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Hospice Nurse Practitioner in Baltimore, MD at Professional Health Care Resources

Date Posted: 10/3/2018

Job Snapshot

Job Description

Summary and Responsibilities: 
In collaboration with the Hospice Medical Director and Interdisciplinary Team, the nurse practitioner will be responsible for ensuring quality patient care through assessment, planning, interventions, and evaluation of patient needs. She/he will be expected to conduct visits, as required, in the patient’s home including Face to Face visits for hospice recertification. The nurse practitioner will also provide appropriate patient/family/caregiver teaching; promote  quality  services  in  accordance  with established agency policies and procedures; ensures compliance with federal, state, and local guidelines for all services; and assess patients for eligibility for the Medicare/Medicaid Hospice Benefit. 
1.  The Hospice Nurse Practitioner provides oversight of physician services per state regulations:
a)   Compliments attending physician’s care
b)   Compliments the Hospice Medical Director’s care
c)   Acts as a medical resource person to the interdisciplinary team conferences
d)   Assures continuity of the hospice medical services e) Assures that all patients receive appropriate measures to control uncomfortable symptoms
f)    Conducts patient assessment in accordance with Medicare Hospice/NHPCO Guidelines to determine eligibility for the Medicare/Medicaid Hospice Benefit and documents those findings 
2.  The Hospice Nurse Practitioner is responsible to:

a)   Collaborate with the Hospice Medical Director and acts as an agent of the Hospice Medical Director
b)   Collaborate with the interdisciplinary team to ensure that the medical needs of the patient are met and provide oversight of the plan of care.
c)    Assess that the patient meets the medical criteria for hospice admission based upon available diagnostic and prognostic indicators, review of medical records, and hospice nurse reports.
d)   Complete all necessary documentation required of the Hospice Medical Director by Medicare and other payers to certify and recertify each patient’s terminal condition.
e)   Direct the symptom management of hospice patients through consultation with Hospice Medical Director and Hospice nurses.  Collaborate with the patient’s attending physician to develop and update the patient’s plan of care, to identify needs not met by the attending physician, and ensure pain and symptom management and control.
f)    Assess patients, as appropriate, for continuation of the Medicare Hospice Benefit at appropriate levels of care or funded through Medicaid, third –party payers, or other resources.
g)   Serve as a medical resource to hospice staff, patients, families, and attending physicians regarding pain and symptom control management.
h)   Act as a resource to attending physicians regarding palliative medicine and hospice care and ensures the provision of direct medical services to patients are either directly or through arrangements, as appropriate, in the absence of the patient’s attending physician per state regulations.
i)    Attend interdisciplinary team conferences as requested and assess hospice appropriateness for patients.
j)    Participate in the plan of care development and manages oversight of medications and treatments.
k)   Document care provided in the patient’s clinical record providing evidence of progression of the end-stage-disease process.
l)    Maintain current knowledge of the latest research and trends in hospice care and pain/symptom management
m)  Work in a team approach with the interdisciplinary team.
n)   Participate in performance improvement programs, including charts reviews, making recommendations for improving care as indicated.
o)   Provide consultation and education to colleagues and attending physicians, acting as a patient advocate.
p)   Demonstrate knowledge in communications and counseling patient/family in dealing with end-of-life issues
q)   Participate in the resolution of interpersonal conflict and issues of clinical and ethical concerns.
r)   Participate in the development, updates, and implementation of patient care policies and emergency procedures.
s)   Provide medical care for hospice patients without a primary physician or who require consultation. 
t)   Makes home visits to select hospice patients as needed.
u)  Upon request, provides consultation on all hospice patients admitted to a facility for inpatient care or residing in a skilled nursing facility.                 
v)   Act as a liaison to physicians in the community. 
Qualification Requirements: 
Education and/or Experience: 
• A current, unrestricted license to practice medicine in the state/jurisdiction where patient care is being requested
• Current State and federal registrations to prescribe and administer drugs, including controlled substances
• Eligible to participate in the Medicare and Medicaid programs
• The Hospice and Palliative Care Certification preferred.
• Has expertise in the medical care of the geriatric population or in the care of terminally ill patients. 
Expected Behaviors:
•    Consistent delivery of quality customer service.
•    Demonstrates skill in diplomacy and conflict resolution.
•    Mature interpersonal skills: communicates effectively with diverse groups
•    Recognition of and commitment to maintaining confidentiality
•    Proven ability to juggle multiple competing tasks and demands
•    Discipline to adhere to established timelines 
Language Skills:
•    Ability to communicate clearly and easily in English
•    Ability to write reports and/or fill out required forms 
Reasoning Ability:
•    Ability to define problems, collect data, establish facts, and draw valid conclusions
•    Ability to interpret an extensive variety of technical, medical, and regulatory instructions, and deal with numerous issues and problems involving management of patient care