PRN Hospice/Palliative NP - Bangor, ME

CONSTELLATION HEALTH SERVICES•Dublin, CA

17h•$110 - $175•Onsite

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 Bangor, 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 patients’ health histories, promoting health, diagnosing medical conditions, managing health problems, developing plans of care, prescribing medications or treatments, and coordinating with patients, families, and other 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 involves planning and directing services using community resources to meet the needs of individuals and families in their homes and communities. Compensation is per visit: $175 for an in-person face-to-face visit and $110 for a telehealth visit. Meetings, office time, interdisciplinary group meetings, training, orientation, and education are paid at $50 per hour. Scheduling is flexible.

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; 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.
Licensed driver with an automobile insured in accordance with state or organizational requirements and in good working order.
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.

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 accordance with the state Nurse Practice Act and under the supervision of a collaborating physician.
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 face-to-face visits before the third and subsequent hospice benefit periods and assess hospice eligibility in accordance with applicable conditions of participation and local coverage determinations.
Provide clinical information to the hospice medical director regarding eligibility for hospice recertification and recommend patient eligibility for certification and recertification.
Review clinical information and coordinate and oversee patient care 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 is outside standardized practice and protocols.
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 regarding 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 preventive care and medical, psychological, and spiritual concerns in conjunction with the interdisciplinary team.
Provide and maintain a safe environment for patients and support continuity of care with patients, families, caregivers, and team members.
Work with families, caregivers, and the hospice interdisciplinary group to identify goals of care and meet patient and family needs.
Serve as a nursing resource and provide education and consultation 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 rules and regulations for hospice services.
Ensure compliance with Medicare conditions of participation and other state healthcare regulations, as well as HIPAA requirements and applicable policies.
Participate in monitoring the quality of medical services and quality-improvement initiatives.
Maintain and develop professional knowledge and practice skills through seminars, conferences, continuing education, and in-service classes.
Fulfill requested or accepted assignments.
Demonstrate knowledge of communication and counseling with patients and families about end-of-life issues.