Nurse Practitioner Hospice PRN - Milford

$48.42 - $72.64 / hour

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

Patient Coverage Territory: Kent and Sussex County

As the Per Diem Hospice Nurse Practitioner, you will provide compassionate, patient-centered care to individuals with life-limiting illnesses, focusing on comfort, dignity, and quality of life. Working collaboratively with an interdisciplinary hospice team, your duties as the Nurse Practitioner will encompass assessment of patient needs, the management of symptoms, and providing support to patients and families through end-of-life care.

Primary Responsibilities:

Communicate significant findings, problems, changes in condition or environment to the clinical manager/attending physician and other members of the interdisciplinary team
Complete face to face encounters and assesses the following: disease related changes, decline in function, adherence and effectiveness of pain and symptom regimen, the patient and family coping mechanisms and quality of life
Order and review appropriate lab, x-rays, EKG's and other diagnostic procedures for palliation and treatment of the terminal disease as dictated by the patient's condition and documents the treatment plan accordingly and reviews results with collaborating physician
Make referrals to other disciplines as indicated by the patient's needs
Actively participate in interdisciplinary team conferences

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current and unencumbered license as a Nurse Practitioner in the state the employee is assigned to work by the Company
Driver's License and access to reliable transportation
Current CPR certification
1+ years experience as a Nurse Practitioner or minimum of one (1) year experience as a hospice Registered Nurse in last three (3) years
Must have the authority to practice as a nurse practitioner in the state where services are provided
Must have the authority to prescribe as a nurse practitioner in the state where services are provided
Must have obtained Medicare billing privileges as a nurse practitioner
Must meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys
Must have insurance required by state law for nurse practitioners to practice [and prescribe] in the state where services are provided or be eligible for such insurance requirements to be satisfied by group coverage with an employer
Knowledge of Medicare reimbursement and coding for all levels of service - home, office, nursing home, assisted living, etc., Medicaid and other regulatory requirements

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $48.42 to $72.64 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Share this job

Related Jobs

Full-time

1 week ago

BEEBE BREAST SURGERY-NURSE PRACTITIONER

Beebe Healthcare Rehoboth Beach, DE

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual provides direct patient care as the breast center advanced practice provider according to established protocols, policies, procedures, and accepted standards of care. Functions within approved scope and credentials as approved by Beebe Medical Center credentialing committee. Follows established nursing standards procedures and practices and gives specific patient care directions to nursing and other staff. Responsibilities Management of High-Risk Patients : Order appropriate imaging based on NCCN guidelines. Discuss risk reduction strategies (exercise, limiting alcohol, risk reduction medication, maintaining healthy BMI). Breast exam every 6 to 12 months. Management of patients with history of breast cancer. Order appropriate imaging. Genetic testing if needed. Referrals to medical oncology if needed. Ordering of Genetic Testing Assess post op patients (complications such as hematoma, seroma, infection). Interpretation of Abnormal imaging (setting patient up for biopsy with surgeon). Management of benign breast disease (breast cysts, breast pain). Management of patients with Dense Breasts. Assessing patients for lymphedema. Appropriate referrals to physical therapy. Ability to apply appropriate clinical assessment skills for patient services. Ability to evaluate necessary diagnostics. Ability to accurately document in detail for services rendered. Demonstrates competency in patient care assessment. Ability to communicate both verbally and in writing in a concise easily understood manner. Open and receptive to continuous competency education as needed to provide appropriate care. Support organizational leadership training opportunities. Exude punctuality in compliance with hospital policy mandates. Qualifications Completion of a Nurse Practitioner program approved by the ACNP. Must hold current license as a Nurse Practitioner or Physician Assistant in the State of Delaware, national board certification, a Certificate of Authority by the Delaware Board of Nursing as a certified Nurse Practitioner. Prescriptive authority as issued by the Delaware Board of Nursing. Must have DEA license or be eligible to apply for DEA number and license. Must have a valid BLS and ACLS card upon hire. Minimum of 2 years of experience required. Ability to perform BLS. Must have knowledge of pharmacology principles and surgical procedures and in-depth anatomy; skill in manual dexterity; ability to assess clinical situations and initiate appropriate treatment, interpret laboratory data, respond to emergency situations, coordinate work schedules to achieve maximum productivity and efficiency and ability to recognize and document any pathophysiology. Competencies Skills "Essential: * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors " Credentials Nonessential: * ADV PRACT NURSE - Advanced Practical Nurse Education Other Information Completion of a Nurse Practitioner program approved by the ACNP. Must hold current license as a Nurse Practitioner or Physician Assistant in the State of Delaware, national board certification, a Certificate of Authority by the Delaware Board of Nursing as a certified Nurse Practitioner. Prescriptive authority as issued by the Delaware Board of Nursing. Must have DEA license or be eligible to apply for DEA number and license. Must have a valid BLS and ACLS card upon hire. Minimum of 2 years of experience required. Ability to perform BLS. Must have knowledge of pharmacology principles and surgical procedures and in-depth anatomy; skill in manual dexterity; ability to assess clinical situations and initiate appropriate treatment, interpret laboratory data, respond to emergency situations, coordinate work schedules to achieve maximum productivity and efficiency and ability to recognize and document any pathophysiology.

