PRN Hospice/Palliative NP - Philadelphia, PA
CONSTELLATION HEALTH SERVICES•Philadelphia, PA
•$1 - $1
About The Position
Constellation Health is seeking a PRN/Per Diem Nurse Practitioner focused on hospice and palliative care in Philadelphia, Pennsylvania. 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, directing and developing plans of care, prescribing medications or treatments, and coordinating care 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 builds on community resources to plan and direct services for individuals and families in their homes and communities. Hospice/palliative care experience and a current DEA license are required.
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, and 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, and mathematical skills, and nursing skills consistent with 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 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 conditions; and document findings in medical records.
- Develop individualized plans of care, prescribe medications and treatments, obtain consultations or referrals, and coordinate hospice services.
- Complete required hospice face-to-face visits before the third and subsequent benefit periods and assess eligibility in accordance with hospice conditions of participation and local coverage determinations.
- Provide clinical information to the hospice medical director regarding hospice recertification eligibility and make recommendations concerning 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 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.
- Collaborate with the interdisciplinary group to create, review, and revise patient plans of care.
- Consult attending physicians, the hospice medical director, and other practitioners regarding hospice eligibility, ongoing care needs, and medical management of terminal conditions.
- Coordinate plans of care with community health practitioners and attend and participate in hospice interdisciplinary group meetings.
- 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.
- 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 group to identify care goals and meet patient and family needs.
- Serve as a nursing resource and provide 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-service rules and regulations.
- Ensure compliance with Medicare conditions of participation and other applicable state healthcare regulations, as well as HIPAA and organizational policies.
- Participate in quality monitoring and improvement initiatives for medical services.
- Maintain professional knowledge and practice skills through seminars, conferences, continuing education, and in-service classes.
- Fulfill requested and accepted assignments.
- Demonstrate communication and counseling knowledge when helping patients and families address end-of-life issues.
