Nurse Practitioner PRN

Job Description

Job Description

Reports To: Executive Director

At Luminary Hospice, we are a mission-driven organization that empowers our team members to shape our culture in order to allow them to provide the highest quality support to patients and families throughout their entire end-of-life journey.

Our mission is to deliver personalized care that radiates compassion and preserves dignity for all that we are honored to serve on their end-of-life journey. We are centered on caring for the whole person – with expert medical care, pain management as well as emotional and spiritual support along with resources, information, and emotional support for families and caregivers.

The PRN Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosis of medical conditions, management of health problems by directing and developing the plan of care, prescribing medications or treatments, and coordinating and collaborating with patients, families, and other healthcare practitioners. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face-to-face assessments, and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The PRN nurse practitioner builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

Job Responsibilities:

Patient Care

1. Provides medical care, palliates, and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician.
2. Completes history and physical examinations by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions, and documenting the findings in the patient's medical record.
3. Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services.
4. Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification.
5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care.
6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners.
7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members.
8. Review and develop protocols for treatment and propose options for interventions based on the literature in collaboration with the collaborating physician.
9. Consult the collaborating physician when the patient's plan of care is outside standardized practice and protocols. 

Communication

1. Communicate and collaborate with the interdisciplinary group to create, review, and revise the patient's plan of care.
2. Consult with the patient's attending physician, the hospice medical director, and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs, and medical management related to the patient's terminal condition.
3. Communicate with other community health practitioners to coordinate the plan of care.
4. Attends and participates in hospice interdisciplinary group meetings.
5. Completes, maintains, and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes, and other documentation in the medical record.
6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.
7. Provides and maintains a safe environment for the patient.
8. Assists the patient's family/caregiver and other team members in providing continuity of care.
9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver.
10. Serves as a nursing resource for consultation and education to members of the interdisciplinary team and other healthcare practitioners in the community.
11. Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth. 

Additional Duties

1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services
2. Ensures compliance with the Medicare conditions of participation and other state regulations governing the provision of healthcare.
3. Compliance with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state, and organizational policies.
4. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives.
5. Assumes responsibility for personal growth. Develops, maintains, and upgrades professional knowledge and practice skills through attendance at seminars, and conferences and participation in continuing education and in-service classes.
6. Fulfills the obligation of requested and/or accepted assignments.
7. Demonstrate knowledge in communication and counseling patients/families in dealing with end-of-life issues.

Job Qualifications:

1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program.
2. Has a current DEA license
3. Current nursing licensure in State and CPR certification.
4. Master's degree with a minimum of one (1) year of Nurse Practitioner experience and a minimum of one (1) year of hospice or palliative care experience.
5. Accreditation from an approved certifying body for advanced practice nursing as required by the 
6. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics, or Geriatrics)
7. Excellent observation, verbal and written communication skills, problem-solving skills, mathematical skills; nursing skills per competency checklist.
8. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.
9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit or stand. The employee must occasionally lift and/or move up to 50 pounds.

Equal Employment Opportunity:

Luminary Hospice is an equal opportunity employer and is committed to creating a diverse and inclusive workplace. We do not discriminate against any applicant or employee based on race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. We are committed to providing a work environment free from discrimination and harassment, where all individuals are treated with respect and dignity. All employment decisions at Luminary Hospice are based on business needs, job requirements, and individual qualifications.

Compensation and Benefits:

Luminary Hospice offers a competitive compensation package. This role is PRN and not eligible for benefits.