PRN Hospice/Palliative NP - Cincinnati, OH
About The Position
Constellation Health is seeking a Nurse Practitioner focused on hospice and palliative care to work on a PRN/per-diem basis in Cincinnati, Ohio. 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 and managing medical conditions, 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. Services are planned and directed using community resources to meet the needs of individuals and families in their homes and communities. The position provides medical care and symptom management for people with terminal illnesses; completes examinations and documents findings; develops individualized plans of care; coordinates hospice services; and contributes clinical information and recommendations related to hospice eligibility and recertification. The Nurse Practitioner collaborates with physicians, the interdisciplinary team, community practitioners, patients, and families; maintains clinical documentation; participates in team meetings and quality initiatives; and follows applicable hospice regulations, Medicare/Medicaid requirements, and HIPAA policies.
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 state rules, regulations, laws, and statutes.
- Previous home care or hospice experience.
- 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 according to the competency checklist.
- Licensed driver with an automobile insured according to state or organizational requirements and in good working order.
- Ability to perform prolonged or considerable walking or standing; 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.
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 in compliance with the state Nurse Practice Act and under a collaborating physician’s supervision.
- Complete history and physical examinations, evaluate medical conditions and health histories, order and interpret diagnostic tests or procedures, diagnose health conditions, and document findings.
- Develop individualized plans of care; prescribe medications and treatments; obtain consultations or referrals; and coordinate hospice care services.
- Complete required face-to-face visits before the third and subsequent hospice benefit periods and assess hospice eligibility in accordance with applicable hospice requirements 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 hospice interdisciplinary team and other healthcare practitioners.
- Collaborate with interdisciplinary team members to ensure appropriate symptom control.
- 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 is 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 of 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 preventative care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
- Help provide and maintain a safe patient environment and continuity of care.
- Work with patients, families or caregivers, and the interdisciplinary group to identify and meet care goals and needs.
- Serve as a nursing consultation 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, including Medicare conditions of participation.
- Comply with HIPAA requirements and applicable organizational policies.
- Participate in monitoring the quality of medical services and quality improvement initiatives.
- Maintain 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 related to end-of-life issues.