Psych

Full-time

1 month ago

ADVANCED PRACTICE PROVIDER - BEHAVIORAL HEALTH - CARE COORDINATION

Beebe Healthcare Lewes, DE

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview The Behavioral Health Nurse Practitioner (NP) provides comprehensive psychiatric assessment, evaluation, consultation, treatment, and medication management to patients presenting to the acute care hospital and Emergency Services with behavioral health and psychiatric needs. The primary responsibility is timely behavioral health consultation and clinical management for patients in the Emergency Department and hospitalized medical/surgical units. The NP collaborates with emergency medicine physicians, hospitalists, psychiatrists, nursing, case management, behavioral health staff, and community providers to support safe, effective, patient-centered care, appropriate disposition, reduced behavioral health length of stay, and safe transitions. Responsibilities Psychiatric Assessment and Clinical Management Performs comprehensive psychiatric evaluations for patients presenting to Emergency Services and acute care inpatient units. Assesses acute psychiatric symptoms including depression, anxiety, psychosis, mania, behavioral disturbances, substance-related conditions, cognitive disorders, and other behavioral health conditions. Evaluates suicide risk, self-harm risk, violence risk, behavioral escalation, and other psychiatric safety concerns. Develops differential diagnoses and individualized behavioral health treatment plans. Initiates and manages psychiatric medications within scope of practice and organizational policy. Provides ongoing behavioral health follow-up for patients who remain in the Emergency Department or acute care setting awaiting disposition. Provides psychiatric consultation for medically admitted patients whose behavioral health conditions affect treatment, safety, disposition, or recovery. Emergency Services Provides timely behavioral health evaluation of patients presenting to the Emergency Department with psychiatric and behavioral health concerns. Collaborates with Emergency Services clinicians to determine appropriate treatment and disposition. Assists in determining whether patients can be safely discharged with outpatient services or require a higher level of psychiatric care. Supports placement into inpatient psychiatric treatment, crisis services, substance use treatment, or other behavioral health services when indicated. Reassesses behavioral health patients remaining in the Emergency Department awaiting placement or disposition. Works collaboratively to minimize unnecessary behavioral health boarding and delays in disposition. Acute Care Consultation Provides psychiatric consultation to hospitalists, physicians, nurses, case managers, and other interdisciplinary team members. Evaluates hospitalized patients with new or worsening psychiatric symptoms. Provides recommendations regarding behavioral management and psychiatric treatment. Assists the care team in managing behavioral health conditions that create barriers to medical treatment or discharge. Supports safe management of patients requiring behavioral health precautions or enhanced observation. Care Coordination and Disposition Collaborates closely with Behavioral Health Case Management, Acute Case Management, and community behavioral health providers. Supports timely determination of the most appropriate level of behavioral health care. Facilitates transitions to inpatient psychiatric treatment, outpatient behavioral health services, crisis programs, substance use treatment, primary care, and community resources. Identifies and addresses barriers contributing to prolonged Emergency Department or hospital length of stay. Communicates behavioral health recommendations clearly to patients, families, and the healthcare team. Billing, Coding, and Revenue Cycle Responsibilities Provides billable behavioral health evaluation, consultation, and treatment services in the Emergency Department and acute care inpatient setting in accordance with applicable federal and state regulations, payer requirements, and organizational policies. Completes documentation necessary to support accurate and timely professional billing for services provided. Selects and/or supports assignment of the appropriate level of service and applicable