Nurse Practitioner

NURSE PRACTITIONER

JOB SUMMARY 

Signature Healthcare at Home - Hospice is searching for a compassionate, driven and patient-focused nurse practitioner on a part-time basis! The Nurse Practitioner (NP) is a registered professional nurse with advanced graduate education and clinical training who provide comprehensive health care services in compliance with the state Nurse Practice Act.

The NP works in collaboration with the Department Directors and staff to provide comprehensive, quality patient care services in all service lines including Home Health and Hospice. The NP may provide patient visits both new and established, prescribe medications or treatments, develop plan of care, perform coordination with patients, families, other healthcare practitioners, and staff. In addition, the NP will be available for consultation, or referral.  

Pay: Starting at $72+ per hour commensurate with experience.

DUTIES & RESPONSIBILITIES 

Patient Care

• Provides medical care in compliance with the state Nurse Practice Act as assigned and in consultation with Department Directors.  
• Completes history & 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 by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating health care services.
•  Completes face to face visit requirements as assigned based on conditions of participation and local coverage determinations. Provides clinical information to the designated healthcare practitioner for interpretation for eligibility for admission and recertification.  
• Reviews clinical information, coordinates and oversees patient care in consultation with the primary care team and other healthcare practitioners.
• Assures that patient receives appropriate measures to control symptoms, through collaboration with the primary care 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 primary care team and physician when the patient's plan of care is outside standardized practice and protocols.  
• Promotes health by ordering screenings and prescribing preventive therapies. 

             
Communication

• Communicates and collaborates with other health care practitioners to create, review and revise the patient's plan of care.
• Consults with the patient's attending physician, primary care team and other healthcare practitioners regarding the patient's current condition, ongoing care needs and medical
• Communicates with other community health practitioners to coordinate the plan of care.
• Attends and participates in care management IDG meetings as needed.
• 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 primary care team to meet the total needs of patients.
•  Provides and maintains a safe environment for the patient.  
• Assists the patient and family / caregiver and other team members in providing continuity of  care.
• Works in cooperation with the family / caregiver and other health care practitioners to identify and meet the care needs of the patient and family / caregiver.
• Serves as a nursing resource for consultation and educations in the community.  
• Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth.

                
Additional Duties

• Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for agency service lines including home health and hospice.
• Ensures compliance with the Medicare conditions of participation and other state regulations governing 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.
• Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes.
• Fulfills the obligation of requested and/or accepted assignments.  
• Other duties as assigned by the Executive Director/Administrator. 

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

JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)

• Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program.
• Current Nurse Practitioner licensure in State and BLS Certification.  
• Master’s degree with a minimum of one (1) year Nurse Practitioner experience.  
• Accreditation from an approved certifying body for advanced practice nursing as required by State.  
• Must be a licensed driver with an automobile that is insured in accordance with state and/or Organization requirements and is in good working order.  
• Excellent observation, verbal and written communication skill, problem-solving skills, mathematical skills; nursing skills per competency checklist  
• Knowledge of local, state and federal regulations governing the service lines of the agency. 

WORK CONDITIONS AND PHYSICAL REQUIREMENTS

• Medium Classification with 50 lbs max and frequent up to 25 lbs
• Occasional Physical Activities up to 50% of the time
• Frequent handling and repetitive moving of the hand
• Senses needed to perform essential functions of the position: Hearing, talking, depth perception, color, vision, touch and smell.
• Maintain a stable posture and gait with hands free to perform anticipated or routine and emergent patient care.
• Endurance (cardiovascular fitness)
• Physically and mentally able to work extended hours when necessary