PRN Hospice NP - Cleveland, OH

CONSTELLATION HEALTH SERVICES•Highland Heights, OH

20h•$1 - $1•Onsite

About The Position

Constellation Health is seeking a Hospice Nurse Practitioner to provide hospice services in Cleveland, Ohio. The role provides medical care and symptom management for terminal illness under the supervision of a collaborating physician and in compliance with the state Nurse Practice Act. The Nurse Practitioner assesses patients, evaluates hospice eligibility, develops and directs individualized plans of care, prescribes medications or treatments, and coordinates care with patients, families, caregivers, physicians, and the hospice interdisciplinary team. The position includes home and community-based patient visits, face-to-face eligibility assessments, clinical documentation, education and counseling, and participation in quality improvement and professional development activities.

Requirements

Graduation from an accredited School of Nursing and an accredited Nurse Practitioner program.
Current DEA license.
Current nursing licensure in the state and CPR certification, as required by state regulations.
Required licensure, education, training, and qualifications under applicable rules, regulations, laws, or statutes for the role in the state.
Previous home care or hospice experience; hospice/palliative experience is required.
Accreditation from an approved certifying body for advanced practice nursing, as required by the state.
Excellent observation, verbal and written communication, problem-solving, and mathematical skills, and nursing skills demonstrated per competency checklist.
Licensed driver with an automobile insured in accordance with state or organizational requirements and in good working order.
Ability to walk or stand for prolonged or considerable periods; lift, position, or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, or crouching.
Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

Certification in a specialist area, such as Hospice and Palliative Nursing (CHPN), pediatrics, or geriatrics.

Responsibilities

Provide medical care and palliate and manage terminal illness under the supervision of a collaborating physician and in compliance with the state Nurse Practice Act.
Complete patient histories and physical examinations; order and interpret laboratory and diagnostic tests or procedures; diagnose health conditions; and document findings in medical records.
Develop individualized plans of care, prescribe medications or treatments, obtain consultations or referrals, and coordinate hospice care services.
Complete required face-to-face visits before the third and subsequent hospice benefit periods, assess hospice eligibility, and provide clinical information to the hospice medical director for recertification interpretation.
Make recommendations to the hospice medical director regarding patient eligibility for hospice certification and recertification.
Review clinical information and coordinate and oversee patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners.
Collaborate with interdisciplinary team members to ensure appropriate measures are taken to control patient symptoms.
Review and develop treatment protocols and propose intervention options based on literature in collaboration with the collaborating physician.
Consult the collaborating physician when a patient's plan of care falls outside standardized practice and protocols.
Communicate and collaborate with the interdisciplinary group to create, review, and revise patient plans of care.
Consult with attending physicians, the hospice medical director, and other healthcare practitioners about hospice eligibility, ongoing care needs, and medical management related to terminal conditions.
Coordinate plans of care with community health practitioners and attend and participate in hospice interdisciplinary group meetings.
Complete, maintain, and submit accurate clinical notes, examination and assessment notes, medical orders, collaboration notes, and other medical-record documentation.
Educate and counsel patients, families, and caregivers about preventative care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
Help provide a safe patient environment and continuity of care for patients and families or caregivers.
Work with families, caregivers, and the hospice interdisciplinary group to identify goals of care and meet patient and family needs.
Serve as a nursing resource and provide consultation and education to interdisciplinary team members and community healthcare practitioners.
Build and maintain relationships with staff and community referral sources to support program growth.
Maintain knowledge of and comply with Medicare and Medicaid requirements, applicable state and federal regulations, Medicare conditions of participation, and HIPAA requirements.
Participate in monitoring medical-service quality and quality-improvement initiatives.
Maintain and develop professional knowledge and practice skills through continuing education, seminars, conferences, and in-service classes.
Fulfill requested and accepted assignments and demonstrate knowledge of communication and counseling with patients and families about end-of-life issues.