Nurse Practitioner

2 months ago

Fort Worth, United States Community Healthcare of Texas Full time

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POSITION SUMMARY

Under the direction of the Chief Medical Officer, and in accordance with CHOT policies and procedures, is responsible and accountable for collaboration with CHOT physician(s), and other care team members, in an active practice to deliver palliative care and hospice related health care services to patients and families. In addition, performance of a face-to-face assessment for assigned patients in consultation with the hospice Medical Director. In collaboration with the IDT (interdisciplinary team), patient and family, provides consultation, assessments, and evaluation of hospice eligibility.

Reasonable Accommodations Statement

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions

  • Documents medical history, pertinent patient information, hospice eligibility, disease progress, functional and physical decline, medications, and/or diagnostic studies as required for the patient visit. (per agency documentation standards).
  • Communicates findings and changes to Medical Director.
  • Consults Medical Director or designee when plan of care is outside of standardized practice and protocols, and specialty consults are needed to manage patients care.
  • Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.
  • Reviews, follows, and/or updates written plan of care in coordination with an interdisciplinary Team (IDT).
  • Assures that patient receives appropriate measures to control symptoms, through collaboration with IDT members
  • Document care provided in the patient's clinical record providing evidence of the progression of the end-stage disease process.
  • The Nurse Practitioner may not certify the terminal illness in the state of Texas.
  • The Nurse Practitioner also serves as an educator and researcher of hospice care.
  • Attends Physicians meetings and other meetings as directed by Medical Director or President/CEO.
  • Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth.
  • Maintain current knowledge of current research and trends in hospice care and pain/symptom management.
  • Work in a collaborative team approach with the IDT/IDG.
  • Participate in the QA/PI process as required.
  • Provide consultation & education to colleagues and attending physicians related to admission criteria for hospice and palliative care.
  • Review and develop protocols for treatment and propose options for interventions based on the literature.
  • Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issue.
  • Participate in resolution of interpersonal conflict and issues of clinical and ethical concern.
  • Maintain and enhance professional growth and development through attendance at seminars, conferences, and continuing education offerings.
  • Maintain knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice service.
  • Act as a professional role model by demonstrating behavior consistent with the philosophy, mission and purpose of the organization.
  • Adhere to all Confidentiality policies and procedures.
  • Perform other related duties or special projects as directed by the President/CEO and/or Medical Director.
POSITION QUALIFICATIONS
  • Registered Nurse duly licensed to practice as an Advanced Practice Nurse in the state of Texas under the Texas State Board of Nurse Examiners provisions and accreditation from an approved certifying body for advanced practice nursing (American Academy of Nurse Practitioners or American Nurse Credentialing Center).
  • Comprehensive knowledge and well-developed skills in:
    • Medicine and Pharmacology
    • Pain and Symptom control
    • Psychology of loss
    • Understanding and acceptance of Hospice principles of care.
  • Requires a minimum of 3 years nursing experience.
  • Knowledge of local, state, and federal laws for delivery of hospice services
  • Valid Texas Drivers License
  • Proof of current Automobile Liability Insurance
  • Demonstrates ability to relate effectively with Board of Directors, physicians, health care professionals, the community, patients/families, and members of the hospice interdisciplinary team
  • Proficient skill using a computer is required; Microsoft office suite experience required.

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