Primary Care Licensed Practical Nurse - LPN (Full Time)

Primary And Palliative Care Registered Nurse (RN) Or LPN
Position Type Full Time Job Shift Day Travel Percentage Up to 50%
Essential Functions

Facility and Community Nursing Visits
Conducts nursing assessments within scope of practice
Monitors patient symptoms, functional status, and disease progression
Identifies changes in patient condition and communicates findings to the provider
Initiates transition to hospice with guidance and certification of Medical Director
Assists with symptom management interventions under provider direction
Advocates for patient goals, preferences, and advance care planning decisions
Recognizes changes in patient condition and initiates appropriate interventions or referrals
Participates in quality improvement initiatives, staff education, and professional development activities
Serves as a resource and mentor to nursing staff and support personnel as appropriate
Applies principles of infection control and follows guidelines for universal precautions in accordance with accepted professional practices.
Care Coordination

Coordinates care with physicians, nurse practitioners, social workers, specialists, home health agencies, hospice providers, and community resources
Assists with transitions of care following hospitalization or emergency department visits
Facilitates communication among members of the healthcare team
Supports continuity of care across multiple care settings
Principal Care Management (PCM) And Care Management Support

Participates in patient outreach and follow-up activities
Assists with care plan implementation and updates
Supports medication reconciliation efforts
Documents carer coordination and patient communication activities
Escalates clinical concerns requiring provider intervention
Supports compliance with PCM and other care management program requirements
Documentation

Maintains accurate and timely documentation in the electronic health record (EHR)
Documents patient encounters, symptom assessments, interventions, and care coordination activities
Ensures documentation meets regulatory and organizational standards
Quality And Compliance

Adheres to all state nursing regulations and organizational policies
Maintains patient confidentiality in accordance with HIPAA regulations
Participates in quality improvement and patient safety initiatives
Completes required training and competency assessments
May perform other duties as required
Scope of Responsibility
Somewhat independent; work frequently done independently by following practices and procedures while occasionally having work checked with minimal supervision.
Qualifications
Minimum Qualifications

A Diploma or associate degree in nursing is required; bachelor's degree is preferred for RN.
A current, active, and unrestricted compact (multistate) license as an LPN or RN is required.
Current CPR required
Minimum 1-year related experience. Experience in direct care of patients required. Experience may include palliative care, hospice, home health, geriatrics, oncology, chronic disease management, and primary care.
Computer proficiency is required; electronic health records.
Knowledge, Skills, and Abilities

Excellent interpersonal and communication skills (both written and verbal). Strong problem solving and critical thinking skills. Well organized, self-directed, and able to manage time. Flexible, innovative, resourceful, and creative.
Ability to interact with patients and family members in a varying psychosocial circumstance complicated by the presence of serious or chronic illness. Ability to be diplomatic yet assertive.
Knowledge of nursing principles, practices, and policies, and sound clinical skills.
Excellent ability to work within a team. Excellent ability to coordinate and foster multi-interdisciplinary care.
Reasoning Ability: Ability to deal with a variety of variables. Able to interpret various instructions.
Mathematics Ability: Ability to perform basic math skills, use of decimals to compute ratios and percents, and to draw and interpret graphs.
Language Ability: Ability to read a variety of books, journals, magazines, instruction manuals, regulations, interpretive guidelines, and instructions. Ability to prepare memos, reports, and essays using proper punctuation, spelling, and grammar. Ability to communicate distinctly with appropriate pauses and emphasis, correct pronunciation (or sign equivalent), and variation in word order using present, perfect, and future tenses.