Job Description

Job Title - Remote Nurse Practitioner, Palliative Care at Home - Mount Sinai Home Health - Full Time - Day

Palliative Care at Home, part of Mount Sinai at Home, provides home based palliative symptom assessment, treatment and ongoing goals of care discussions for patients and families facing advanced illness. The full clinical team is comprised of CHWs, NPs, nurses, social workers and physicians. The team works in collaboration with patients' healthcare teams to provide high quality evidence based complex palliative care and chronic care management and is designed to improve symptoms and QOL, reduce caregiver burden, reduce unnecessary inpatient utilization, and facilitate hospice when appropriate. Nurse practitioners will be responsible for the symptom management of chronically/terminally ill patients within an interdisciplinary team environment. This role will provide disease process and trajectory education to the team, patients and families. The NP will assess, order and interpret clinical testing, diagnose and treat symptoms related to a variety of chronic disease states to focus on palliative symptoms and advanced illness education.

Responsibilities

DESCRIPTION OF COMPETENCIES

A. Operational Duties
• Conducts in home and telehealth assessments for patients with complex needs, including formulating a diagnosis,
ordering and interpreting diagnostics, and delivering appropriate care in line with patient preferences and goals
of care
• Prescribe new medications and perform medication reconciliation
• Demonstrate sound clinical judgement and evidenced based practice in symptom management and end of life care
• Facilitate family meetings, goals of care conversations, and ACP discussions
• Leads oversight of care plans in conjunction with the rest of the clinical care team
• Advocates for the patient and caregiver in collaboration with other care providers to keep care coordinated
and consistent with patient goals
• Serve as a link between health and social care services and community to improve access to palliative care
and quality of care
• Work closely with interdisciplinary team to address changes in patient needs or symptoms
• Educates patient/family on trajectory of illness, use of medications, assesses disease understanding
• Participate in weekly IDT meeting with care team
• Excellent teamwork, communication and leadership skills
• Documentation as required
• Performs other related duties as assigned

Qualifications

Required:

• Master's degree program designed to prepare a NP to diagnose, treat, and prescribe for a patients condition that fall within their specialty area of practice or the successful completion of an approved supplemental education program, i.e., post-master's NP certificate.
• Licensure: New York State License with current registration as a registered nurse.
  • State Certification: Certified by the New York State Department of Education as a Nurse Practitioner with current registration as follows:
  • a. Is a graduate of New York State registered Nurse Practitioner Program or equivalent OR is certified as a Nurse Practitioner by a national association via examination.
  • b. Has completed a pharmacy component of not less than the required semester hours or the equivalent AND has been instructed in New York State and Federal Laws relating to prescriptions and recordkeeping (3-hour course).
  • c. Has a Collaborative Practice Agreement with a physician and designated protocols if less than 3600 hours experience as a practicing Nurse Practitioner.
  OR
  • Has a Collaborative Relationship with a physician based on employment in clinical practice in the NP role at Mount Sinai Hospital. If there is a documented work history as a Nurse Practitioner with greater than 3600 practice hours. Please note all NPs regardless of their status will be placed on an FPPE initially)

Experience:

• Previous progressive experience relevant to the area of clinical practice required.
• For all NPs hired effective June 1, 2019, National Board Certification in Advanced Practice Nursing required. For NPs who bill for professional services, National Board Certification is required regardless of hire date. The Board Certification requirement may be deferred up to 1 year if approved by Chief Nursing Officer or designee.
• Credentialed through the Credentialing Committee of the Medical Board with approved Delineation of Privileges
• Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification required
• Advanced Cardiac Life Support (ACLS)- ACLS recommended/preferred
• National certification in a primary field (eg Adult, Gerontology, Family, Acute Adult, etc)
• 3+ years of palliative care/geriatrics experience
• Experience working in interdisciplinary care teams
  Preferred:
• Hospice and Palliative Certification
• Home care, hospice or palliative care experience
• Advanced Care Planning experience
• Spanish speaking proficiency/fluency

Compensation Statement

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $123,576.00 - $197,400.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

Non-Bargaining Unit, H1D - Palliative Care at Home - MSHH, Mount Sinai Home Health