Advanced Registered Nurse

Nurse Practitioner - PPV
The Nurse Practitioner - PPV is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. The Nurse Practitioner, if providing palliative care, cares for patients facing chronic, complex, and/or life-threatening conditions at various locations within the flow of patient care. S/he provides assessments, disease and treatment education, and symptom management to meet the needs of palliative care patients and their families. The Nurse Practitioner helps the patient and family maintain their maximum level of comfort and coping. S/he provides care and support in collaboration with the PCP and specialists; S/he must collaborate appropriately with the assigned Compassus Medical Director. S/he must flex schedule to meet agency needs. The Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. S/he helps the patient and family maintain their maximum level of comfort and coping. S/he flexes schedule to meet agency visit needs and may be asked to provide after-hours emergency visits and/or admissions.
If providing Hospice Care:
Performs routine and emergency assessments:
Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Completes routine and emergency assessments on each patient as indicated by departmental policy.
Communicates with Medical Director, Attending Physician, DCS and IDT as directed regarding findings from the visits and any measures to alleviate symptoms.
Provides physical and emotional care to support the patient and family in period of crisis.

In our programs that serve palliative care, the additional following outpatient responsibilities are needed:
Performs routine and emergency assessments related to outpatient palliative care visits.
Performs bedside palliative care patient/family evaluation in the patient's place of residence.
Assists with diagnosis, treatment, and management of acute and chronic health conditions.
Orders, performs, and interprets laboratory and radiology tests within scope of professional practice.
Orders treatments and durable medical equipment as indicated.
Performs other therapeutic or corrective measures as indicated, including urgent care.
Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborates with other physicians as needed.
Assists in all facets of care coordination for palliative care referrals.
Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided.
Initiates reimbursement for services rendered.
Assists patients and families with goal setting related to treatment options and advanced care planning.
Provides training and continuing education for staff.
Assists in development of clinical practice guidelines/standards in support of quality palliative care.
Collaborates/Communicates with Medical Director, attending physician, DCS, and IDT:
Care of patient.
Wound care.

If providing Hospice Face to Face Visits:
Performs routine and emergency assessments:
Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Communicates with Medical Director, Attending Physician, DCS and IDT as directed regarding findings from the visits and any measures to alleviate symptoms.
Provides physical and emotional care to support the patient and family in period of crisis.

If providing Palliative Care:
Performs routine and urgent assessments:
Performs bedside palliative care with patient/family education.
Orders, performs, and interprets laboratory and radiology tests within scope of professional practice.
Orders treatments and durable medical equipment as indicated.
Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborate with other physicians as needed.
Assists in all facets of care coordination for palliative care referrals.
Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided.
Completes accurate billing and coding activities for all patient encounters according to CMS guidelines.
Engages in active and frequent self-care activities for personal and professional growth and longevity.
Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Collaborates/Communicates with Medical Director, attending Physician, hospital staff and IDT:
Care of patient.
Advance Care Planning.

Supervises nurse trainees, including graduate and advance practice nurses in field placements.
Participates in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees.
Master's degree in Nursing required.