Nurse Practitioner - Hospice - Per Diem - Central Coast

Bridge Home Health & Hospice Salinas, CA

$75 / hour

Req #400 Nurse Practitioner (NP) - Hospice - PRN - Central Coast Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive health care services in compliance with the state Nurse Practice Act. Provides comprehensive care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating, and collaborating with patients, families, and other healthcare practitioners. The nurse practitioner visits patients and completes physical assessments as assigned in consultation with the primary care team. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities. Essential Job Functions/Responsiblities: Patient Care Provides medical care in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. Completes history & 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 documents the findings in the patient's medical record. Manages health conditions by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating health care services. Reviews clinical information, coordinates and oversees patient care in consultation with the attending physician and/or hospice physician. Assures that patient receives appropriate measures to control symptoms, through collaboration with the attending physician and/or hospice physician. Consults the Hospice Medical Director/Team Physician regarding the patient's plan of care. Perform face to face encounters within thirty (30) days of the third and subsequent hospice benefit certification periods and attest to the encounter. Communication Communicates and collaborates with other health care practitioners and the IDT team to create, review and revise the patient's plan of care. Consults with the patient's attending physician, primary care team and other healthcare practitioners regarding the patient's current condition, ongoing care needs and medical management. Communicates with other community health practitioners to coordinate the plan of care. Attends and participates in care management meetings as needed. 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. Educates/counsels’ patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the primary care team to meet the total needs of patients. Provides and maintains a safe environment for the patient. Assists the patient and family / caregiver and other team members in providing continuity of care. Works in cooperation with the family/ caregiver and other health care practitioners to identify and meet the care needs of the patient and family / caregiver. Serves as a nursing resource for consultation and education in the community. Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties: The Nurse Practitioner: Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice care. Ensures compliance with the hospice Medicare conditions of participation and other state regulations govern the provision of healthcare. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state, and organizational policies. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. (QAPI) Assumes responsibility for personal growth. Develops, maintains, and upgrades professional knowledge and practice skills through attendance at seminars, conferences, and participation in continuing education and in- service classes. Fulfills the obligation of requested and/or accepted assignments. Demonstrate knowledge in communication and counseling patient/family in dealing with health care issues. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. May be required to participate in the on-call rotation to meet the needs of the agency. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Position Qualifications: Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. Current nursing licensure in State and CPR certification is CPR required. Master's degree with a minimum of (1) year Nurse Practitioner experience. Accreditation from an approved certifying body for advanced practice nursing as required by the State. Certification in a specialist area preferred; (e.g. Hospice and Palliative Care) 2 years Hospice experience preferred Excellent observation, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist. Must possess a valid California Driver’s License with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Must hold a collaborative agreement with a physician outside of the hospice organization. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.

Nurse Practitioner (NP) - Hospice

Bridge Home Health & Hospice Salinas, CA

$75 / hour

Req #400 Nurse Practitioner (NP) - Hospice - PRN - Central Coast Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive health care services in compliance with the state Nurse Practice Act. Provides comprehensive care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating, and collaborating with patients, families, and other healthcare practitioners. The nurse practitioner visits patients and completes physical assessments as assigned in consultation with the primary care team. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities. Essential Job Functions/Responsiblities: Patient Care Provides medical care in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. Completes history & 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 documents the findings in the patient's medical record. Manages health conditions by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating health care services. Reviews clinical information, coordinates and oversees patient care in consultation with the attending physician and/or hospice physician. Assures that patient receives appropriate measures to control symptoms, through collaboration with the attending physician and/or hospice physician. Consults the Hospice Medical Director/Team Physician regarding the patient's plan of care. Perform face to face encounters within thirty (30) days of the third and subsequent hospice benefit certification periods and attest to the encounter. Communication Communicates and collaborates with other health care practitioners and the IDT team to create, review and revise the patient's plan of care. Consults with the patient's attending physician, primary care team and other healthcare practitioners regarding the patient's current condition, ongoing care needs and medical management. Communicates with other community health practitioners to coordinate the plan of care. Attends and participates in care management meetings as needed. 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. Educates/counsels’ patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the primary care team to meet the total needs of patients. Provides and maintains a safe environment for the patient. Assists the patient and family / caregiver and other team members in providing continuity of care. Works in cooperation with the family/ caregiver and other health care practitioners to identify and meet the care needs of the patient and family / caregiver. Serves as a nursing resource for consultation and education in the community. Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties: The Nurse Practitioner: Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice care. Ensures compliance with the hospice Medicare conditions of participation and other state regulations govern the provision of healthcare. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state, and organizational policies. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. (QAPI) Assumes responsibility for personal growth. Develops, maintains, and upgrades professional knowledge and practice skills through attendance at seminars, conferences, and participation in continuing education and in- service classes. Fulfills the obligation of requested and/or accepted assignments. Demonstrate knowledge in communication and counseling patient/family in dealing with health care issues. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. May be required to participate in the on-call rotation to meet the needs of the agency. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Position Qualifications: Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. Current nursing licensure in State and CPR certification is CPR required. Master's degree with a minimum of (1) year Nurse Practitioner experience. Accreditation from an approved certifying body for advanced practice nursing as required by the State. Certification in a specialist area preferred; (e.g. Hospice and Palliative Care) 2 years Hospice experience preferred Excellent observation, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist. Must possess a valid California Driver’s License with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Must hold a collaborative agreement with a physician outside of the hospice organization. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.

