Nurse Practitioner - PRN

Olive Branch, Mississippi, United States Part-time

Job Description:  Nurse Practitioner

Job Description Summary 

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. The NP may in collaboration with the attending physician or medical director provide hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, and management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating and collaborating with patients, families and other healthcare practitioners. Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face to face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team.  

 JOB Responsibilities 

  • Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician. 
  • Completes history and physical examinations, by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient's medical record. 
  • Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating hospice care services under the supervision of the collaborating physician. 
  • Completes the hospice face to face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification and submits the findings of a face to face visit in a clear and concise narrative of the patients’ condition, outlining details of the patients decline and why or why not the patient continues to qualify for hospice care. 
  • Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care. 
  • Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners. 
  • Assures that patient receives appropriate measures to control symptoms through collaboration with interdisciplinary team members. 
  • Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician. 
  • Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols.  
  • Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. 
  • Consults with the patient's attending physician, the hospice medical director and other healthcare practitioners regarding the patient's eligibility for hospice care, ongoing care needs and medical management related to the patient's terminal condition. 
  • Communicates with other community health practitioners to coordinate the plan of care. 
  • Attends and participates in hospice interdisciplinary group meetings when appropriate. 
  • Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record. 
  • 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.  
  • Works in cooperation with the family/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 
  • Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. 
  • Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. 
  • Is knowledgeable of and ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare. 
  • Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies. 
  • Participates in organizational monitoring of the quality of medical services and quality improvement initiatives. 
  • Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. 
  • Demonstrate knowledge in communication and counseling patient/family in dealing with end-of-life issues. 
  • Actively participates in quality assessment performance improvement teams and activities of the organization. 
  • Knowledge of and adherence to all policy and procedures. 
  • Maintains compliance by documenting accurately and timely within the organization’s electronic health record. 
  • Lives the Mission, strivesto achieve the Vision and exemplifies the Core Values of the organization. 
  • Works toward exceeding chosen Pillar goals in the areas of Employee Satisfaction, Customer Satisfaction,    Quality Service, Compliance, Growth and Financial Performance. 
  • Knowledge of and adherence to the employee Code of Conduct and Code of Ethics.                 

                                                               

The above statements are intended to be a summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. 

 

JOB REQUIREMENTS 

  • Graduate from an accredited School of Nursing and accredited Nurse Practitioner Program. 
  • Current nursing licensure in the state in good standings with no restrictions. 
  • Maintains current CPR certification. 
  • Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. 
  • Accreditation from an approved certifying body for advanced practice nursing as required by State. 
  • Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics). 
  • Collaborative agreement with the hospice medical director completed and filed with the state licensing board. 
  • Primarily frequent in nature with exerting up to fifty pounds of force occasionally, and/or up to twenty pounds of force frequently, and/or up to ten pounds of force constantly to move objects: reaching, lifting, carrying, handling, walking, sitting, standing, bending, squatting, climbing, kneeling, and twisting.  Position may require pushing and pulling up to 300 lbs. Frequent to continuous speaking, hearing, near visual acuity, far visual acuity, depth perception, typing and driving.