Facilitates palliative care for Gentiva Palliative Care patients, ensuring a comprehensive, individualized treatment plan, while demonstrating excellent clinical skills and ethical, relevant judgment. Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law).
General Duties & Responsibilities
Adheres to Company Policy and Procedures
Participates in developing Department goals, objectives, systems, policies and procedures
Acts as a role model within and outside the Company
Performs duties as workload necessitates
Maintains a positive and respectful attitude
Communicates regularly with supervisor about Department issues
Demonstrates flexible and efficient time management and ability to prioritize workload
Consistently reports to work on time prepared to perform duties of position
Participates in administrative staff meetings, committees, and special projects, and seeks additional responsibilities.
Recommends new approaches to effect on-going continual improvements to policies, procedures, and documentation
Complies with, and ensures compliance with, rules, regulations, and policies within all local, state, and federal governing agencies as well as Company policies and procedures
Performs other related duties as required and assigned
Essential Functions of Position
Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by providing diagnosis, treatment and follow-up for patients referred to palliative care.
Take responsibility for patient palliative care from the initial assessment through discharge. Assessment at a minimum should include: disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, the impact of the disease burden on the patient's condition, caregiver and/or family's quality of life.
Establish the palliative plan of care, individualized for each patient, in consultation with the patient, family and other members of the Palliative Care Team.
Facilitate obtaining care for patient when a need is identified in accordance with the Plan of Care.
Participates in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
Prescribe medications including controlled substances to the extent delegated and licensed, in accordance with state law. Order and interpret laboratory and other diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated.
Communicate clinical findings to the Palliative Medical Director as needed, but no less than bi-weekly. Re-assess effectiveness of care plan on a regular basis and modify as needed.
Maintain effective working relationships with supportive care team (e.g., Social Worker, Spiritual Care Coordinator), as applicable, and involve team when patient's care plan warrants team participation to achieve desired outcome.
Establish and maintain effective working relationships with those contacted in the course of work.
Communicate and document clinical findings, treatment plan and care provided in the patient's medical record in a manner consistent with acceptable standards in order to support sound medical practice and reimbursement for services provided.
Knowledgeable of Palliative Medicine Quality Measures collection, documentation and reporting.
Code diagnoses and billing codes in accord with acceptable and standard practices, for services rendered.
Adhere to company policy regarding the practice of confidentiality regarding patients, families, staff and the organization.
Implement marketing and promotional initiatives as directed.
Adhere to code of conduct conducive to Company policy.
Adhere to and participate in Company's mandatory HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and all Company policies and procedures, including the Employee handbook.
Specialized Knowledge/Skills:
Excellent leadership, interpersonal, written and verbal communication skills.
Independent decision making and self motivation.
Working knowledge or understanding of: principles of Palliative Medicine, including when a patient may be appropriate for home health or hospice care; Medicare/Medicaid regulations; and interdisciplinary process.
Meets mandatory continuing education requirements of Gentiva and licensing board.
Must be able to work efficiently with point of care software.
Approximate percent of time required to travel for training/education of Nurse Practitioner: 10-20%.
Education/Experience:
Minimum of Masters of Science in Nursing from an accredited school of nursing, or an equivalent as allowed under state law
Minimum of two years Nurse Practitioner experience
Nurse Practitioner specialty in Family or Adult Medicine preferred
Practice experience with Part B billing
Able to work autonomously in an Advanced Practice Role
Licenses/Certifications/Agreements:
Current license as a registered nurse or equivalent as required by state law for Nurse Practitioner licensure
Current Nurse Practitioner certification/license
Must have a collaborative agreement in place with a supervising physician agreeable to supervise work in palliative care program or must agree to enter a collaborative agreement with Palliative Medical Director, as required by state law
Part B Provider certification
Federal DEA license
State DEA license (if required)
ACHPN Certification in Hospice and Palliative Care Preferred
Current automobile insurance and valid driver's license
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