Nurse Practitioner - Hos (56034)

Rocky Mountain Care Group•Green River, WY

About The Position

Provides nurse practitioner care to terminally ill Hospice patients as needed, supports patients’ families in home care and 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 works with patients, families, the Interdisciplinary Group (IDG), and other health care team members. The Nurse Practitioner assesses patients, orders and interprets tests, makes diagnoses, and initiates and manages treatment plans, including medications and nonpharmacologic treatments. The role educates and counsels patients and families, supervises and trains nursing personnel, coordinates and re-evaluates care plans with the IDG, maintains required records, participates in team conferences and on-call coverage, and performs face-to-face encounters with documentation. Other duties may be assigned by the Clinical Director. The position requires considerable physical effort, including kneeling, squatting, reaching, twisting, climbing, walking, and maximal assistance with lifting or transferring a 100-pound patient. Work may involve exposure to odors, blood, body fluids, excrements, adverse environmental conditions, and hazardous materials. A current 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.
National board certification.
Current license to practice as a registered nurse practitioner in the state, and 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.
Ability to accept and adapt to different social, racial, cultural, and religious modes.
Completion of a Hospice training program.
Current valid driver’s license, auto liability insurance, and reliable transportation.
Ability to meet the position’s physical demands, including maximal assistance with lifting or transferring 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 emotional stability; ability to cope with mental and emotional stress.
Evidence of an annual TB test and other state-required tests or examinations.
Ability to meet the sensory requirements of the role through sight and hearing or appropriate adaptive devices.

Nice To Haves

At least 2 years of experience as a registered nurse practitioner.
Active patient contact within the past three years.

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 a patient’s physical or emotional condition to the physician and IDG members.
Teach, supervise, educate, and counsel patients and family members about patient care.
Supervise and train nursing service personnel.
Develop and re-evaluate patient and family care plans with the IDG to meet needs and maintain continuity of care.
Perform nursing procedures as needed, following physicians’ 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 professional skills and knowledge.
Work within the interdisciplinary group approach to patient care.
Coordinate implementation of care plans for patients residing in SNF, NF, ICF, or MR settings.
Organize work schedules and manage time to attend required meetings.
Comply with Hospice infection-control policies and protocols.
Assist with orientation, teaching, and training as requested.
Perform and document face-to-face encounters.
Perform other duties as assigned by the Clinical Director.