CPT/HCPCS codes consistent with organizational coding and compliance requirements. Ensures documentation supports medical necessity, complexity of care, diagnoses, services rendered, and level of service billed. Completes and closes encounters within established organizational timeframes to support timely charge capture and claims submission. Collaborates with Coding, Revenue Cycle, Compliance, and Finance to address documentation or billing opportunities and ensure appropriate reimbursement. Maintains required credentialing, enrollment, and payer participation necessary to bill independently or under the appropriate organizational billing structure. Participates in education and audits related to documentation, coding, billing compliance, and revenue optimization. Monitors individual productivity and professional revenue performance as established by the organization. Supports appropriate capture of professional revenue associated with behavioral health consultations, psychiatric evaluations, medication management, and follow-up services provided in Emergency Services and acute care. Collaboration and Communication Maintains effective collaborative relationships with Emergency Services, Hospital Medicine, Psychiatry, Nursing, Case Management, Security, and other clinical departments. Communicates significant changes in patient condition and safety concerns promptly. Participates in behavioral health interdisciplinary rounds, complex case reviews, or throughput discussions as appropriate. Serves as a behavioral health clinical resource to acute care staff. Documentation Completes timely, accurate, and comprehensive documentation in the electronic medical record. Documents psychiatric assessment, diagnosis, risk assessment, treatment recommendations, medication management, disposition recommendations, and follow-up plan. Completes documentation consistent with regulatory, accreditation, billing, and organizational requirements. Quality and Performance Improvement Participates in quality improvement initiatives related to behavioral health care in the acute care setting. Supports efforts to improve behavioral health patient safety, Emergency Department throughput, appropriate utilization, and transitions of care. Participates in review of behavioral health length of stay, ED boarding, readmissions, repeat ED utilization, safety events, and other identified performance measures. Identifies opportunities to improve behavioral health workflows and interdisciplinary care processes. Competencies Skills Timeliness of behavioral health consultation and psychiatric evaluation. Behavioral health ED length of stay and reduction in avoidable ED boarding. Timely reassessment of behavioral health patients awaiting disposition. Appropriate disposition and level-of-care determination. Psychiatric consultation response time for hospitalized patients. Behavioral health 7- and 30-day ED revisits/readmissions. Professional charges generated and successfully captured. Percentage of eligible encounters billed and timeliness of encounter closure/charge submission. Documentation and coding accuracy and documentation-related denial performance. Work RVUs and/or other organizational productivity measures, when applicable. Professional revenue compared with established budget and productivity expectations. Two or more years of psychiatric/behavioral health advanced practice experience. Experience in an Emergency Department, acute care hospital, psychiatric consultation-liaison service, inpatient psychiatric setting, or behavioral health crisis program. Experience evaluating patients with complex psychiatric, medical, substance use, and psychosocial conditions. Credentials Education Master's or Doctoral degree in Nursing from an accredited Nurse Practitioner program. Graduate preparation appropriate for psychiatric/behavioral health advanced practice. Current Advanced Practice Registered Nurse licensure in the state of practice. Current national board certification as a Psychiatric-Mental Health Nurse Practitioner (PMHNP-BC), where required by scope of responsibilities. Prescriptive authority consistent with state law and organizational credentialing requirements. DEA registration if required for assigned responsibilities. Current BLS certification and required crisis intervention/de-escalation training.

