Nurse Practitioner - Hospice - PRN

St. Gabriel's Hospice & Palliative Care•Weatherford, TX

2d•Onsite

About The Position

The Nurse Practitioner assists physicians in overseeing clinical care and treatment for hospice patients and their families. The role consults with attending physicians in collaboration with the hospice physician, provides clinical direction to the Interdisciplinary Group/Team, and performs home visits and face-to-face encounters for palliation and management of terminal illness and related conditions. The Nurse Practitioner serves as a member of the Interdisciplinary Group/Team and reports to the Hospice Administrator. The position provides patient- and family-centered education and support, contributes to plans of care, supports clinical staff and attending physicians through consultation and education, and communicates changes in patient needs and outcomes. It also includes documentation, compliance support, on-call responsibilities as assigned, and travel to patient homes and other work locations. The work takes place in patient homes under varied conditions, may involve exposure to bodily fluids and infectious diseases, and requires a flexible schedule and local travel. Physical demands include prolonged standing and walking, lifting up to 50 pounds, and moving patients.

Requirements

Graduate of a Baccalaureate School of Nursing and a Nurse Practitioner-focused master's or doctoral nursing program.
Current state Registered Nurse license and Advanced Practice Nurse license.
Current driver's license, reliable transportation, and valid auto liability insurance.
Two years of experience as an Advanced Practice Nurse; clinical care setting experience preferred, particularly hospice or home health.
Knowledge of the psychosocial, ethical, legal, and medical aspects of hospice care.
Ability to establish and maintain effective working relationships with patients' families, staff, the Governing Body, the Interdisciplinary Team, and physicians.
Ability to work collaboratively with multidisciplinary teams.
Excellent problem-solving and decision-making capabilities.
Commitment to patient-centered care and family support.
Ability to work a flexible schedule, travel locally, and respond to PRN emergency calls.
Ability to stand and walk for prolonged periods, lift up to 50 pounds, and move patients.
Ability to work under stressful conditions, meet deadlines and patient needs, make quick decisions, and address individualized psychosocial needs.
Eye-hand coordination and manual dexterity.
Ability to communicate and exchange accurate information effectively with patients, families, physicians, coworkers, and visitors.
Ability to listen attentively, understand information, ask appropriate questions, and exercise independent judgment.
Ability to use logic and reasoning to assess alternative solutions and approaches.
Ability to view a tablet and Electronic Health Record and review, assess, record, or type data quickly and accurately.
Ability to identify resources needed to provide quality patient care.

Nice To Haves

End-of-Life or Palliative Accreditation, Certification, or Specialty Practice; examples include HPM Fellowship, HPM Certification, ABMS, AOA, and HMDCB.
Clinical care setting experience, particularly hospice or home health.

Responsibilities

Collaborate with the Interdisciplinary Group/Team to evaluate terminal disease and provide appropriate palliative treatment.
Consult on and assist with developing patient and family plans of care.
Educate patients and families about disease processes, self-care, and end-of-life care.
Provide training, clinical education, consultation, and medical direction to staff and attending physicians as needed.
Perform and document patient and family visits according to the plan of care and their needs.
Coordinate with attending and consulting physicians, in collaboration with the hospice physician, regarding palliative care.
Actively participate in the Interdisciplinary Group/Team and communicate effectively with patients, families, team members, physicians, and other health care professionals.
Inform physicians and other personnel of changes in patient needs and intervention outcomes, and evaluate patient and family responses to care.
Complete assigned face-to-face encounters before the third benefit period and during each subsequent period, and provide assessment results to the hospice physician.
Perform home visits, patient assessments, and interventions as requested by the Interdisciplinary Group/Team.
Provide consultation on palliative and end-of-life care and complete face-to-face assessments as needed.
Promote compliance with fiscal intermediaries and other third-party payors through education, coaching, and assistance.
Use infection-control measures and support the hospice's goals, vision, philosophy, and administrative policies.
Submit all required paperwork accurately and on time, and meet industry caseload and productivity standards.
Perform on-call responsibilities and provide on-call services to patients and families as assigned.
Maintain professional growth, competency, and effective working relationships with patients, families, staff, the Governing Body, the Interdisciplinary Team, and physicians.
Travel to patient homes and office or support-center locations to provide care or education.