PRN Hospice/Palliative NP - Waterville, ME
CONSTELLATION HEALTH SERVICES•Monclova, OH
•$110 - $175
About The Position
Constellation Health is seeking a Nurse Practitioner specializing in hospice and palliative care to work on a PRN/per-diem basis in Waterville, 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 health histories, promoting health, diagnosing medical conditions, managing health problems, directing and developing plans of care, prescribing medications or treatments, and coordinating with patients, families, and healthcare practitioners. The Nurse Practitioner visits patients, completes physical and face-to-face assessments, and evaluates hospice eligibility in consultation with the hospice interdisciplinary team. The role also builds on community resources to plan and direct services that meet the needs of individuals and families in their homes and communities. This position is compensated on a per-visit basis, with scheduling flexibility. Compensation is $175 per in-person face-to-face visit, $110 per telehealth visit, and $50 per hour for meetings, office time, interdisciplinary group meetings, training, orientation, and education.
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 is required; the posting also states hospice/palliative care experience is required for consideration.
- Accreditation from an approved advanced-practice nursing certifying body, as required by the state.
- Excellent observation, verbal and written communication, problem-solving, mathematical, and nursing skills, including skills required by 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, or crouching.
- Visual acuity and hearing sufficient to perform required nursing skills.
- Licensed driver with an insured automobile that meets state or organizational requirements and is 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 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 health conditions; and document findings in the medical record.
- Manage health conditions and terminal illnesses by developing individualized plans of care, prescribing medications or treatments, obtaining consultations or referrals, and coordinating hospice services.
- Complete required hospice face-to-face visits before the third and subsequent benefit periods, assess hospice eligibility, and provide clinical information to the hospice medical director for recertification interpretation.
- Make recommendations to the hospice medical director regarding hospice certification and recertification eligibility.
- Review clinical information and coordinate and oversee patient care in consultation with the hospice 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 based on literature 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 with attending physicians, the hospice medical director, and other practitioners regarding hospice eligibility, ongoing care needs, and medical management related to terminal conditions.
- Coordinate plans of care with community health practitioners.
- 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 about preventive care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
- Provide and maintain a safe environment for patients.
- Support continuity of care with patients, families or caregivers, and team members.
- Work with families or caregivers and the hospice interdisciplinary group to identify goals of care and meet patient and family needs.
- Provide nursing 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 current Medicare/Medicaid and state and federal hospice regulations.
- Ensure compliance with Medicare conditions of participation and other applicable state healthcare regulations.
- Comply with HIPAA and applicable federal, state, and organizational policies.
- 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.
- Demonstrate knowledge of communication and counseling with patients and families about end-of-life issues.
