Nurse Practitioner (Hospice/Palliative)-Pasadena, Baytown, Pearland

CONSTELLATION HEALTH SERVICES•Houston, TX
•$1 - $1

About The Position

Constellation Health is seeking a Hospice/Palliative Nurse Practitioner serving Pasadena, Baytown, and Pearland, Texas. This is a per diem role involving travel to patients. The Nurse Practitioner is an advanced-practice registered nurse who provides hospice services under the state Nurse Practice Act and the supervision of a collaborating physician. The role includes assessing patients, promoting health, diagnosing and managing medical conditions, developing plans of care, prescribing medications or treatments, and coordinating with patients, families, and healthcare practitioners. The Nurse Practitioner visits patients, performs physical and face-to-face assessments, and evaluates hospice eligibility in consultation with the hospice interdisciplinary team. The position builds on community resources to plan and direct services for individuals and families in their homes and communities. A current DEA license is required.

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, and statutes for the role in the state.
  • Previous home care or hospice experience.
  • 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 as established by the 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; lift, position, or transfer patients; lift supplies and equipment; and perform considerable reaching, stooping, bending, kneeling, or crouching.
  • Visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

  • Certification in a specialist area, such as Hospice and Palliative Nursing (CHPN), pediatrics, or geriatrics.

Responsibilities

  • Provide medical care and palliate and manage terminal illness under the supervision of a collaborating physician and in compliance with the state Nurse Practice Act.
  • Conduct medical history and physical examinations; evaluate patients’ health conditions; order and interpret laboratory and diagnostic tests or procedures; diagnose conditions; and document findings in medical records.
  • 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, assess eligibility, provide clinical information to the hospice medical director, and make recommendations concerning certification and recertification.
  • 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 symptom control.
  • Review and develop treatment protocols and propose intervention options with the collaborating physician; consult the physician when 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 regarding hospice eligibility, ongoing care needs, and medical management of 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, examination and assessment notes, medical orders, collaboration notes, and other required documentation.
  • Educate and counsel patients, families, and caregivers on preventative care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
  • Provide and maintain a safe patient environment and support continuity of care with patients, families, caregivers, and team members.
  • Work with patients, families, caregivers, and the interdisciplinary group to identify goals of care and address care 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 support program growth.
  • Maintain knowledge of and comply with Medicare/Medicaid and state and federal hospice regulations, Medicare conditions of participation, other applicable regulations, and HIPAA requirements.
  • Participate in monitoring the quality of medical services and quality-improvement initiatives.
  • Maintain and develop professional knowledge and skills through seminars, conferences, continuing education, and in-service classes.
  • Fulfill requested and accepted assignments and demonstrate knowledge of communication and counseling for patients and families dealing with end-of-life issues.
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