PRN Hospice/Palliative NP - Derry, NH

CONSTELLATION HEALTH SERVICES•, NH

18h•$1 - $1•Onsite

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 Derry, Bradford, and Nashua, New Hampshire. The Nurse Practitioner provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The role includes evaluating patients’ health histories, promoting health, diagnosing conditions, developing plans of care, prescribing medications or treatments, and coordinating care with patients, families, and healthcare practitioners. The Nurse Practitioner visits patients, completes physical and face-to-face assessments, and evaluates hospice eligibility in consultation with the hospice interdisciplinary team. Services are planned and directed using community resources to meet the needs of patients and families in their homes and communities. The position provides medical care and symptom management for terminal illness; conducts examinations and reviews diagnostic information; develops individualized care plans; supports hospice eligibility and recertification assessments; and coordinates care with physicians, patients, families, and the interdisciplinary team. The Nurse Practitioner also maintains accurate clinical documentation, educates patients and caregivers, follows applicable regulations and organizational policies, and participates 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.
Previous home care or hospice experience is required; hospice/palliative 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, and nursing skills per competency checklist.
Licensed driver with an automobile insured in accordance with state or organizational requirements and in good working order.
Ability to walk or stand for prolonged or considerable periods.
Ability to lift, position, and transfer patients and lift supplies and equipment.
Ability to reach, stoop, bend, kneel, and 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 a collaborating physician’s supervision.
Complete patient histories and physical examinations, evaluate medical conditions, order and interpret laboratory and diagnostic tests or procedures, diagnose health conditions, and document findings.
Develop individualized plans of care, prescribe medications or treatments, obtain consultations or referrals, and coordinate hospice services.
Complete required hospice face-to-face visits before the third and subsequent benefit periods and assess hospice eligibility.
Provide clinical information to the hospice medical director for hospice recertification eligibility determinations.
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 the interdisciplinary team to ensure appropriate measures are taken to control symptoms.
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 is 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.
Attend and participate in hospice interdisciplinary group meetings.
Complete, maintain, and submit accurate clinical notes, examination and assessment 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.
Support continuity of care with patients, families, caregivers, and team members.
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 maintain relationships with staff and community referral sources to facilitate program growth.
Maintain knowledge of and comply with current Medicare/Medicaid and state and federal hospice rules and regulations.
Ensure compliance with Medicare conditions of participation and other applicable state healthcare regulations.
Comply with HIPAA requirements and 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 and accepted assignments.
Demonstrate knowledge of communication and counseling with patients and families regarding end-of-life issues.