Position SummaryThe Palliative Care Facility Nurse Practitioner is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Palliative Care Facility Nurse Practitioner provides palliative care for patients facing chronic, complex, and /or life-threatening conditions at various locations within the flow of patient care. S/he provides assessments, disease and treatment education, and symptom management to meet the needs of palliative care patients and their families. The Palliative Care Facility Nurse Practitioner helps the patient and family maintain their maximum level of comfort and coping. S/he provides care and support in collaboration with the Hospitalists, PCP, and specialists; and ensures compliance with practice standards and codes. S/he must collaborate appropriately with the assigned Compassus Medical Director. S/he must flex schedule to meet agency needs.
Position Specific Responsibilities- Performs routine and urgent assessments on patients:
- Facility presence required Monday - Friday, 8a-5p local time.
- Completes new palliative consultations within 24 hours of referral on business days, or per facility contract.
- 160-200 visits per month minimum (8-10 visits per day minimum) and additional visits may be required based on patient need and acuity. Minimum visit number adjusted for PTO and part-time status.
- Carries a minimum average daily patient census load of 25 patients, may increase depending on market needs.
- Ability to triage patient census by patient acuity to determine daily visit needs.
- Participates in facility's daily rounds per discretion of Compassus Palliative leadership.
- Performs bedside palliative care with patient/family education.
- Subject to after hours and weekend on-call requirements per the needs of the organization.
- Orders, performs, and interprets laboratory and radiology tests within scope of professional practice.
- Prescribes medications including controlled substances to the extent delegated and licensed, in accordance with facility contract agreements.
- Orders treatments and durable medical equipment if indicated per facility contract.
- Performs other therapeutic measures as indicated.
- Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborate with other physicians as needed.
- Assists in all facets of care coordination for palliative care referrals.
- Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided.
- Complies with applicable laws and regulations with respect to Collaborative Agreements.
- Completes accurate billing and coding activities for all patient encounters according to CMS guidelines.
- Provides training and ongoing education and onboarding support for staff.
- Defines goals for professional growth and participates actively in professional activities and organizations.
- Engages in active and frequent self-care activities for personal and professional growth and longevity.
- Adheres to the practice of confidentiality regarding patients, families, staff and the Organization.
- Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Communicates these goals among Interdisciplinary Team (IDT).
- Maintains professional, collaborative relationships with all facility staff and providers.
- Collaborates/Communicates with Medical Director, Attending Physician, Hospital Staff and IDT:
- Participates in monthly IDT meeting with market team.
- Collaborates/ Communicates with IDT needs of patient for clinical and psycho-social interventions.
- Assists in identifying the need for intervention of other IDT members.
- Effectively communicates patient and family needs to IDT.
- Completes and submits required clinical documentation within 24 hours of visit completion.
- Educates patient and caregiver regarding:
- Care of patient.
- Disease process.
- Goal setting.
- Symptom control.
- Treatment options.
- Prognosis.
- Advance Care Planning.
- Supervisory Responsibilities:
- Supervision of nursing trainees, including graduate and advance practice nurses in field placements.
- Participation in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees.
- Performs other duties as assigned.
Education and/or Experience- Master's degree, or higher, in Nursing required.
- Minimum of five (5) years nursing experience required; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred.
Skills- Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
- Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
- Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy.
Certifications, Licenses, and Registrations- Active and unencumbered CNS or Nurse Practitioner license in state of employment required.
- Certified as a Nurse Practitioner in Adult, Family, Acute, or Geriatric required.
- Active NPI number.
- Maintain active DEA certification if state allows prescription of controlled substances by APPs.
- Board Certification in Hospice and Palliative Care is preferred, but not required.
- Maintains all required certifications/licenses for facility credentialing.
State Specific Requirements
Other- All states except Iowa: Current collaborative physician agreement in place.
Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.
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