Hospice Care Nurse Practitioner PRN

CRNP - Certified Registered Nurse Practitioner

Coverage Area: North AL Territories

Affinity Hospice is actively looking for a CRNP who is passionate about giving exceptional care to our hospice patients. We are one of the fastest growing, privately held hospice organizations in the country. We are passionate about patient and family care. We believe the care we provide truly matters. This is an excellent opportunity to join a nationally recognized team. 

CRNP Position Overview

The hospice 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, and 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.

CRNP Job Functions

• Work in collaboration with the Hospice Care Medical Director and other Hospice team members to deliver hospice care by providing diagnosis, treatment and follow-up for patients referred to hospice care.
• Establish the hospice plan of care, individualized for each patient, in consultation with the patient, family and other members of the Hospice Care Team
• 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 with the patient's attending physician, the hospice medical director, interdisciplinary team, 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
• 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
• Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for hospice services
• Ensures compliance with the Medicare conditions of participation and other state regulations govern 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.

*All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

CRNP Job Qualifications

• Graduation from an accredited School of Nursing and accredited Nurse Practitioner Program and Current nursing licensure in State, CPR certification, Masters Degree with a minimum of (1) year experience
• Nurse Practitioner experience and a minimum of (1) year hospice experience
• Accreditation from an approved certifying body for advanced practice nursing as required by State
• Must have reliable transportation to travel to patient homes per patient schedule and agency needs, as appropriate and auto liability insurance with automobile being in good working condition 
• Must be able to ensure agency is in compliance with all applicable federal, state, and local regulatory agencies
• Must be able to document and chart appropriately and within specific time frames
• Must be able to follow physician orders and nursing treatment plans for patients
• Must be able to coordinate and oversee medical care and treatment and provision of services of other professionals to patients
• Must be knowledgeable of nursing practices and procedures based on state practice acts
• Must be self-directed and possess leadership and supervisory skills