PRN Hospice/Palliative NP - Rockland, ME

CONSTELLATION HEALTH SERVICES•Fair Oaks, CA

18h•$110 - $175

About The Position

Constellation Health is seeking a Nurse Practitioner specializing in Hospice/Palliative Care for PRN/per-diem work in Rockland, Maine. 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 assessing patients’ health histories, promoting health, diagnosing conditions, managing health problems, developing plans of care, prescribing medications or treatments, and coordinating care with patients, families, and healthcare practitioners. Under physician supervision, the Nurse Practitioner visits patients, conducts physical and face-to-face assessments, and evaluates hospice eligibility in consultation with the hospice interdisciplinary team. The role also draws on community resources to plan and direct services for individuals and families in their homes and communities. Compensation is per visit: $175 for an in-person face-to-face visit, $110 for a telehealth visit, and $50 per hour for meetings, office time, interdisciplinary group meetings, training, orientation, and education. The position offers scheduling flexibility.

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.
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 demonstrated per 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, or 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.
Hospice/Palliative Care focus and experience are required for consideration.

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.
Complete patient histories and physical examinations, evaluate medical conditions and health histories, 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 make referrals, and coordinate hospice services.
Complete required hospice face-to-face visits before the third and subsequent benefit periods and assess eligibility using applicable hospice conditions of participation and local coverage determinations.
Provide clinical information to the hospice medical director and recommend patient eligibility for hospice certification and recertification.
Review clinical information and coordinate and oversee patient care in consultation with the interdisciplinary team and other healthcare practitioners.
Collaborate with interdisciplinary team members 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 plans of care.
Consult with attending physicians, the hospice medical director, and other healthcare practitioners about hospice eligibility, ongoing care needs, and medical management related to 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, assessments, 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 and support continuity of care with patients, families, caregivers, and team members.
Work with families, caregivers, and the hospice interdisciplinary group to identify care goals and meet patient and family needs.
Provide consultation and education as a nursing resource 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, including Medicare conditions of participation.
Comply with HIPAA requirements and applicable organizational, state, and federal 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 and demonstrate knowledge of communication and counseling about end-of-life issues.
Maintain a licensed-driver status and an insured, properly functioning automobile that meets state or organizational requirements.