Nurse Practitioner- Weekend PRN

Compassus•Lima, OH

About The Position

The Nurse Practitioner models Compassus values and promotes its philosophy while maintaining ethical conduct and positive working relationships with colleagues and external stakeholders. Depending on the services provided, the role delivers hospice, hospice face-to-face, and/or palliative care in patients’ homes and other care settings. The Nurse Practitioner assesses patients, provides education and symptom management, supports patients and families through serious illness, and collaborates with physicians and the interdisciplinary team (IDT). The position requires a flexible schedule to meet agency needs and may include after-hours emergency visits or admissions. Hospice responsibilities include routine and emergency assessments, recertification visits, documentation, communication with physicians and the IDT, and physical and emotional support for patients and families. Palliative care responsibilities include bedside assessments, care coordination, clinical decision-making and treatment within professional scope, patient and caregiver education, documentation and billing, and collaboration with the palliative care physician, primary physician, and IDT. The role may also provide staff education, contribute to clinical practice standards, and supervise trainees. The position requires a master’s degree in nursing and an active, unencumbered CNS or Nurse Practitioner license in the state of employment. Additional experience requirements depend on the care setting: at least one year of nursing practice or equivalent for hospice care, or at least five years of nursing experience for palliative care. The role is designated weekend PRN, with Saturday and Sunday availability, and must be able to travel and work a flexible schedule that may include nights and weekends.

Requirements

Master’s degree in Nursing.
Active, unencumbered CNS or Nurse Practitioner license in the state of employment.
Certification as a Nurse Practitioner in Adult, Family, Acute, or Geriatric practice.
Active NPI number.
Maintain active DEA certification if the state allows APPs to prescribe controlled substances.
For hospice care: at least one year of nursing practice or equivalent experience.
For palliative care: at least five years of nursing experience.
Current collaborative physician agreement in place in all states except Iowa.
Ability to work a flexible schedule, including nights and weekends, and travel.
Ability to understand, read, write, and speak English.
Strong written and verbal communication skills.
Strong organizational and time-management skills.
Ability to maintain confidentiality of patient and company information.
Ability to perform mathematical calculations involving whole numbers, fractions, decimals, rates, ratios, and percentages.
Ability to read and interpret business and professional publications, technical procedures, and government regulations; write reports and business correspondence; and present information and respond to questions.

Nice To Haves

Hospice, oncology, home health, and/or long-term care experience for hospice care.
Clinical nursing care experience in oncology, hospice, geriatrics, or intensive care for palliative care.
Board certification in Hospice and Palliative Care.

Responsibilities

Perform routine and emergency hospice assessments and recertification visits, including visits for patients entering their third benefit period or beyond, and admissions and transfers as applicable.
Perform routine, urgent, and emergency palliative care assessments and bedside patient and family evaluations.
Record observations, treatments, and other pertinent clinical information; submit required documentation within 24 hours of visits as applicable.
Communicate assessment findings and patient and family needs to the Medical Director, attending physician, DCS, and IDT, and collaborate on appropriate clinical and psychosocial interventions.
Provide physical and emotional support to patients and families, including during periods of crisis.
Help prevent unwarranted hospitalizations by addressing patient and family needs in the home.
Assist with diagnosis, treatment, and management of acute and chronic health conditions within professional scope.
Order, perform, and interpret laboratory and radiology tests within professional scope.
Prescribe medications, including controlled substances, to the extent delegated and licensed.
Order treatments and durable medical equipment as indicated and provide other therapeutic or corrective measures, including urgent care as appropriate.
Coordinate palliative care referrals and collaborate with palliative care physicians, primary physicians, and other physicians as needed.
Maintain accurate patient records, charts, and documents to support medical practice and reimbursement; complete billing and coding according to CMS guidelines where applicable.
Assist patients and families with treatment goals, care planning, and advance care planning, and communicate goals to the IDT.
Educate patients and caregivers about care, disease processes, dying processes, symptom control, wound care, treatment options, prognosis, and advance care planning as applicable.
Participate in monthly IDT meetings with the market team where applicable.
Provide training and continuing education for staff and assist in developing clinical practice guidelines and standards for palliative care.
Supervise nurse trainees and participate in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees.
Maintain confidentiality of patient, family, staff, and organizational information.
Maintain availability to the manager and triage palliative care consults by patient acuity; palliative care availability must be at least four days per month, though a minimum number of visits is not guaranteed.
Define professional growth goals, participate in professional activities and organizations, and engage in self-care activities.
Perform other duties as assigned.