Psychiatric Mental Health Nurse Practitioner

Oceans Healthcare West Chester, PA

The Psychiatric Mental Health Nurse Practitioner (PMHNP) is responsible for assessing, diagnosing, and treating the mental health needs of the patient. The PMHNP works collaboratively with the psychiatrist to formulate treatment plans, prescribe medications, order and interpret results from laboratory tests, provide patient education, prepare medical records and refer patients in accordance with Joint Commission, Federal and State regulations, Oceans’ Mission, policies and procedures and Performance Improvement Standards. Essential Functions: Diagnosing, conducting, and prescribing medications for patients having psychiatric-mental health problems. Responsible for providing emergency psychiatric services, physician and psycho-social examinations of their patients. Developing appropriate treatment plan and providing effective management of patient care with proper evaluation. Consulting with patients and families having multiple and complex disorders; and working in a collaborative and integrative roles with primary healthcare providers. Performing invasive procedures. Educating patients on positive health promoting lifestyle choices and diseases, injury and illness prevention.

Masters Level Psychologist - Pediatric Feeding Program

Michigan Medicine Ann Arbor, MI

$83,183 - $120,749 / year

Who We Are Our program uses a holistic approach that integrates physiological, developmental, psychosocial, and behavioral factors to prevent and address feeding disorders. It is staffed by feeding psychologists, registered dietitians (RD), speech-language pathologists (SLP), occupational therapists (OT), a pediatrician and a gastroenterology nurse practitioner to provide close, coordinated care and address all aspects that impact feeding. Our largest referral stream consists of infants discharged from the hospital with feeding tubes, and we provide close, coordinated outpatient follow-up starting within one week of discharge. This allows for proactive, preventative care and oral feeding progression when developmentally and medically appropriate. Instead of using structured, protocolized, consequence-based feeding interventions, we rely heavily on principles classical conditioning to establish and protect a strong foundational relationship with each aspect of oral feeding. This approach minimizes the need for more intensive intervention and supports a natural, stepwise progression in feeding skills. It enables children to reach their full feeding potential in a manner that is sustained long-term. This proactive, preventative and holistic approach has produced exemplary outcomes and has successfully transitioned medically complex infants and young children off of their tubes to full oral feeds earlier than anticipated, even in populations known to have high rates of long-term tube dependence. This has resulted in significant expansion of our program and referral stream. Job Summary Michigan Medicine's Interdisciplinary Pediatric Feeding Program is seeking a full-time Masters-level Psychologist to join our growing team. This hybrid program (in-person and virtual) provides coordinated, interdisciplinary care to some of the most medically complex pediatric cases, including infants and children with feeding tubes and those diagnosed with Avoidant/Restrictive Food Intake Disorder (ARFID). Responsibilities* The core responsibilities of this position are twofold. The provider will staff the clinic that treats infants born prematurely and with less medical complexity who are discharged from the hospital with a feeding tube. The provider will provide care alongside a RD and an OT or SLP, to support safe and developmentally appropriate feeding progression. This person in this role will take the lead on case conceptualization, preventing oral aversion by monitoring factors that impact the infant's experience when eating including physiological comfort, hunger, stress, and psychosocial factors, and will collaborate with medical providers to identify and address physiological barriers to oral feeding progression (e.g., discomfort from reflux or constipation). This position will expand feeding treatment for toddlers and older children with Avoidant Restrictive Food Intake Disorder (ARFID), using a whole-child and family-centered approach. This includes emphasizing core nutrition to support brain and body development, broadening food repertoires with a focus on function and practicality and resetting feeding interactions between parent and child to reduce stress around feeding. This position also offers opportunities to develop group-based interventions, collaborate with pediatricians, and train other professionals, further expanding the reach and impact of feeding care. Other Key Responsibilities Include Supporting parents and caregivers, incorporating perinatal mental health principles to create a compassionate, family-centered feeding environment. Applying behavioral principles in a flexible, individualized manner, avoiding structured, invasive interventions while creatively tailoring strategies to meet each family's values, goals, and needs. Minimizing stress on the child and family while promoting feeding progress. Applying principles of classical and operant conditioning to support oral feeding while integrating developmentally appropriate attachment-based recommendations. Expanding treatment services for toddlers and older children with ARFID through direct care, consultation, and training of other disciplines. Developing group programs and collaborating with pediatricians to expand support for children with feeding difficulties. Engaging in research and quality improvement projects to advance best practices in pediatric feeding care. What You'll Do This is an exciting opportunity to be part of an innovative, interdisciplinary feeding program that is transforming care for infants and young children with feeding challenges. Our hybrid model increases access to specialized services while providing families with early intervention and ongoing support. We deeply value partnership and collaboration, recognizing that open communication and strong relationships are essential to high-quality care. Our team prioritizes mutual respect, mental health and well-being both for the families we serve and for our colleagues. We foster a supportive environment where team members are encouraged to share ideas, learn from each other, and grow professionally. You will have opportunities to engage in research and quality improvement projects, expand treatment services for toddlers and older children with ARFID, and work in a team that values holistic, developmentally appropriate, and compassionate feeding care. Additionally, this position offers a chance to develop group-based interventions, collaborate with pediatricians, and train other professionals, further expanding the reach and impact of feeding care. Required Qualifications* Master's degree in educational or clinical psychology. Eligibility for limited licensure as a Clinical Psychologist in the state of Michigan. Desired Qualifications* Experience working with children with neurodivergence (e.g., ASD, ADHD) and an understanding of developmental norms. Familiarity with feeding difficulties preferred but not required. Strong behavioral foundations and willingness to learn and collaborate are essential. Comfort with blending behavioral and attachment-based approaches to feeding challenges. Collaborative mindset and eager to learn from other disciplines and work within a team-based setting. Commitment to compassionate care and a family-centered approach. Modes of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes. Work Schedule 40 hours per week Work Locations Ann Arbor Union Affiliation This position is covered under the collective bargaining agreement between the U-M and the United Michigan Medicine Allied Professionals (UMMAP), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment. Background Screening Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third-party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses. In addition to the screenings indicated above under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position. Application Deadline Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended. U-M EEO Statement The University of Michigan is an equal employment opportunity employer.