Full-time

2 months ago

NEONATAL PRACTICE - NP IP

Beebe Healthcare Lewes, DE

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview The Neonatal Nurse Practitioner will direct patient care of neonates according to established protocols, policies, procedures, and accepted standards of care in collaboration with Pediatric Hospitalists and Chair of Dept. of Pediatrics. The NNP functions within approved scope and credentials as approved by Beebe Medical Center credentialing committee and in accordance with the Medical Staff Bylaws, Rules and Regulations. Must be able to obtain a Delaware license to practice in field of specialty and hold a DEA upon eligibility. Responsibilities Assessments. Diagnostics. Resuscitation and transitional care. Documentation. Preventive health. Patient/family education. Evaluation. Risk Assessment. Communication. Coaching/Counseling. Leadership. Specifics Level 1 nursery NNP rounds daily in collaboration with pediatric hospitalist Attend high-risk deliveries and cesarean sections Resuscitation and stabilization of neonates Communication and consult with tertiary care center and preparation for neonatal transport Management of common neonatal problems, including respiratory distress, hypoglycemia, rule-out sepsis, hyperbilirubinemia Special populations include late preterm infants and infants with neonatal opioid withdrawal syndrome Respond to ED for neonates and to assist with IV placement and labs This is a non-traditional setting for an NNP; it is challenging if coming from a NICU environment with a full team of skilled NICU staff. The candidate must be able to function independently, direct a team, and perform all skills related to resuscitation and stabilization. A pediatric hospitalist is present for 8 hours a day and on call from home for the remainder of the 24-hour shift. You will work with a small established team of NNPs who provide 24/7 coverage. The current model is 24 hour shifts with the occasional moonlighting shift. The NNP call room is adjacent to L&D and functions as both office and sleep space for the NNP team. The Director of Women's and Children's Services serves as liaison between the NNP team, Beebe Medical Group, and the hospital. We average 60-70 births per month and 4-6 transfers per month. Qualifications Education/Training Requirements: Advanced practice registered nurse. Must hold a master's degree in nursing from an accredited Neonatal Nurse Practitioner program . Must be current in maintenance of NCC certification. Must be American Heart BLS & NRP certified. New graduates will not be considered. Minimum of 5 years' experience preferred. Competencies Skills "Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records " Credentials Essential: * NP - Nurse Practitioner * BLS - Basic Life Saving certification * ACLS - Advanced Cardiac Life Support * NRP - Neonatal Resuscitation Program/ Certificate - ESS Education Essential: * Master of Science in Nursing Other Information Education/Training Requirements: Advanced practice registered nurse. Must hold a master's degree in nursing from an accredited Neonatal Nurse Practitioner program . Must be current in maintenance of NCC certification. Must be American Heart BLS & NRP certified. New graduates will not be considered. Minimum of 5 years' experience preferred. Entry USD $0.00/Yr. Max USD $624,000.00/Yr.

