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.
Job Details Physician Office l Wilmington l Full-Time l First Shift Responsibilities & Requirements The APP is a provider of oncology health services who synthesizes and utilizes evidence-based practice, research, and current clinical knowledge. Working in collaboration with a multidisciplinary health care team. The APP demonstrates an advanced level of medical and/or nursing knowledge, clinical and technical competence, sound clinical judgment, professionalism as it relates to interpersonal and general communication skills, timely and complete documentation and take responsibility for ongoing professional development and competency validation. The APP role in partnership with supervising/collaborating physician(s) s includes history taking, clinical assessment, and physical examination, and order entry, interpretation of diagnostic studies, clinical diagnosis, treatment, and evaluation of care for the given population. The APP may have On Call duties and/or weekend responsibilities as assigned by practice/department. Performs other duties as assigned . Essential Functions: Physician and APP completed Quality Assurance chart reviews (25 charts for new grad, 10 charts for an established provider) (Must be kept at practice location). Perform credentialed procedure. APP may perform procedures in accordance with institutional and state guidelines as well as when necessary for scope within specialty of personal competency standards. Evaluates signs and symptoms, including age-appropriate changes, noting pertinent positives and negatives (patient care). Assesses the complex acute, critical, and chronically ill-patient and obtains relevant comprehensive and problem-focused health histories, prioritizing data collection and using collateral sources as necessary (medical knowledge and patient care). Demonstrates the ability to develop and reformulate as necessary, differential diagnoses by priority, identifies the presence of co-morbidities, and uses diagnostic strategies and technical skills to monitor and sustain physiological function and ensure patient safety. Participates in daily team transition huddles to facilitate effective coordinated patient care. Utilizes evidence-based practice, along with prescribing appropriate pharmacologic (includes medication reconciliation) and non-pharmacologic treatment modalities; implements treatment and referral orders; interprets and evaluates appropriate lab and diagnostic testing and reports to collaborating physician(s) and health care team members. Monitoring and ensuring the Quality of the Healthcare Practice - skill of ensuring quality of care through consultation, collaboration, continuing education, certification, and evaluation. The skill of improving one's own practice as well as engaging in interdisciplinary peer and colleague review. Adapts teaching and learning approaches based on physiological and psychological changes, age, developmental stage, cognitive status, readiness to learn, health literacy, the environment, and available resources (professionalism). Participates professionally and works collaboratively to identify processes, principles to meet quality core metrics and documentation standards and expectations (system based) Minimum Education: APRN: Master’s degree with an Advanced Practice Nursing Focus and National Board Certification required PA: Master’s degree required with the appropriate National Certification. Required Certifications: APRN - National Board Certification as a CNP, CNS, CNM, or CRNA (APRN certification to match scope of practice) PA- National Commission on Certification of Physician Assistants (NCCPA) Basic Life Support (BLS) certification required Required Licenses: Current Ohio Board of Nursing license for APRN Current Ohio License 50RX – License to practice as a physician assistant with prescriptive authority Maintain collaborative/supervision agreement as required through the Ohio Medial Board/Ohio Board of Nursing. Includes yearly review/Quality Assurance and evaluations. Required skills include but are not limited to the following: Ability to communicate and relate well with staff, provider(s), and the public Must have awareness of patient confidentiality and be able to follow directions well from physician and work autonomously with little direction Demonstrates the ability to effectively and efficiently document diagnoses, exam findings, and plan. Demonstrates positive interpersonal relationships and critical analysis skills. Demonstrates ability to multi-task and work under stress Maintains competencies and skills of specialty area of practice. Demonstrates assessment skills, diagnosis with critical thinking and implementation of a plan of care. Professional Role- skill includes clinical reasoning and builds collaborative intra and interprofessional relationships to provide optimal care to patients with complex acute, critical, and chronic illness. Skill of advocating on the behalf of the patient population and the profession through active participation in the health policy process. Managing and Negotiating Healthcare Delivery Systems - skill in addressing the development and implementation of system policies affecting services. Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
Job Details Physician Office l Washington Court House l Full-Time l First Shift Responsibilities & Requirements Advanced Practice Provider (APP) is a provider of direct primary care health services who synthesizes and utilizes evidence-based practice, research, and current clinical knowledge. Maintain independent clinic schedule of patients with possibility of empanelment. The APP demonstrates an advanced level of medical and/or nursing knowledge, clinical and technical competence, sound clinical judgment, professionalism as it relates to interpersonal and general communication skills, timely and complete documentation and takes responsibility for ongoing professional development and competency validation. The APP works in collaboration with a multidisciplinary health care team and in partnership with supervising/collaborating physician(s) with responsibilities that include: history taking, clinical assessment, physical examination, order entry, clinical documentation, interpretation of diagnostic studies, clinical diagnosis, treatment, and evaluation of care for the given population. The APP may have On Call duties and/or weekend responsibilities as assigned by practice/department. Performs other duties as assigned . Essential Functions: Physician and APP completed Quality Assurance chart reviews (25 charts for new grad, 10 charts for an established provider) (Must be kept at practice location). Evaluates signs and symptoms, including age-appropriate changes, noting pertinent positives and negatives (patient care). Assesses the complex acute, critical, and chronically ill-patient and obtains relevant comprehensive and problem-focused health histories, prioritizing data collection and using collateral sources as necessary (medical knowledge and patient care). Demonstrates the ability to develop and reformulate as necessary, differential diagnoses by priority, identifies the presence of co-morbidities, and uses diagnostic strategies and technical skills to monitor and sustain physiological function and ensure patient safety. Participates in daily team transition huddles to facilitate effective coordinated patient care. Utilizes evidence-based practice, along with prescribing appropriate pharmacologic (includes medication reconciliation) and non-pharmacologic treatment modalities; implements treatment and referral orders; interprets and evaluates appropriate lab and diagnostic testing and reports to collaborating physician(s) and health care team members. Monitoring and ensuring the Quality of the Healthcare Practice - skill of ensuring quality of care through consultation, collaboration, continuing education, certification, and evaluation. The skill of improving one's own practice as well as engaging in interdisciplinary peer and colleague review. Adapts teaching and learning approaches based on physiological and psychological changes, age, developmental stage, cognitive status, readiness to learn, health literacy, the environment, and available resources (professionalism). Participates professionally and works collaboratively to identify processes, principles to meet quality core metrics and documentation standards and expectations (system based). Minimum Education: APRN: Master’s degree with an Advanced Practice Nursing Focus and National Board Certification required PA: Master’s degree required with the appropriate National Certification Required Certifications: APRN - National Board Certification as a CNP, CNS, CNM, or CRNA (APRN certification to match scope of practice) PA- National Commission on Certification of Physician Assistants (NCCPA) Basic Life Support (BLS) certification required Required Licenses: Current Ohio Board of Nursing license for APRN Current Ohio License 50RX – License to practice as a physician assistant with prescriptive authority Required skills include but are not limited to the following: Ability to communicate and relate well with staff, provider(s), and the public. Must have awareness of patient confidentiality and be able to follow directions well from physician and work autonomously with little direction. Demonstrates positive interpersonal relationships and critical analysis skills. Demonstrates ability to multi-task and work under stress. Maintains competencies and skills of specialty area of practice. Demonstrates assessment skills, diagnosis with critical thinking and implementation of a plan of care. Professional Role- skill includes clinical reasoning and builds collaborative intra and interprofessional relationships to provide optimal care to patients with complex acute, critical, and chronic illness. Skill of advocating on the behalf of the patient population and the profession through active participation in the health policy process. Overview Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