Nurse Practitioner - Full Time- Psychiatry and Mental Health

Barton Health South Lake Tahoe, CA

Summary of Position: The Nurse Practitioner (NP) – Psychiatry provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities. The NP works independently as well as collaboratively with other providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order tests, interpret test results, provide patient education, prepare medical records and refer patients in accordance with statutes, regulations and protocols regulating the profession. The NP utilizes appropriate authorization protocols when performing medical functions. The NP demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. Qualifications Education: ● Completion of an accredited Nurse Practitioner training program ● Masters of Science in Nursing (MSN) or Doctor of Nurse Practice (DNP). Experience: ● Minimum two years of recent outpatient clinic experience as a NP preferred. Knowledge/Skills/Abilities: ● Computer literacy in common office applications ● Knowledge of electronic medical record (EMR) database or equivalent required; Epic experience preferred ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. Certifications/Licensure: ● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in applicable home location (California or Nevada), or ability to obtain prior to start date as required. ● Must be licensed as an RN in applicable state prior to start date as required. ● Psychiatric Mental Health Nurse Practitioner (PMHNP) certification required ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) ● Must have any additional licenses and certifications as required per Med Staff bylaws and applicable state laws (CA and/or NV). 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 accommodation 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 walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious diseases. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and interprets results to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan when indicated. Works in collaboration with the health care team. 3. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and Medical Staff. 4. Prescribes and monitors medications as required by California law, as allowed by DEA licensure and Barton Health policies. 5. Provides patient education regarding care and treatment plan. 6. Participates and collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. 7. Refers patients as appropriate for consultation or for specialized health resources and treatment. 8. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. 9. Participates in quality monitoring through the review of records and treatment plans for patient outcomes to assure quality care. 10. Promotes translation of evidence-based practices, guidelines, and research. 11. May serve as clinical preceptor for students or other Advanced Practice Providers. 12. Administers treatment plans in accordance with standardized procedures. 13. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care. 14. Maintains timely and accurate charting of clinical encounters in Barton Health’s Electronic Health Record (EHR) platform. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patient. 15. Accurately code clinical encounters with CPT and ICD-10 codes. 16. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient’s age- specific needs. 17. Performs comprehensive psychiatric evaluations that include evaluation of mental status, current psychiatric symptoms and functioning, as well as psychiatric and other relevant health histories. 18. Prescribes psychotropic medications and short-term therapies to treat mental health conditions in accordance with standardized procedures. 19. Provides brief psychotherapeutic interventions in conjunction with evaluation and management services in accordance with standardized procedures. 20. Participates in quality improvement activities; assists in maintaining compliance with The Joint Commission, State Agencies and other internal and external regulatory standards. 21. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control. 22. Responds to the needs of the department by performing other duties, as necessary.

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