Palliative and Hospice Nurse Practitioner (Full-Time, exempt)

Adoray Home Health and Hospice•Village of Baldwin, WI

About The Position

Adoray Home Health & Hospice is seeking a compassionate nurse practitioner to join its Palliative and Hospice Team. The position provides patient-centered care to people living with serious or progressive illness, working collaboratively with patients, families, caregivers, physicians, specialists, and interdisciplinary teams. Care includes episodic acute care, chronic disease management, symptom management, and advance care planning. The nurse practitioner coordinates with Home Health, Palliative Care, and Hospice teams to support care coordination and timely transitions between services as patient needs and eligibility change. The role also completes and coordinates hospice face-to-face recertification visits to support continued hospice eligibility. This is a 40-hour-per-week, exempt position with participation in a rotating on-call schedule Monday through Sunday, which may include holidays. The NP works closely with the Hospice Medical Director and other providers, supports day-to-day team operations and regulatory compliance, conducts patient assessments and follow-up visits, develops treatment plans, coordinates referrals, provides education and clinical guidance, maintains accurate records, and participates in quality improvement and monthly Palliative IDG meetings. Documentation must be completed within 24 hours of an encounter. The position may also involve occasional scheduled community education.

Requirements

Board Certified APN.
Three years of experience as a nurse practitioner in clinical nursing care of geriatrics, adult/family practice, or oncology is preferred.
High level of attention to detail.
Ability to work autonomously and make independent judgments.
Ability to manage conflicting priorities and multiple tasks or projects concurrently.
Ability to work well both as part of a team and independently.
Excellent written and verbal communication and organizational skills.
Exceptional leadership skills.
Ability to uphold and promote ethical conduct and behaviors consistent with organizational standards.
Reliable transportation.
Physical ability to stand more than four hours per day and regularly stoop, bend, and lift or push up to 25 pounds.

Nice To Haves

Board certification as a Geriatric, Adult, or Family Nurse Practitioner is preferred.
Experience with home health, hospice, and palliative care is strongly preferred.

Responsibilities

Work with the Hospice Medical Director and Adoray providers to promote high-quality, patient-centered care.
Collaborate with hospice and palliative care managers and team members to support day-to-day operations and ensure care meets agency and regulatory standards.
Conduct initial assessments and follow-up visits for palliative patients and perform ongoing planning and assessments based on patient condition.
Provide ongoing patient and family education about health conditions, medications, disease processes, and treatments, with written materials as appropriate.
Facilitate advance care planning conversations.
Code charts using comprehensive palliative care billing codes.
Obtain Medicare and Medicaid provider statutes with the respective state carriers.
Provide and document medically necessary services in accordance with mutually acceptable physician/NP protocols.
Develop treatment plans that maximize patient health potential, including ordering and interpreting appropriate diagnostic tests, identifying pharmacological agents and non-pharmacological interventions, developing education plans, interpreting laboratory and radiology tests within scope, and ordering durable medical equipment.
Consult with collaborative physicians, consulting practitioners, primary care physicians, and specialists as appropriate.
Coordinate care for referrals and, in collaboration with the PCP, refer patients to specialists or healthcare services when indicated.
Provide clinical guidance to facility staff on patient care issues, assessments, and interventions.
Prepare and maintain accurate patient records, charts, and documentation to support sound medical practice, reimbursement, and appropriate medication use.
Develop and maintain collaborative relationships with community providers.
Complete and coordinate hospice face-to-face recertification visits in the required timeframe and document clinical findings consistent with regulatory requirements and organizational policy.
Participate in rotating on-call coverage Monday through Sunday, which may include holidays.
Participate as an integral member of the hospice clinical team, completing incapacitations, H & P, and face-to-face visits as requested.
Complete documentation within 24 hours of each encounter.
Participate in monthly Palliative IDG meetings with the patient care team and Medical Director.
Coordinate care across Home Health, Palliative Care, and Hospice teams and facilitate timely transitions between services based on patient needs and eligibility.
Participate in quality improvement activities, monitor compliance with standards, and identify opportunities to improve patient outcomes and care delivery.
Provide occasional scheduled community education as requested and based on organizational needs.
Comply with applicable laws and regulations concerning Delegation Protocol Agreements, prescriptive authority, and NP scope of practice.
Assist in developing clinical practice guidelines and standards to support quality care.
Perform other duties as assigned.