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Nurse Practitioner - Advanced Illness Management

Illumia Health is a fast-growing part of Gentiva, an industry leader in hospice and palliative care. Our clinical teams serve as an extension of physicians' care, partnering with them and other specialists to offer advanced illness management, a specialized form of high-touch palliative care designed to provide relief from the symptoms and stress of illness while improving quality of life wherever our patients call home. This flexible, collaborative approach is provided alongside curative treatments as an extra layer of physical, emotional, and social support. As a close-knit team bringing compassionate expertise to the unique journey of every patient, we proudly celebrate each other's successes in an inclusive atmosphere of generous support and rewarding career growth.
We believe every day is an opportunity to make care more personal and life more comfortable. That's why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.
The Nurse Practitioner - PRN/FLEX Advanced Illness Management (AIM) facilitates advanced illness management and palliative care for Empatia patients, ensuring a comprehensive, individualized treatment plan, while demonstrating excellent clinical skills and ethical, relevant judgment. Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician.
Work in collaboration with the Professional Services Corporation (PSC) Physician or supervising physician, Primary Care Physician, and other palliative team members to deliver advanced illness management and palliative care by providing diagnosis, treatment and follow-up for patients referred to Empatia.
* Take responsibility for advanced illness management from the initial assessment through discharge. Assessment at a minimum should include: disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and/or family's quality of life.
* Establish the plan of care, individualized for each patient, in consultation with the patient, family and other members of the Advanced Illness team, to include the PCP.
* Facilitate obtaining care for patient when a need is identified in accordance with the Plan of Care.
* Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
* Order treatments and durable medical equipment as indicated.
* Communicate clinical findings to the PSC Physician as needed, but no less than bi-weekly. Re-assess effectiveness of care plan on a regular basis and modify as needed.
* Maintain effective working relationships with supportive care team (e.g., Social Worker and RN Care Manager), as applicable, and involve team (internally and externally) when patient's care plan warrants team participation to achieve desired outcome.
* Communicate and document clinical findings, treatment plan, and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound medical practice and reimbursement for services provided.
* Knowledgeable of Palliative Medicine Quality Measures collection, documentation and reporting.
Working knowledge or understanding of: principles of Palliative Medicine, including when a patient may be appropriate for home health or hospice care; Medicare/Medicaid regulations; Must be able to work efficiently with electronic medical record software.
Minimum of Masters of Science in Nursing from an accredited school of nursing, or an equivalent as allowed under state law
* Nurse Practitioner specialty in Family or Adult Medicine preferred
* Value Based Care practice experience preferred
* Practice experience with Part B billing
* Collaborative agreement with a supervising physician, that is part of the Professional Services Corporation, that is agreeable to supervise work in advanced illness management and palliative care program, as required by state law
* ACHPN - Certification in Hospice and Palliative Care Preferred
* Career growth opportunities available at both the branch and corporate levels
* Free Continuing Education Units
* Local and national award programs
* Mileage reimbursement
* Financial assistance program supporting teammates in times of need