide compassionate end-of-life care, pain management, symptom control, emotional and spiritual support for patients and their families during this sensitive time. Additionally, our Home Care services extend to assistance with activities of daily living such as bathing, dressing, grooming, meal preparation, light housekeeping, companionship, and medication reminders, enabling individuals to maintain their independence and quality of life in the comfort of their own homes. Rooted in the belief of delivering life-changing service, we foster an environment centered on values like Ownership, Accountability, Celebration, Love, Intelligent Risk Taking, Passion for Learning, and prioritizing the Customer's needs. Through this ethos, we empower local agency leaders and caregivers to provide outstanding care to their communities, ensuring that compassionate care thrives in every home we serve. We are an equal opportunity employer committed to ensuring that all conditions and privileges of employment, including recruitment, hiring, evaluation, transfer, promotion, discipline, determination of compensation and/or benefits, and termination of employment, for all job classifications, are based on qualifications and work record. No employment decision is made, nor do we discriminate, on the basis of race, color, religion, creed, sex/pregnancy, sexual orientation, gender identity, gender expression, age, national origin, ancestry, citizenship, veteran status, or disability.

Responsibilities

  • 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.
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