Nurse Practitioner GGL - Attending of Hospice Record

GBMC HealthCare • Towson, MD

2d • $82,775 - $137,824

About The Position

Under general supervision, accountable for the clinical management of patients, in accordance with State and National regulatory agency standards. GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Situated in scenic Towson, GBMC represents more than just a hospital; it's a legacy of over 60 years in premier healthcare. Our beautiful suburban campus is home to a facility with over 250 beds, 23,000 admissions, and 52,000 emergency room visits each year. GBMC is currently seeking talented, compassionate employees to support patients of the communities we serve. GBMC has also been named “best place to work!” At GBMC Health Partners, we don't just provide comprehensive medical care – we build lasting relationships. When it comes to the care of our patients, for us, it's personal. Whether you’re a physician leading proactive health strategies, a nurse practitioner providing care, or a medical assistant ensuring seamless operations, your role here is pivotal. At Gilchrist, we transcend traditional hospice care. Every individual's journey is unique, and we pride ourselves on being there, every step of the way. For over three decades, Gilchrist has stood as a pillar of compassion and dedication as Maryland's premier nonprofit provider for serious illness and end-of-life care. We are more than just a hospice; we are a life-affirming promise ensuring every moment is lived to its fullest. Hospice of Washington County (HWC), situated in Hagerstown, MD, is the only licensed provider for hospice care within Washington County. Our team of committed professionals understands the importance of ensuring that every individual is able to LIVE their life to the fullest. The focus is on caring for the individual, not the cure. Hospice focuses on helping a person live; making the most of each minute, hour, day, week and month they may have during the final season of life. It is about allowing self-determined life closure; individuals remain the decisions makers of how they will spend their precious days, weeks, and months. Hospice focuses on quality of life, not quantity. We provide hospice care wherever the individual designates as their home. That can be in a private residence, nursing home, or assisted living facility. Hospice care is available to patients of any age, religion, race, or illness. Hospice care is covered under Medicare, Medicaid, most private insurance plans.

Requirements

• Education: Successful completion of a Nurse Practitioner program; Master’s in Palliative Care preferred.
• Licensures/Certifications: Current registration with the Maryland State Board of Examiners of Nurses as a Nurse Practitioner, specializing in Adult, Family or Geriatrics; Inpatient position can include Acute Care certification. National and State Certification as required for the relevant position (DEA, CDS) Completion of “healthcare provider” CPR course Certification in Hospice and Palliative Care through Hospice and Palliative Credentialing Center (HPCC), Advanced Certified Hospice and Palliative Nurse (ACHPN), or equivalent, preferred. Center for Advancing Palliative Care (CAPC) Designation, preferred.
• Experience: At least five (5) years of related experience in a healthcare environment. At least one (1) year related experience in Hospice and/or Palliative care.
• Skills: Skill in leading, motivating and developing others Skill in teaching nurses, physicians and other clinical and non-clinical staff Skill in using computer and a variety of personal productivity applications Effective written and oral communication skills to communicate and relate effectively with staff, the public, physicians, and insurers Analytical ability in order to problem solve, develop goals, objectives, clinical protocols, critical paths, case management practices, and policies and procedures Able to work under varying degrees of stress and the ability to adjust to changes in the work environment Skill in care of patients and families with serious illness and/or end of life concerns Skill in applying principles and practices of integrative medicine and health Personal or professional experience with integrative medicine or complementary modalities

Nice To Haves

• Master’s in Palliative Care preferred.
• Certification in Hospice and Palliative Care through Hospice and Palliative Credentialing Center (HPCC), Advanced Certified Hospice and Palliative Nurse (ACHPN), or equivalent, preferred.
• Center for Advancing Palliative Care (CAPC) Designation, preferred.

Responsibilities

• Assumes responsibility for the initial evaluation and treatment of patients in Gilchrist Inpatient Centers a. Performs initial Hospice history and physical as evidenced by appropriate documentation. b. Writes standard orders in accordance with hospice policy. c. Writes appropriate orders related to pre-existing conditions. d. Discusses with the attending physician and nursing staff physical and/or emotional findings, which may interfere with care of the patient. e. Manage all aspects of the patient’s symptoms, including medication/prescription management, conduct family meetings as needed and requested, coordinate care with other members of the IDT through daily rounds, and document care activities and the rationale for the GIP level of care. f. Responsibility for completion of the MOLST form as required and for the completion of the death certificate of each expired patient. g. Attend the weekly inter-disciplinary team meetings h. Work with the hospice access team to facilitate a smooth admission process. Work with the Gilchrist Inpatient Centers inter-disciplinary team to facilitate live discharges from the Center, including completion of transfer/discharge summary, prescriptions, and other discharge related documentation. i. Provide telephone and afterhours coverage via emedicall for patients at the assigned Center
• Evaluates patient progress on a continuing basis and in collaboration with the attending physician, and alters treatment modalities as needed. a. Evaluates nursing, medical, social and educational needs on assigned patients. b. Writes progress notes for each visit documenting pertinent information regarding patient progress and treatment regime. c. Writes orders appropriate to the patient's care requirements in compliance with existing contract. d. Establishes medical diagnoses in compliance with contract. e. Refers to the physician or designee those problems which require consultation and documents same on progress note.
• Performs technical functions as covered by the job description and delegation agreement submitted to BPQA and/or MBON, approved NP agreement and in accordance with hospital policy. a. Documents results of technical functions performed. b. Reports to physician or designee any abnormal findings related to it. c. Monitors patient response related to technical function performed and documents it. d. Acts as a clinical resource. e. Actively supports and participates in nursing and/or hospital performance improvement initiatives. f. Leads staff wellness activities as directed by supervisor.
• Performs activities to meet patient/family educational needs. a. Participates actively in health teaching of patient and family to include preventative health care as well as current medical condition and treatment regime. Evidence of same by documentation on progress note and/or established flow sheet. b. Plans and reviews home care instructions with patient and family if needed. Include needs for service provided by community resources and hospital based ancillary services. c. Educates and supports patient and family using integrative/palliative principles to facilitate patient and family well-being
• Assumes responsibility for utilizing opportunities for educational advancement by pursuing activities to meet identified educational needs and those required for continue certification as well as attending mandatory in service as required.
• Performs activities to facilitate personal growth and professional development a. Participates in clinician wellness activities as directed by supervisor. b. Pursues continuing education in hospice care principles and practice. c. Able to articulate and carry out a self-care plan. d. Self-assesses and communicates effectively regarding perceived burnout, compassion fatigue, grief and other stresses associated with caring for seriously ill patients and families.

Benefits

• Competitive salary and generous paid time off
• Free parking
• Monthly MTA bus pass subsidy-85% paid by GBMC "if applicable"
• Company subsidized onsite fitness and wellness center "if applicable"
• Pre-paid tuition to pursue professional development, additional certifications, and degree programs
• Comprehensive health, dental, and vision coverage
• 401 (a) and 403 (b) retirement savings plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees