Anchor Health

Hospice and Palliative Nurse Practitioner

Are you looking for a work place where you can make a genuine difference?

Company Culture that feels supportive, genuine and appreciative of all?

Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family.

We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team!

Qualifications 

Master's or doctoral degree in nursing

Current NP License within the State

Responsibilities

The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families

 

Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers

Performs comprehensive patient examinations, evaluations, assessments and diagnosis

Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs

Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients

 

Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested

Performs timely face to face assessments with patients

Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care

Completes all documentation in an accurate, legible and timely manner

Provides quality patient care consistent with standards of nursing practices

Complies with hospice policies and procedures, laws and regulations and standards of practice

This position will cover Sonoma, Marin, and Napa counties. 

 

 

 

 

 

 

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UCSF Health

Nurse Practitioner 2

Job Description Come join our dynamic, highly skilled Advanced Endoscopy inpatient APP team. The Advanced Endoscopy service provides state-of-the-art surgical treatments, including cyst-gastrostomy, endoscopic necrosectomy, endoscopy ultrasound-guided gastrojejunostomy, and endoscopic ultrasound-guided biliary drainage procedures. In addition, there will be opportunities to train in other advanced procedures, including EMR, ESD, POEM, ESG, TIF, endoscopic suturing, balloon-assisted enteroscopy, and endoscopic retrograde cholangiopancreatography. We value individuals who are professional, have strong interpersonal and communication skills, and can prioritize and adapt to changing situations. Our Advanced Endoscopy APPs work at the top of the scope and manage patients independently in a collaborative environment with Fellows and Attending Physicians. Responsibilities 90% Inpatient - Direct Patient Care (may include some or all of the responsibilities listed) 1.1. Independently (independent APP encounter) or collaboratively (shared physician and APP encounter) evaluates and manages patients. Includes taking histories, performing physical examinations, responding to changes in patient status, performing consults, ordering or furnishing medications/diagnostic tests/treatments/therapies/consultations/referrals/durable medical equipment (DME)/home health services. Care provided must be documented in the electronic medical record in accordance with the UCSF Rules and Regulations. Provider services must be billed to reflect the performing provider and comply with the APP Billing Policy 3.08.01. APPs must respond to clinical documentation integrity inquiries from the Department of Quality and Patient Safety within 3 days. 1.2. Performs procedures granted to them via privileges/standardized procedures. 1.3. Identifies patients with acute decompensation or failure and responds to the hospital plan of care and reviews with physician. 1.4. Initiates consultations as indicated. 1.5. Documents independent assessment findings and recommends appropriate treatments. 1.6. Participates in service rounds and patient evaluation and treatment planning. 1.7. Reviews lab tests, x-rays, and other diagnostic tests, and initiates appropriate team plans. 1.8. Evaluates complex cases, establishes individualized plans of care for disposition to a lower level of care. 1.9. Interprets and acts upon completed tests, procedures, and radiographic studies. 1.10. Completes clinically relevant paperwork/electronic health record (EHR) documentation, including but not limited to ordering medications, completing episodic care notes and discharge summaries in accordance with the UCSF Rules and Regulations. 1.11. Effectively communicates findings, treatment options, and care plans with patients and their families 1.12. May first assist in the operating room if privileged to do so through OMAG after completing the required certification and proctoring. 1.13. Monitors and evaluates patients for discharge. Sets parameters and guidelines for continuum of care with a multi-disciplinary team. This includes evaluating and defining the discharge regimen. 1.14. Discharges patients, including prescribing/furnishing medications, ordering DME, and recommending or referring for ongoing follow-up care, providing discharge teaching, and completing discharge summaries. 10% Inpatient – Care Coordination (may include some or all of the responsibilities listed) 1.1. Coordinates care throughout the continuum including hospital admission, care coordination with staff and consulting services, and hospital discharge planning. 1.2. Coordinates episodic care and determines timing of routine clinic follow up. 1.3. Participates in huddles with clinic/hospital staff and anticipates patients who require close management or intervention. 1.4. Consults with nursing staff on plan and implementation of individualized nursing care plans. 1.5. Independently provides case summaries for disability, insurance agencies, workers compensation, work releases, and medical supply agencies. 1.6. Formulates and implements protocols to improve quality and efficiency and control waste in the clinical specialty. Minimum Knowledge, Skills, And Abilities (KSA) Excellent verbal and written communication skills Judgment skills to effectively meet the needs of patients Self-direction and organizational skills to function in an independent role Ability to cope with personal stress experienced by health care providers and team members Ability to meet minimum standards for hospital credentialing and billing standards as a billable provider Submit health plan (Medicare, Medicaid, and commercial for all APPs; also, CCS for pediatric providers) enrollment by the first clinical day At all times, must adhere to the UCSF Medical Staff Bylaws, Rules and Regulations, Code of Conduct, PRIDE values, and applicable medical center/campus/departmental policies and procedures At all times, must adhere to all UCSF policies regarding HIPPA, privacy, communication, documentation, encounter closure, and billing Mandatory attendance at the Office of Advanced Practice Providers Orientation Sessions Mandatory attendance at the APP Onboarding Committee APP Onboarding Series This position requires flexibility for the APP to work at all UCSF Health facilities/locations Performs other duties as assigned Qualifications Required Qualifications: Graduation from a California Board of Registered Nursing-approved or verified school of nursing with a master’s degree in nursing or a Doctor of Nursing Practice (DNP). Two (2) years of experience in an adult inpatient setting Preferred Qualifications One (1) or more years’ experience in gastroenterology or other procedural discipline in the past two years Any prior experience in endoscopy in a gastroenterology discipline License/Certifications California Registered Nurse (RN) License without restriction California Certified Nurse Practitioner (NP) without restriction California Nurse Practitioner Furnishing Number, including Schedule II furnishing privileges NP national board certification from an accepted certifying agency aligned with the patient population and clinical role Adult Inpatient (ACNP-BC, AGACNP-BC, ACNPC-AG, ACNPC). California Driver's License (if required for position) Drug Enforcement Administration (DEA) Registration with Schedules 2, 2N, 3, 3N, 4, and 5 registered to a California address American Heart Association (AHA) Basic Life Support (BLS) certification Additional required AHA certifications: None additional to BLS Additional required certifications (such as ENLS): none About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html