PMOA_Nurse Practitioiner

HOSPICE OF ACADIANA INC•Lafayette, LA

About The Position

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive palliative and hospice care in compliance with the Louisiana Nurse Practice Act and under the supervision of a collaborating physician. The role includes evaluating health histories, promoting health, diagnosing medical conditions, managing health problems, developing plans of care, prescribing medications or treatments, and coordinating with patients, families, and healthcare practitioners. The Nurse Practitioner visits patients in homes, facilities, or clinics; completes physical and face-to-face assessments; and evaluates palliative or hospice eligibility in consultation with an interdisciplinary team. The position also builds on community resources to plan and direct services for individuals and families in their homes and communities.

Requirements

  • Licensed in Louisiana as an Advanced Practice Registered Nurse and certified as a Nurse Practitioner.
  • Current CPR certification.
  • Master's degree.
  • At least two years of Nurse Practitioner experience.
  • At least one year of palliative or hospice care experience.
  • Knowledge of palliative and hospice care principles and the end-of-life process.
  • Knowledge of computer systems and Microsoft Office.
  • Good organizational skills.
  • Excellent observation, verbal and written communication, problem-solving, interpersonal, and mathematical skills.
  • Nursing skills as specified by the competency checklist.
  • For pediatric work: experience and/or training in the developmental stages and needs of infants, children, and adolescents.
  • Ability to meet the role's physical demands, including prolonged or considerable walking or standing; lifting, positioning, or transferring patients; lifting supplies and equipment; considerable reaching, stooping, bending, kneeling, or crouching; and visual acuity and hearing sufficient to perform required nursing skills.

Nice To Haves

  • Certification in a specialist area, such as Hospice and Palliative Nursing (ACHPN), Pediatrics, or Geriatrics.

Responsibilities

  • Provide medical care and manage serious illness in compliance with the state Nurse Practice Act and under a collaborating physician’s supervision.
  • 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 medical records.
  • Develop individualized plans of care, prescribe medications and treatments, obtain consultations or referrals, and coordinate palliative and hospice services.
  • Complete hospice face-to-face visits when required to assess eligibility for subsequent benefit periods.
  • Provide clinical information to the Hospice Medical Director regarding hospice recertification eligibility.
  • Make recommendations regarding 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 team members to ensure appropriate measures are taken to control patient symptoms.
  • 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.
  • Participate in the on-call rotation.
  • Communicate and collaborate with the palliative interdisciplinary team to create, review, and revise patient care plans.
  • Consult with primary care physicians and other healthcare practitioners about patient eligibility, ongoing care needs, and medical management related to serious or terminal conditions.
  • Coordinate plans of care with community health practitioners and attend and participate in interdisciplinary team meetings.
  • Complete 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, medical and psychological problems, symptom management, advance care planning, and spiritual concerns in conjunction with the interdisciplinary team.
  • Provide and maintain a safe patient environment and support continuity of care with patients, families, caregivers, and team members.
  • Work with patients, families, caregivers, and the interdisciplinary team to identify goals of care and address care needs.
  • Serve as a nursing resource, providing consultation and education 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 Medicare, Medicaid, state, and federal rules and regulations for palliative and hospice services.
  • 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 quality monitoring and quality-improvement initiatives for medical services.
  • Maintain professional knowledge and skills through seminars, conferences, continuing education, and in-service classes.
  • Fulfill requested or accepted assignments and demonstrate communication and counseling knowledge when supporting patients and families facing serious illness.
  • Perform other job-related tasks or special projects as assigned by supervisors or the Leadership Team.
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