Full-time

5 months ago

ADVANCED PRACTICE CLINICIAN - PULMONOLOGY HEALTH CENTER-NOCTURNIST NP

Beebe Healthcare Lewes, DE

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This role will be for night coverage of 7pm-7am and contracted for 122 shifts per year, a 7 on 14 off rotation, compensated at a 1.0 salary. This individual provides direct patient care as the Center's Physician Assistant or Nurse Practitioner according to established protocols, policies, procedures, and accepted standards of care. Functions within approved scope and credentials as approved by Beebe Medical Center credentialing committee. Follow established nursing standards, procedures, and practices, and gives specific patient care directions to nursing and other staff. Responsibilities Partners with Attending to provide night shift medical and surgical management for critical-care service. Critical-care duties include managing the comprehensive care of acutely and chronically critically ill or injured adult patients in collaboration with the intensivist physician on duty (or on-call). Advanced skills of comprehensive airway management Invasive procedures to include central lines, arterial lines, tube thoracostomy, dialysis catheters Selection, implementation, management, and titration of vasoactive drugs, insulin infusions, sedation, and analgesia. The above listed critical-care duties require that this position must be certified as an acute care nurse practitioner (ACNP) or Physician Assistant. Other duties as assigned. Qualifications Completion of an Acute Care Nurse Practitioner program approved by the ANCC or AANP or Physician Associate. Must hold current license as a Registered Nurse or Physician Associate in the State of Delaware, national board certification as an ANCP (ANCC or AANP), a Certificate of Authority by the Delaware Board of Nursing as a certified Nurse Practitioner or Physician Associate. Valid prescriptive authority as issued by the Delaware Board of Nursing or State Medical Board of Delaware Must have DEA license or be eligible to apply for DEA number and license. Must have a valid BLS and ACLS card upon hire. Certification for FCSS and formal airway course required within 1yr of hire Minimum of 2 years of experience in critical care, required. Credentials Education Other Information Completion of an Acute Care Nurse Practitioner program approved by the ANCC or AANP or Physician Associate. Must hold current license as a Registered Nurse or Physician Associate in the State of Delaware, national board certification as an ANCP (ANCC or AANP), a Certificate of Authority by the Delaware Board of Nursing as a certified Nurse Practitioner or Physician Associate. Valid prescriptive authority as issued by the Delaware Board of Nursing or State Medical Board of Delaware Must have DEA license or be eligible to apply for DEA number and license. Must have a valid BLS and ACLS card upon hire. Certification for FCSS and formal airway course required within 1yr of hire Minimum of 2 years of experience in critical care, required.

Full-time

5 months ago

BEEBE NEUROLOGY - NURSE PRACTITIONER-IP

Beebe Healthcare Lewes, DE

Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview To provide clinical care and leadership for the Neurology Service line. This is provided within an interdisciplinary model of care, with specific attention to patients at high risk of poor outcomes and transitions in care. Responsibilities Evaluation & Management: Performs complete history & physical and documents in the EMR. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Evaluation & Management: APP may serve as a first responder for both nursing and house staff in the event of patient status changes, orders and in situations requiring procedural and resuscitative interventions. Evaluation and re-evaluation of acute and chronically ill patients, providing necessary changes to their plan of care routinely. Diagnosis: Collaborates with interdisciplinary health care team making the diagnosis of acute and chronic conditions. Manages diagnostic tests through ordering, interpretation, performance and supervision. Diagnosis: Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions. Plan of Care: Formulates plan of care, identifies expected outcomes, and documents according, addressing complex acute and chronic health care needs. ¿ Implements and modifies plan of care. Plan of Care: Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Documentation: Documents key components of patient's progress via daily progress note, transfer, and discharge summary. Including but not limited to H&P, progress notes, plan of care, problem lists, procedure notes, acute event note and discharge summaries). Documentation is timely, meets acute care compliance standards. Documentation accurately reflects patient's acuity. Communication and Collaboration: Maintains ongoing communication and collaboration with interdisciplinary health care team. Working with Stroke Coordinator to reinforce education to medical staff and nursing staff. Serves on stoke committee and attends meetings. Communication and Collaboration: Facilitates and communicates with patient, family, and staff to promote continuity of care across the continuum of care. Schedules follow-up appointments with Neurologist prior to discharge. Professional Practice: Demonstrates professional practice behaviors including: preceptor/ mentoring, education and instruction of graduate students. Participates in specialty specific meetings, engages in process improvement, development and review of current protocols with both Hospitalists and Stroke Coordinator. Professional Practice: Seeks opportunities for active engagement in research and analysis of evidenced based practice. Maintains membership in professional organization and maintains CEU's Qualifications Graduate of Nurse Practitioner program Master's degree Current Delaware APRN license or able to obtain Current Basic Life Support (BLS) certification and Advanced Cardiac Life Support certification (ACLS) NIH Credentials Education Other Information Graduate of Nurse Practitioner program Master's degree Current Delaware APRN license or able to obtain Current Basic Life Support (BLS) certification and Advanced Cardiac Life Support certification (ACLS) NIH