PRN Hospice/Palliative NP - Manchester, NH
CONSTELLATION HEALTH SERVICES•Manchester, NH
•$1 - $1
About The Position
Constellation Health is seeking a Nurse Practitioner focused on hospice and palliative care to provide PRN/per-diem services in the Derry, Bradford, and Nashua, New Hampshire areas. 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 and assessing health histories, promoting health, diagnosing medical conditions, managing health problems, 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 as assigned in consultation with the hospice interdisciplinary team. The role also includes planning and directing services that meet the needs of individuals and families in their homes and communities. Compensation is listed as $50 per hour for office or meeting time, $115 per telehealth visit, and $175 per in-person visit.
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, or statutes for the role in the state.
- Previous home care or hospice experience; hospice/palliative experience is required.
- Accreditation from an approved advanced-practice nursing certifying body, as required by the state.
- Excellent observation, verbal and written communication, problem-solving, and mathematical skills, plus nursing skills meeting the competency checklist.
- 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, and crouching.
- Visual acuity and hearing sufficient to perform required nursing skills.
- Licensed driver with an automobile insured according to state or organizational requirements and in good working order.
Nice To Haves
- Certification in a specialist area is 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 under a collaborating physician's supervision.
- Complete medical histories and physical examinations; evaluate patient conditions and histories; order and interpret laboratory and diagnostic tests or procedures; diagnose 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 under applicable conditions of participation and local coverage determinations.
- Provide clinical information to the hospice medical director for recertification eligibility determinations and make recommendations regarding hospice certification and recertification.
- Review clinical information and coordinate and oversee care in consultation with the hospice interdisciplinary team and other healthcare practitioners.
- Collaborate with the interdisciplinary team to ensure appropriate symptom-control measures.
- 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 falls outside standardized practice and protocols.
- Communicate and collaborate with the interdisciplinary group to create, review, and revise patient care plans.
- Consult attending physicians, the hospice medical director, and other practitioners about hospice eligibility, ongoing care needs, and medical management related to terminal conditions.
- Coordinate care plans 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 medical-record documentation.
- Educate and counsel patients, families, and caregivers on preventive care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
- Help provide a safe patient environment and continuity of care for patients and their families or caregivers.
- Work with patients, families, caregivers, and the interdisciplinary group to identify goals of care and address care needs.
- Serve as a nursing resource and educate 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, Medicare conditions of participation, and HIPAA requirements.
- Participate in quality monitoring and improvement initiatives for medical services.
- Maintain and develop professional knowledge and practice skills through continuing education, seminars, conferences, and in-service classes.
- Fulfill requested or accepted assignments and demonstrate knowledge of communication and counseling about end-of-life issues.
