Nurse Practitioner
4 weeks ago
What are the Minimum Skills, Experience and Educational Requirements?
- RN with Michigan license, Masters degree in Nursing required with Advanced Practice Certification.
- Current BLS certification.
- Valid Michigan driver’s license.
- Experience in Internal Medicine or family Practice required, Hospice and/or geriatric experience preferred.
- Certification in Hospice and Palliative Care preferred or willing to obtain in 3 years.
- Must be able to manage several job tasks simultaneously and be able to function effectively under high stress situations.
- Ability to read and interpret data from equipment and computer, including data entry.
- Good communication skills.
- Able to control confidentiality of sensitive information.
- Capable of working independently and making judgments on the basis of collected data.
- Capable of developing effective working relationships.
- Knowledge of billing and ICD-9 HCPCS coding is preferred.
- Ability to be mobile to carry out responsibilities throughout the community.
- Knowledge of Hospice philosophy, Medicare Hospice benefit and end of life care.
- Knowledge of Hospice Medicare conditions of participation
Clinical Responsibilities:
• Performs a comprehensive assessment / history and physical including subjective and objective data obtained from all relevant sources.
• The assessment is accomplished using appropriate assessment techniques, including ordering and interpreting diagnostic tests.
• The assessment should include the use of the standardized prognosis guidelines for determining Hospice eligibility.
• Collaborates with the medical director in the development of the plan of care.
• Patient’s responses are assess based on expected outcomes consistent with scientific and practice knowledge as well as the patient situation.
• In collaboration with the medical director interventions are changed based on the patient’s response Makes home visits as needed.
• Makes rounds in the Hospice Residence / Hospital as required.
• Completes, reviews and signs documents timely to meet regulatory requirements, including face to face visits and is available for support and consultation during normal office hours and after hours.
Leadership:
• Demonstrates accountability for personal, professional, ethical and legal standards.
• Assists in the development and review of clinical protocols.
• Promote open communication across the continuum. Acts as a liaison to physicians in the community. Promotes Hospice and Palliative Care through personal educational contact with health professionals and the community.
Professional Development:
• Assumes responsibility for continually improving own expertise.
• Participates in continuing education and in-service programs related to Hospice and Palliative Care and other pertinent topics.
Performance Improvement:
• Participates in the performance improvement program.
• Coordinates with the Quality and Compliance RN to meet all regulatory requirements.
• Participates in committee activities.
Regular attendance at standing and ad hoc meetings to include:
• Community Hospice and Hospice House Team meetings as available
• Palliative Care meetings
• Ad Hoc meetings with Medical Director and Manager
• Relevant community meetings and conferences
• Staff meetings
What are the Critical Demands of the Job?
- Able to life 50 pounds.
- Able to climb multiple stairs with medical evaluation equipment.
- Able to sit/drive/stand for extended periods of time.
- Able to deal effectively with potentially combative, confused patients in the home setting.
- Able to work in less than ideal situations; potential lack of plumbing, water, telephone or electrical support in the home setting.
- May work in unpredictable environment (see above).
- Required to drive in all types of weather conditions.
- Renders care in patient home setting exhibiting diverse social, cultural and economic ranges. May encounter hostile pets and difficult to access homes.
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