Nurse Practitioner-Hospice

Walnut Creek, CA 94507

Posted: 01/02/2019 Job Number: 1484

Title: Nurse Practitioner-Hospice
Location: SF Bay

Currently we are under contract with our client seeking an experienced Nurse Practitioner-Hospice. Reporting directly to the Chief Medical Officer (CMO), the Nurse Practitioner/Advanced Practice Nurse for provides primary care to patients with appropriate physician supervision as assigned, while functioning as an integral part of the hospice interdisciplinary team. Assists in developing and adjusting the comprehensive plan of care to optimize patient outcomes and assures alignment of care plan with best practices as well as patient care goals. Scope of responsibility includes clinical practice, education, consultation, and research. This position works interdependently with and independently of the multidisciplinary team. May provide care in both the home care (home, SNF, RCFE, ALF) environment.
Essential Functions
Serves as primary clinician (under supervision of designated hospice physician) for patients who enroll in hospice without an assigned clinician.
Serves as a member of the Hospice Interdisciplinary Team and participates in development of a comprehensive plan of care for patients served.
Consults with the Medical Director/CMO as needed to ensure best practices.
Performs home visits as required (alternating months with MD if patient is a Skilled Nursing Facility, SNF, resident; otherwise initial visit, face to face and then as needed for symptom management).
Documents in the Electronic Medical Record (EMR) indication for, and context of all patient encounters according to documentation standards as well as Medicare COPs.
Performs home visits when physician/NP level visit is needed or upon request, for patients with another clinician as the primary clinician of record.
Provides telephone and on-site consultations to clinical/nursing staff regarding patient care and appropriate administrative issues as needed during scheduled hours or PRN on-call.
Reviews patient records at time of recertification, performs recertification visit and completes appropriate documentation when requested by hospice Medical Director/CMO.
Performs initial and on-going medication reviews with appropriate documentation as directed by hospice Medical Director/CMO.
Acts as primary clinician at in-patient facility when needed as requested by CMO.
Presents in-services to staff at SNFs, RCFEs, ALFs, and physician's offices as indicated or as requested by leadership.
Presents educational in-services to hospice clinical staff.
Mentors new NP hires for standards and integration into best practices.
Participates with the hospice physicians or Quality Assessment Performance Improvement (QAPI) team on quality improvement projects as indicated or requested.
Provides wound consultation services to patients as indicated by wound care needs and as requested by RNCM, hospice physician/CMO.
Provides call coverage for adult hospice homecare, SNF, RCFE and ALF patients as assigned by Medical Director/CMO.
Position Requirements
Knowledge of Medicare regulations/Conditions of Participation (COP's) in the four levels of hospice care as they pertain to NP scope of practice within the hospice setting; excellent knowledge of fundamentals of pain and symptom management; excellent interpersonal and communication skills, demonstration of organizational skills and ability to efficiently manage schedule; must have the ability to establish and maintain cooperative relationships with professionals and lay groups; ability to work collaboratively with Medical Staff Team and as part of the interdisciplinary group. Willingness to focus on hospice philosophy as it pertains to patient care delivery and to individualize the hospice care plan for each patient served.
Experience & Education
Possess a current NP license with furnishing privileges in the state of California.
Master's degree required.
Active DEA Certificate for controlled substances (schedule II and higher)
Two or more years of palliative care experience with patients at end of life.
Advanced Practice Certified Hospice and Palliative Nurse (ACHPN) Preferred
Certification in BLS and/or ALS
Current California Driver's License
Current proof of Automobile Insurance Policy with California State Required Minimum Coverage
This opening is a permanent, full-time position with excellent salary and great company benefits.

Gene Doeker

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