Nurse Practitioner - PPV

Compassus • Alpena, MI

5d

About The Position

The Nurse Practitioner provides hospice and/or palliative care to patients with chronic, complex, life-threatening, or terminal conditions and supports their families. The role includes patient assessment, disease and treatment education, symptom management, care coordination, and collaboration with primary care providers, specialists, the Compassus Medical Director, and the interdisciplinary team. The Nurse Practitioner helps patients and families maintain comfort and coping, and must flex their schedule to meet agency needs. Depending on the services provided, the role may include hospice recertification, emergency visits or admissions, outpatient palliative care visits, and after-hours emergency care.

For hospice care, the Nurse Practitioner conducts routine and emergency assessments and recertification visits, documents findings, communicates with clinicians and the interdisciplinary team, and provides physical and emotional support during periods of crisis. For palliative care, the role includes bedside assessments and education, clinical evaluation and management, ordering and interpreting tests, prescribing medications within delegated authority and licensure, coordinating referrals, maintaining records, billing and coding, and supporting treatment goals and advance care planning. The palliative care PPV schedule requires at least four days of availability per month, but does not guarantee a minimum number of visits.

The position also involves educating patients and caregivers, contributing to staff training and clinical practice standards, supervising or participating in the supervision of trainees, maintaining confidentiality, and completing required documentation within 24 hours of visits. The role requires travel and a flexible schedule that may include nights and weekends. The work involves routine standing, walking, manual dexterity, and lifting or moving objects up to 50 pounds, as well as exposure to bodily fluids, infectious diseases, and conditions typical of healthcare settings.

Requirements

• Master’s degree in Nursing.
• Active, unencumbered CNS or Nurse Practitioner license in the state of employment.
• Nurse Practitioner certification in Adult, Family, Acute, or Geriatric practice.
• Active NPI number.
• Maintain active DEA certification if the state allows APPs to prescribe controlled substances.
• If providing hospice care: at least one year of nursing practice or equivalent experience.
• If providing palliative care: at least five years of nursing experience.
• For states other than Iowa, a current collaborative physician agreement must be in place.
• Ability to perform arithmetic calculations involving whole numbers, fractions, decimals, rates, ratios, and percentages.
• Ability to read and interpret business and professional publications, technical procedures, and governmental regulations; write reports, correspondence, and procedure manuals; and present information and respond to questions.
• Strong written and verbal communication, organizational, and time-management skills.
• Ability to understand, read, write, and speak English and to articulate and embrace hospice philosophy.
• Ability to maintain confidentiality of patient and company information.
• Ability to travel and work a flexible schedule that may include nights and weekends.
• Ability to meet the role’s physical demands, including regular standing, walking, manual dexterity, and lifting or moving objects up to 50 pounds.

Nice To Haves

• For hospice care: hospice, oncology, home health, or long-term care experience.
• For palliative care: clinical nursing care experience in oncology, hospice, geriatrics, or intensive care.
• Board Certification in Hospice and Palliative Care.

Responsibilities

• Perform routine, urgent, and emergency patient assessments, including hospice recertification visits and palliative care evaluations.
• Record observations, treatments, and other relevant patient information, and submit required clinical documentation within 24 hours of visits.
• Communicate patient findings, needs, and symptom-management measures to the Medical Director, attending physician, DCS, and interdisciplinary team as appropriate.
• Provide physical and emotional care and support to patients and families, including during periods of crisis.
• Help prevent unwarranted hospitalizations by addressing patient and family needs in the home.
• Perform bedside palliative care and educate patients and families about care, disease processes, goals, symptom control, treatment options, prognosis, and advance care planning.
• Assist with diagnosis, treatment, and management of acute and chronic health conditions.
• Order, perform, and interpret laboratory and radiology tests within the scope of professional practice.
• Prescribe medications, including controlled substances, to the extent delegated and licensed.
• Order treatments and durable medical equipment and perform other indicated therapeutic measures.
• Consult with palliative care physicians or designees, inform primary physicians about services provided, and collaborate with other physicians.
• Coordinate palliative care referrals and collaborate with the interdisciplinary team on clinical and psychosocial interventions.
• Maintain accurate patient records, charts, and documents to support medical practice and reimbursement.
• Complete billing and coding activities for patient encounters according to CMS guidelines.
• Comply with applicable laws and regulations concerning Collaborative Agreements and maintain patient, family, staff, and organizational confidentiality.
• Assist patients and families with setting treatment goals and ongoing plans of care, and communicate goals to the interdisciplinary team.
• Participate in monthly interdisciplinary team meetings with the market team.
• Provide training and continuing education for staff and assist in developing clinical practice guidelines and standards for palliative care.
• Supervise nurse trainees, including graduate and advanced practice nurses, and participate in supervising other trainees as applicable.
• Maintain consistent communication with the manager regarding availability and triage consults by patient acuity.
• Define professional growth goals, participate in professional activities and organizations, and engage in self-care activities.
• Perform other duties as assigned.

Benefits

• Competitive pay.
• Flexible time off.
• Tuition reimbursement.
• Wellness programs.
• Career development, including leadership pathways, mentorship, and personalized professional development.
• Recognition programs.

What This Job Offers

• Job Type: Full-time