Advanced Practice Registered Nurse (APRN); Palliative

Affinity Health Management; Sarasota (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

Affinity Health Management in Sarasota, FL is seeking a Nurse Practitioner to provide comprehensive hospice services under physician supervision. You will evaluate health history, diagnose conditions, manage care plans, prescribe medications as appropriate, and coordinate with patients, families and the hospice team.

You will perform face-to-face assessments, determine hospice eligibility, and collaborate to ensure high-quality home-based care for patients and support for families in the

Responsibilities

• Provides medical care, palliate and manage terminal illness under supervision of a collaborating physician.
• Completes history and physical examinations, orders and interprets lab tests or procedures, and documents findings.
• Develops individualized plan of care, prescribes medications or treatments, obtains consultations or referrals, and coordinates hospice services.
• Completes hospice face-to-face visit requirements to assess eligibility for hospice periods; communicates with hospice medical director.
• Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification.
• Reviews clinical information and coordinates patient care with the hospice interdisciplinary team and other providers.
• Ensures patient experiences appropriate symptom control through interdisciplinary collaboration.
• Reviews and develops treatment protocols and proposes interventions based on literature with the collaborating physician.
• Consults with the physician when the plan of care is outside standard practice or protocols.
• Communicates with the interdisciplinary group to plan, review and revise the patient’s care plan.
• Educates patients, families and caregivers about preventive care, medical issues and psychosocial concerns.
• Provides and maintains a safe environment and supports continuity of care for patients and families.
• Works with family and team to identify goals of care and address patient and family needs.
• Serves as a nursing resource for education and consultation to team and community.
• Establishes relationships with staff and community referral sources to support program growth.

Job description

Job Title/Position: Nurse Practitioner
Reports To: Clinical Director

Job Description Summary

CONTINUUM CARE HOSPICE
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. He/She provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, 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. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities.

Essential Job Functions/Responsibilities

Patient Care

• 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.
• 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.
• 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.

Communication

• 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.
• 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.
• 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 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.

Additional Duties

• Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services
• Feguations gover ene provision if heathetions of participation and other state
• Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies.