Nurse Practitioner (NP)

Alternate Solutions Health Network Chillicothe, OH

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY. SCHEDULE: Monday - Friday, 8:00am - 4:30pm; On-Call Rotation TERRITORY: Chillicothe & surrounding areas Job Title: Nurse Practitioner Department: Field Reports To: Hospice Field Administrator or DON FLSA Status: Exempt Our Mission: To inspire hope and improve the quality of life for those patients entrusted to our care SUMMARY: The Nurse Practitioner (NP) provides health care to patients and their families through the application of advanced knowledge and skills. In collaboration with the Medical Director, the NP provides consultation in palliative care, symptom management and supportive care to meet the needs of the patient. The NP works collaboratively within the Interdisciplinary Group (IDG) and acts as resource person for staff and others on care related issues. QUALIFICATIONS & ATTRIBUTES: Master of Science in Nursing, minimum one year as NP, and five years as RN. Preferred experience in long term care, oncology, or hospice. Active RN license in state of practice and current certification as an NP required. Certificate as Hospice and Palliative Nurse preferred. Ability to create positive impressions and communicate with a variety of people. Maintain effective communication with patients, families, physicians and co-workers. Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients. Knowledgeable on nursing best practices. Ability to make appropriate nursing judgments. Ability to identify a situation and handle it with the best possible solution. Detail-oriented and observant. Disciplined style of work ethic. Ability to prioritize and be timely. Works efficiently. Ability to follow directions and work as a team member. MAJOR AREAS OF RESPONSIBILITY: Performs patient visits and patient recertification activities such as the face to face encounter in coordination/ collaboration with the IDG and/or Medical Director. Actively participates in IDG. Shares, presents and records activities with other members and directs patient's plan of care as needed. Ensures that documentation is compliant with organizational and governmental standards. Works collaboratively with staff, referring physicians, attending physicians, medical directors, and the caregiving team concerning care of patients and potential referrals. Assists in the review of patient clinical profiles including medication and care plan review to assess appropriateness and make adjustments as needed. Provides cover for the physician when they are absent, to include answering patient calls, medication refill requests and other matters related to patient care. Educates caregivers, co-workers and the community on all aspects of palliative care and services provided by agency. Participates in developing current procedures regarding the provision of clinical care. Attends and participates in internal team meetings as needed. Prepares and maintains accurate patient records, charts and documents to support the medical practice and reimbursement for services provided. Prescribes and orders treatments and diagnostic tests according to licensure/credentialing body. Assists in development of clinical practice guidelines I standards in support of quality palliative care as requested by supervisor. Participates in Quality Assurance Performance Improvement (QAPI) activities. Educates staff and patient/family on physical, emotional and psychosocial aspects of care, the disease process, symptom and pain management, signs and symptoms of death. Demonstrates expertise in pain management and symptom control as related to terminally ill patients. Accountable for proper utilization of hospice re sources. Assists with occasional nursing visits, administrative on-call duties, referrals and admissions as needed. Accountable for proper utilization of hospice benefits. Reports allegations of patient abuse, neglect, and/or misappropriation of patient property. Follows Standard Precautions and infection control procedures when in a clinical environment. Assures safety needs of the patients are addressed and met. Assists with on-call duties, referrals and admissions as needed. Demonstrates knowledge and competence in caring for hospice patients. Actively promotes an open line of communication and a professional relationship with patients/families, facility staff, all members of the hospice team and administration. Utilizes appropriate resources to resolve problems. Acts as a representative for the company in promoting hospice education in the community. Potentially travels to multiple locations during a work day. Attendance is an essential job function. Complies with all local/state/federal regulations and standards of their profession. Complies with all company policies and procedures. HEALTH QUALIFICATIONS: Health Requirements: Must be able to meet all physical position requirements. Evidence required of a current negative tuberculin skin test or x-ray or receive TB testing at the date of orientation. Thereafter an annual tuberculin skin test is required, unless the employee has documentation of a previous TB test. Employee must be free of physical/medical conditions, which would limit or restrict their ability to perform the job functions listed below. Bloodborne exposure risk is all. 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Below are minimal knowledge/physical requirements of this position. An extensive amount of travel is required for this position. #INDADEHHOS2 We’ll help you put your passion for patient care to work. Apply today! This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. We are an Equal Opportunity Employer.

