PRN Hospice/Palliative NP - Richmond, VA
About The Position
Constellation Health is seeking a Hospice/Palliative Nurse Practitioner in Richmond, Virginia, for a per diem role with a flexible schedule. The Nurse Practitioner provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The position includes assessing patients’ health histories, promoting health, diagnosing conditions, managing health problems, developing plans of care, prescribing medications or treatments, and coordinating with patients, families, and healthcare practitioners. The practitioner visits patients, completes physical and face-to-face assessments, and evaluates hospice eligibility in consultation with the hospice interdisciplinary team. The role also draws on community resources to plan and direct services for individuals and families in their homes and communities. The practitioner provides and coordinates medical care for patients with terminal illnesses, documents clinical findings, assesses eligibility for hospice benefit periods, and collaborates with physicians and the interdisciplinary team on care planning and symptom management. The position also involves educating patients, families, caregivers, and colleagues; maintaining compliance with applicable regulations and privacy requirements; and participating in quality improvement and ongoing professional development.
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 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, as well as nursing skills demonstrated through a competency checklist.
- Ability to walk or stand for prolonged or considerable periods.
- Ability to lift, position, or transfer patients and lift supplies and equipment.
- Ability to reach, stoop, bend, kneel, and/or crouch considerably.
- Visual acuity and hearing sufficient to perform required nursing skills.
- Licensed driver with an automobile insured according to state or organizational requirements and in good working order.
Nice To Haves
- Certification in a specialist area, such as Hospice and Palliative Nursing (CHPN), Pediatrics, or Geriatrics.
Responsibilities
- Provide medical care and manage terminal illness in compliance with the state Nurse Practice Act and under a collaborating physician’s supervision.
- Complete patient histories and physical examinations; order and interpret laboratory and diagnostic tests or procedures; diagnose conditions; and document findings in medical records.
- Develop individualized plans of care, prescribe medications or treatments, obtain consultations or referrals, and coordinate hospice services.
- Complete required face-to-face visits before the third and subsequent hospice benefit periods and provide clinical information to support eligibility and recertification assessments.
- Recommend patient eligibility for hospice certification and recertification to the hospice medical director.
- Review clinical information and coordinate and oversee patient care with the hospice interdisciplinary team and other healthcare practitioners.
- Collaborate with interdisciplinary team members to ensure appropriate symptom control.
- Review and develop treatment protocols and propose intervention options 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 care plans.
- 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 care plans with community health practitioners.
- Attend and participate in hospice interdisciplinary group meetings.
- Complete, maintain, and submit accurate clinical notes, assessment and examination 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.
- Provide and maintain a safe environment for patients and support continuity of care with families, caregivers, and team members.
- Work with families, caregivers, and the interdisciplinary group to identify goals of care and meet patient and family needs.
- Serve as a nursing resource and educate interdisciplinary team members and community healthcare practitioners.
- Build and maintain relationships with staff and community referral sources to facilitate program growth.
- Maintain knowledge of and comply with Medicare/Medicaid and state and federal hospice-service rules and regulations.
- Ensure compliance with Medicare conditions of participation and other state healthcare regulations.
- Comply with HIPAA and applicable organizational, state, and federal policies.
- Participate in monitoring medical-service quality and quality-improvement initiatives.
- Maintain and develop professional knowledge and practice skills through seminars, conferences, continuing education, and in-service classes.
- Fulfill requested or accepted assignments.
- Demonstrate knowledge of communication and counseling with patients and families about end-of-life issues.
Benefits
- Flexible schedule
