Nurse Practitioner Hospice and Palliative Care

Nurse Practitioner- Palliative/Hospice Care

Full Job Description

Primary Duties and Responsibilities

The Home Health- Nurse Practitioner is responsible for assisting in the expedient multidisciplinary care of patients for Hoag Hospital and its affiliates, coordinating seamless patient care from admission through discharge in the Home Health setting. Providing supplemental medical care to patients with a focus on quality and patient experience, the Nurse Practitioner can perform history and physical exams, diagnoses and treats medical problems, orders and interprets diagnostic and laboratory tests, performs minor procedures and facilities the discharge process.

Job Knowledge, Skills, and Competencies

Diversity – Demonstrates ability to work with a diverse group of people in a manner that enables them to reach their full potential, in pursuit of organizational objectives.

Technology & Equipment Skills – Maintains knowledge of technology, tools, equipment and other devices in work area. Demonstrates competence in technology skills required for the role, as well as ability to learn and master new skills. For clinical position this includes equipment and devices pertinent to treatment, procedures and practice.

Infection Control - Follows all policies and procedures in place within the department and organization to minimize the risk of spreading infections.

Interpersonal Skills - Listens to and understands what others are saying. Establishes effective working relationships with others, contributing to a climate of mutual respect and cooperation. Uses language to the situation. Demonstrates sensitivity and tact, understanding own effect on the motivation, attitudes and actions of others. Makes favorable first impressions.

Job Knowledge – Demonstrates full knowledge and understanding of concepts and procedures needed to be successful in the role, including knowledge of applicable department, organization and external rules and regulations impacting day to day processes. For clinical positions, this includes clinical procedures required by department and unit, as demonstrated by unit-based competency testing.

Oral/Written Communication - Ability to speak and write effectively, demonstrates fundamental command of language, communicates well using all mediums.

Patient Documentation – Prepares and delivers patient information in a manner that is consistent with the requirements of the role. Includes what happens during a clinical visit with patients, why a procedure or service is being performed and/or why a particular device is being used.

Patient Safety – Embraces the principle of keeping patients safe by following safety policies and procedures, treating people with respect, and speaking up in Patient Safety related situations.

Travel – Position may require local travel between various Organization locations

Organization Behavioral Competencies

Trust & Accountability

Demonstrates honest and ethical behavior. Takes responsibility for both words and actions. Acts with integrity. Maintains patient confidentiality.

Business Acumen

Uses resources, equipment and finances appropriately. Demonstrates the functional and technical skills to do the job effectively. Willing and actively shares his/her knowledge with others. Accepts changes and adapts to new situations and responsibilities.

CUSTOMER SATISFACTION

Delivers superior customer service consistent with the Hoag Experience. Displays a professional image. Demonstrates tact, diplomacy and understanding when dealing with difficult situations. Listens and asks questions to understand patient and customer needs. Builds relationships with internal customers and employees. Admits mistakes and takes service recovery to steps to ensure any issues or problems are quickly addressed. Ensures that all information and services provided are safe, accurate, and available in a timely manner and meet regulatory requirements.

INNOVATION

Brings forth creative ideas (one’s own or others) to address patient, physician, customer, and community needs. Looks for creative or new ways to improve efficiencies and reduce costs. Adopts new processes, techniques and methods. Stays current with technologies and advances in his/her area, department and/or field.

Education and Experience

Required:

Master’s degree in Nursing

At least 1-2 years of clinical NP experience

Advanced clinical knowledge and skills in the care and management of patients

Solid computer technical skills required, including proficiency with Microsoft Office products (Outlook, Word, Excel, PowerPoint, and Visio)

Preferred:

Two years recent clinical experience as a Nurse Practitioner, preferably within an ambulatory and acute healthcare environment, related to the care of Orthopedic patients.

Qualified bilingual or multilingual candidates

Licenses Required

Current license in good standing to practice as a Registered Nurse/Nurse Practitioner in California

Furnishing license issued by the State of California and personal DEA number.

Certifications Required

BLS and ACLS certification

National board certification as Nurse Practitioner in area of specialty

Medical specialties:

Hospice & Palliative Medicine

Day shift

Monday to Friday

Certified Nurse Practitioner (Required)

Work Location: In person

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Specific functions pertaining to the Service, Clinic or Department are established by the PA and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. Locations Stanford Health Care What you will do Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients’ rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. A. A PA may provide only those medical services which he/she is competent to perform, which are consistent with the PA’s education, training and experience. B. A PA shall consult with a physician regarding any task, procedure or diagnostic problem which the PA determines exceeds his/her level of competence or shall refer such cases to a supervising physician. C. Scope of Practice of the PA: 1. Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty. 2. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. 3. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Orders or furnishes medications under physician supervision, in accordance with the practice agreement, consistent with the PA’s educational preparation and training, and upon completion of a California Physician Assistant Board approved controlled substance course. a. All PA’s who are credentialed and privileged by April, 2021 who have not completed a controlled substance course must successfully complete the course by August 31, 2021 during which time patient specific approval of a medication order by a supervising physician is obtained, documented in the medical record, and is co-signed. [see Standardized Procedure: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] 4. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. 5. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. 6. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. 7. Obtains informed consent, as indicated. 8. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. 9. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. [see Standardized Procedure : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA- approved indication (off-label use) require a patient-specific order in advance from the supervising physician. 10. After appropriate training, assists the supervising physician in the operating room (OR). a. Acts as first or second assistant under the supervision of an approved supervising physician. b. Performs surgical procedures in the personal presence of the supervising physician. 11. Recognizes and considers age-specific needs of patients. 12. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. 13. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. 14. Facilitates the coordination of inpatient and outpatient care and services as needed. 15. Facilitates collaboration between providers and coordination of community resources. 16. Ensures compliance with legal, regulatory and clinical policies and procedures. 17. Participates in quality improvement initiatives. 18. Provides and coordinates patient teaching and counseling. Education Qualifications BACHELOR'S DEGREE IN NURSING FROM AN ACCREDITED UNIVERSITY. Note: PAs hired prior to July 1, 2012 are not subject to this educational requirement • Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. B. Licenses and Certifications PA - Physician Assistant State Licensure BLS - Basic Life Support DEA - Drug Enforcement Administration These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.