Nurse Practitioner NP Hospice & Palliative

Affinity Care of Ohio Warren, OH

Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice 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. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary 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/Responsibilities Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 2. Completes history and 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. 3. Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners. 7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. 1. Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician. 2. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. 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. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 1 Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. 1 Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 1. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 2. 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. 3. Fulfills the obligation of requested and/or accepted assignments. 4. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. Position Qualifications 1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. 2. Has a current DEA license 3. Current nursing licensure in State and CPR certification. 4. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 5. Accreditation from an approved certifying body for advanced practice nursing as required by State. 6. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 7. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 8. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

Nurse Practitioner NP Hospice & Palliative

Affinity Care of Ohio Youngstown, OH

Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice 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. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary 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/Responsibilities Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 2. Completes history and 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. 3. Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners. 7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. 1. Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician. 2. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. 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. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 1 Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. 1 Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 1. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 2. 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. 3. Fulfills the obligation of requested and/or accepted assignments. 4. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. Position Qualifications 1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. 2. Has a current DEA license 3. Current nursing licensure in State and CPR certification. 4. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 5. Accreditation from an approved certifying body for advanced practice nursing as required by State. 6. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 7. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 8. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

Southington Hospice General - Nurse Practitioner (APRN) or Physician Assistant

Hartford HealthCare at Home Southington, CT

Location Detail: 81 Meriden Ave Bradley Memoria (10003) Position Summary The Hospice Advanced Practice Registered Nurse (APRN) provides comprehensive, patient-centered care to individuals with serious, life-limiting illness enrolled in hospice services. The APRN collaborates with the interdisciplinary team (IDT) to ensure high-quality symptom management, goal-concordant care, and support for patients and families across care settings. Key Responsibilities Clinical Care Perform comprehensive assessments of hospice patients across home, SNF, and inpatient settings Manage pain and other distressing symptoms using evidence-based palliative approaches Develop and implement individualized care plans aligned with patient goals and prognosis Conduct face-to-face encounters required for hospice eligibility and recertification Order and interpret diagnostic tests as appropriate to hospice scope Prescribe, discontinue, and adjust medications, treatments, durable medical equipment (DME), oxygen, and supplies in accordance with state regulations and organizational policies. Manage controlled substances and comfort medications as clinically appropriate. Review medication regimens for appropriateness, effectiveness, safety, and alignment with patient goals of care. Provide medication education to patients, families, caregivers, and staff. Participate in medication reconciliation and deprescribing initiatives. Interdisciplinary Team Collaboration Participate actively in weekly Interdisciplinary Team (IDT) meetings (core expectation in hospice operations) [Re: Lisa D...Carlo APRN | Outlook] Collaborate with physicians, nurses, social workers, chaplains, and other team members Provide clinical guidance and consultation to field staff Care Coordination Communicate effectively with patients, families, and caregivers regarding prognosis and plan of care Facilitate transitions across care settings (home, hospital, SNF) Coordinate with primary care and specialty providers to ensure continuity Regulatory & Documentation Complete timely and accurate documentation in compliance with CMS hospice regulations Ensure adherence to hospice Conditions of Participation and organizational policies Support quality metrics and documentation related to goals of care and advance care planning On-Call / Coverage (if applicable) Provide on-call support as assigned, including triage and symptom management guidance Participate in weekend/holiday coverage models as needed Skills & Competencies Advanced symptom management and serious illness communication skills Ability to work autonomously in community-based settings Strong collaboration in interdisciplinary care models Comfort with end-of-life care, goals-of-care discussions, and family support Qualifications Graduate of an accredited Nurse Practitioner program Board-certified APRN (FNP, AGNP, or Adult NP preferred) Active Connecticut APRN license and prescriptive authority Minimum 2–3 years of clinical experience (preferred) Prior experience in hospice, palliative care, geriatrics, or home-based care strongly preferred

Nurse Practitioner NP Hospice & Palliative

Affinity Care of Ohio Boardman, OH

Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice 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. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary 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/Responsibilities Patient Care 1. Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 2. Completes history and 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. 3. Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services. 4. Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification. 5. Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 6. Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners. 7. Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members. 1. Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician. 2. Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication 1. Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 2. Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 3. Communicates with other community health practitioners to coordinate the plan of care. 4. Attends and participates in hospice interdisciplinary group meetings. 5. 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. 6. Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 1 Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. 1 Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Additional Duties 1. Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services 2. Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 3. Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 1. Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 2. 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. 3. Fulfills the obligation of requested and/or accepted assignments. 4. Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. Position Qualifications 1. Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program. 2. Has a current DEA license 3. Current nursing licensure in State and CPR certification. 4. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 5. Accreditation from an approved certifying body for advanced practice nursing as required by State. 6. Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) 7. Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. 8. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 9. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

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