Nurse Practitioner (NP) - Hospital & Community Based

Alliance for Care at Home; New City (NY); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Alliance for Care at Home in New York seeks a compassionate Nurse Practitioner to join a hybrid hospital liaison and home-based palliative care team. You will be embedded in a local hospital part of the time and visit patients through Living Well New York or United Hospice, delivering high-quality, patient-centered care.

Responsibilities include identifying eligible inpatients for hospice or palliative care, developing care plans with physicians and social workers, managing symptoms, performing

Qualifications

• Master's degree and NY State-approved NP program.
• NPI and DEA registration required to prescribe controlled substances.
• Five years of experience, including pain and symptom management.

Responsibilities

• Identify hospitalized patients who meet eligibility criteria to arrange admissions to hospice or Living Well New York.
• Build and maintain relationships with referral sources and hospital staff; ensure exemplary customer service.
• Admit patients to hospice or palliative care when appropriate and coordinate with hospital case managers.
• Provide in-depth palliative care assessments and ongoing management; conduct home visits to assess status and symptoms.
• Develop and implement individualized care plans with physicians, social workers, and team members.
• Offer emotional and psychosocial support to patients and families; discuss goals of care and advance directives.
• Coordinate care transitions with home health, hospice, and hospital teams; participate in interdisciplinary team meetings.
• Maintain accurate clinical documentation and ensure regulatory compliance.

Skills

Nurse Practitioner

Palliative Care

Hospital Liaison

Patient Care

Communication

Leadership

Education

Master's degree in Nursing

Job description

We are seeking a compassionate and skilled Nurse Practitioner (NP) to work in a combined hospital/community based role to join our team. You will be in embedded in a local hospital part of the time as a liaison. Our liaisons are the driving force behind our hospice team, forging connections with providers, discharge planners, charge nurses and others to ensure that every patient receives the care they deserve.

When not working in a liaison capacity, you will be visiting patients in our home-based palliative care program, Living Well New York, or our United Hospice patients. Regardless of which program you are supporting, providing high-quality, patient-centered care to individuals with serious, chronic, or life-limiting illnesses.

We believe that life is enriched by compassion, and as individuals approach life's end, they deserve caregivers dedicated and skilled to deliver genuine compassion.

In the liaison role, candidates must be adept at:

• Identifying hospitalized patients who meet eligibility criteria to arrange for or conduct admissions to the United Hospice program or Living Well New York, prior to discharge
• Must develop and maintain positive relationships with referral sources and promote exemplary customer service to physicians, facility staff, patients, and families
• You will serve as an integral member of our clinical team to work in conjunction with the hospital case managers in reviewing the hospital daily census to identify appropriate patients for UH admissions
• Admitting patients onto hospice or palliative care as appropriate.
• Ability to drive and daily access to a reliable automobile is required and a driver’s License and driving record acceptable for agency insurance coverage are required

In the Palliative NP role, candidates must be adept at:

• Provide in-depth palliative care assessments and ongoing management for patients referred to the program.
• Conduct home visits to assess clinical status, manage symptoms, and address patient and caregiver needs.
• Serve as a clinical resource embedded within community medical practices to support early identification and management of patients in need of palliative care.
• Develop and implement individualized care plans in collaboration with physicians, social workers, and other team members.
• Offer emotional and psychosocial support to patients and families, including goals-of-care discussions and advance care planning.
• Coordinate care transitions and collaborate with home health, hospice, hospital teams, and other community resources.
• Participate in interdisciplinary team meetings and case conferences.
• Maintain accurate, timely clinical documentation in accordance with organizational standards and regulatory requirements.
• Diagnose and treat acute, episodic, or chronic illnesses
• Prescribe all necessary medications and treatments
• Perform comprehensive physical examinations of patients
• Develop and implement patient management policies and procedures
• Facilitate referrals to other healthcare professionals and medical facilities
• Communicate with collaborating physicians or specialists regarding patient care

In the hospice NP role, candidates must be adept at:

• Certifies and re-certifies patient eligibility for the Hospice Program in conjunction with the attending physician on a timely basis.
• Provides clinical support to hospice Multi-Disciplinary team.
• Consult with primary physicians or specialists as needed regarding the patient's medical condition. Assume responsibility for the general medical needs of Hospice patients to the extent that the attending physician does not meet the needs, serving as attending physician as needed and when requested by the patient or their representative. Work with attending physicians to encourage the fulfillment of their responsibilities.
• Serves as a liaison between the attending physician and the Hospice Team by obtaining/sharing information about the patient's plan of care on an ongoing basis.
• Evaluate the patient's medical status in the home, outpatient, and inpatient settings based on a visit schedule.
• Works within the hospice provider team to ensure adequate delivery of care 24/7. Serves on the clinical leadership team.
• Attends Patient Care Conferences as requested.
• Provides ongoing community and professional education as it relates to the medical community. Routinely networks with hospital staff to provide educational seminars on hospice.
• Assists with the design and development of a home-based palliative care program.

Qualifications:

• Master's degree and graduate of a New York State-approved Nurse Practitioner program. Currently licensed and certified as a Nurse Practitioner by a national certifying organization acceptable to New York State in a related practice specialty area.
• Completion of the pharmacotherapeutic requirement enabling independent prescriptive privileges.
• Must have a National Provider Identifier (NPI) and Federal Drug Enforcement Administration (DEA) Registration Certificate in order to prescribe controlled substances.
• Previous experience in nursing or other medical fields
• Ability to build rapport with patients
• Ability to thrive in a fast-paced environment
• Excellent written and verbal communication skills
• Strong leadership qualities. Five years of experience, including pain and symptom management experience.

United Hospice Is An Equal Opportunity Employer