Nurse Practitioner - Hos

ROCKY MOUNTAIN CARE GROUP•Green River, WY

7d•Onsite

About The Position

Provides nurse practitioner care to terminally ill hospice patients as needed, supports patients’ families in the home-care setting and during bereavement, and works as a member of the hospice team. The position is supervised by the Clinical Director and Medical Director and supervises nurses. It involves working with patients, families, the interdisciplinary group (IDG), and other health care team members. The Nurse Practitioner assesses and manages patient care, including diagnoses, diagnostic and laboratory testing, medication and nonpharmacologic treatment plans, symptom management, and coordination of care. The role also includes educating and supporting patients and families, supervising and training nursing personnel, maintaining hospice records, participating in team conferences and on-call coverage, and coordinating care for patients in specified facility settings. The work requires independent judgment, flexibility, and the ability to respond to crises outside a hospital setting. Physical demands include considerable effort throughout much of the day, including kneeling, squatting, reaching, twisting, climbing, walking, and maximal-assist lifting or transferring of a 100-pound patient. Working conditions may include exposure to odors, blood, body fluids, excrements, adverse environmental conditions, and hazardous materials. A current valid driver’s license, auto liability insurance, and reliable transportation are required.

Requirements

Graduate from an accredited school of nursing.
Graduate-level nurse practitioner education at the master’s, post-master’s, or doctoral level, and national board certification.
Current license to practice as a registered nurse practitioner in the state; practice within duties permitted by the state.
Ability to work independently and make accurate, sometimes quick, judgments.
Ability to supervise others appropriately.
Ability to respond appropriately to crises outside a hospital setting.
Acceptance of and adaptability to different social, racial, cultural, and religious modes.
Complete the hospice training program.
Current valid driver’s license, auto liability insurance, and reliable transportation.
Provide evidence of an annual TB test and other state-required tests or examinations.
Ability to meet the physical demands of the role, including maximal-assist lifting or transferring of a 100-pound patient.
Ability to tolerate exposure to odors, blood, body fluids, excrements, adverse environmental conditions, and hazardous materials.
Ability to work independently, make judgments based on assessments and available data, and act accordingly.
Flexibility, innovation, good interpersonal skills, and the ability to cope with mental and emotional stress while demonstrating emotional stability.
Sight and hearing senses, or appropriate adaptive devices, sufficient to perform the essential duties.

Nice To Haves

Minimum 2 years of experience as a registered nurse practitioner, preferred.
Active patient contact within the past three years, preferred.

Responsibilities

Regularly assess and reassess hospice patients’ needs.
Order, perform, supervise, and interpret diagnostic and laboratory tests.
Initiate and manage treatment plans, including prescribing medications and nonpharmacologic treatments.
Make diagnoses.
Observe signs and symptoms and report unexpected changes in patients’ physical or emotional conditions to the physician and IDG members.
Teach, supervise, educate, and counsel hospice patients and family members about patient care.
Supervise and train nursing service personnel.
Develop and reevaluate patient and family care plans with the IDG to meet needs and maintain continuity of care.
Perform nursing procedures as needed, including treatments and symptom management, following doctors’ orders.
Attend team conferences.
Maintain records required by hospice.
Follow hospice policies and procedures, maintain confidentiality, and safeguard patient information in compliance with HIPAA.
Notify the supervisor when unable to meet a patient’s need or perform a procedure.
Participate in the on-call system and provide on-call coverage when unavailable for assigned duties.
Maintain skills and knowledge.
Work using the interdisciplinary group concept of patient care.
Coordinate implementation of plans of care for patients residing in SNF, NF, ICF, or MR settings.
Organize the work schedule and manage time to attend required meetings.
Comply with hospice infection-control policies and protocols.
Assist with orientation, teaching, and training as requested.
Perform face-to-face encounters and document them.
Perform other duties as assigned by the Clinical Director.