PRN Hospice/Palliative NP - Brockton, MA

CONSTELLATION HEALTH SERVICES•, MA

5d•$1 - $1

About The Position

Constellation Health is seeking a Nurse Practitioner focused on hospice and palliative care to work on a PRN/per-diem basis in Brockton and East Bridgewater, Massachusetts. The Nurse Practitioner provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. This includes evaluating and assessing health histories, promoting health, diagnosing medical conditions, developing plans of care, prescribing medications or treatments, and coordinating care with patients, families, and other healthcare practitioners. The position includes visiting patients, conducting physical and face-to-face assessments, and evaluating hospice eligibility in consultation with the hospice interdisciplinary team. The Nurse Practitioner draws on community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. The role also involves communication and collaboration with patients, caregivers, physicians, interdisciplinary team members, and community practitioners; clinical documentation; regulatory compliance; and participation in quality improvement and 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, mathematical, and nursing skills, as assessed through a competency checklist.
Licensed driver with an automobile insured according to state or organizational requirements and in good working order.
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, or crouch considerably.
Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

Certification in a specialist area preferred, such as Hospice and Palliative Nursing (CHPN), Pediatrics, or Geriatrics.

Responsibilities

Provide medical care and palliate and manage terminal illness in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician.
Complete patient histories and physical examinations; evaluate medical conditions and health histories; order and interpret laboratory and diagnostic tests or procedures; diagnose health conditions; and document findings in the medical record.
Develop individualized plans of care, prescribe medications or treatments, obtain consultations or make referrals, and coordinate hospice care services.
Complete required hospice face-to-face visits before the third and subsequent benefit periods and assess hospice eligibility under applicable conditions of participation and local coverage determinations.
Provide clinical information to the hospice medical director to support interpretation of eligibility for hospice recertification.
Recommend patient eligibility for hospice certification and recertification to the hospice medical director.
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 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, physical examination notes, assessment visit notes, medical orders, collaboration notes, and other medical-record documentation.
Educate and counsel patients, families, and caregivers about preventive care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
Provide and maintain a safe environment for patients and help patients, families, caregivers, and team members maintain continuity of care.
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 nurture relationships with staff and community referral sources to facilitate program growth.
Maintain knowledge of and comply with current Medicare/Medicaid and state and federal rules and regulations for hospice services.
Ensure compliance with Medicare conditions of participation and other state healthcare regulations.
Comply with HIPAA requirements and applicable federal, state, and organizational policies.
Participate in monitoring the quality of medical services and in 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 and demonstrate knowledge of communication and counseling with patients and families about end-of-life issues.