Palliative Nurse Practitioner

Big Sky Hospice•Bozeman, MT

About The Position

The mobile Advanced Practice Clinician (APC) at Finding Home DBA Big Sky Home Health & Hospice supports the organization’s mission of helping patients navigate the medical system. APCs provide competent, cost-effective, timely, high-quality health care within their scope of practice. Under the supervision of the Medical Director, the clinician delivers clinical and operational services for a 24/7 mobile medical clinic, treating acute and routine conditions through in-person visits, telephone calls, and telehealth in settings such as skilled nursing facilities, assisted living facilities, and patients’ homes. The clinician provides care from history-taking and assessment through diagnosis, prescribing, education, and evaluation. The role also requires appropriate medical-record documentation, confidentiality, collaboration with internal teams and community partners, professional conduct, and participation in professional development. Full-time providers are expected to average 3–8 patients per day in the applicable care settings; visit counts may vary based on visit type and length. Documentation must be completed and signed within seven days of a visit, and the clinician participates in the on-call rotation as needed.

Requirements

Master’s degree from an accredited PA or NP program.
Appropriate state licensure, prescriptive authorization, and APN authorization, and satisfaction of credentialing requirements.
Ability to pass a background check and drug test.
Current, valid driver’s license and access to reliable transportation; willingness to drive in various weather conditions.
Fluency in reading, writing, and speaking English.
Effective verbal and written communication with retail and medical partners, patients, family members, physicians, and community representatives.
Sound understanding of federal and state regulations, including HIPAA and OSHA.

Responsibilities

Deliver clinical and associated operational responsibilities for a 24/7 mobile medical clinic under the Medical Director’s supervision.
Maintain performance and productivity standards, operational efficiency, customer service, and best-practice standards.
Treat acute and routine medical conditions in person, by telephone, or through telehealth across settings including SNFs, ALFs, and home visits.
Use critical thinking and best practices in clinical decision-making.
Provide patient care from history-taking and clinical assessment through diagnosis, prescribing medications and treatments, patient education, and evaluation of care.
Comply with the standards of practice for an Advanced Practice Nurse, Nurse Practitioner, or Physician Assistant in the state of practice.
Document findings and actions in patients’ medical records and complete and sign notes within seven days of visits.
Maintain patient confidentiality.
Participate in professional development and maintain professional affiliations and continuing medical education.
Use appropriate PPE to maintain a safe work environment for self, patients, families, and staff.
Collaborate with Finding Home team members and community partners, including ALF and SNF staff, patient families, and home health and hospice team members.
Represent Finding Home professionally and promote a cooperative atmosphere with tact, diplomacy, and a positive attitude.
Remain dependable, autonomous, and responsible; prioritize workload and use work time productively.
Participate in the on-call rotation as needed.
Meet the stated average productivity expectation of 3–8 patients per day for full-time providers, subject to visit type and length.