Nurse Practitioner - Palliative Care
Company: Lower Cape Fear LifeCare
Location: Leland
Posted on: May 28, 2023
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Job Description:
Nurse Practitioner - Palliative Care
Give your passion a purpose - join our amazing team!
Lower Cape Fear LifeCare, based in Wilmington, NC, is an
award-winning, mission-driven nonprofit hospice and palliative care
provider with a 40-year history of caring for individuals and
families in southeastern North Carolina and northeastern South
Carolina. The agency provides care to patients in private
residences, assisted living and skilled nursing facilities, and its
own three inpatient hospice care centers. We also offer grief care
for adults and children; education and outreach to the community
and healthcare partners; and resources, education, and support to
caregivers.
If you're looking to make a real difference in the lives of people
and families in your community by providing team-focused care, all
while living in a region steeped in scenic and historic beauty,
rich in cultural events, and outstanding outdoor recreation, we
want to hear from you!
What sets us apart in team member benefits verses our
competitors:
JOB SUMMARY
The Nurse Practitioner provides direct patient care assessments for
the purpose of completing a face to face encounter as mandated by
Medicare rule that requires every patient prior to recertification
for 3rd benefit period and every benefit period thereafter, have a
face to face assessment done by either a NP or physician. The NP is
an employee of the hospice program. The patient population will
reflect that specified by the nurse practitioner's master's degree.
Is responsible for using expert skills in history taking, physical
examination, initiation and interpretation of tests, analysis of
data, and the implementation and evaluation of the hospice patient
to present an accurate assessment of the current status of the
patient. Clear documentation of this assessment is done and the
findings presented to the hospice medical director assigned to that
patient. Management of each patient also includes appropriately and
effectively delegating patient care duties to other members of the
team in order to assure optimal patient outcomes. Works with RN
case manager, hospice physician and other healthcare team members
in all settings. The Nurse Practitioner is also responsible for
continuing his/her own personal development to enhance practice and
the profession of Nursing. Performs other duties as assigned.
PRIMARY JOB DUTIES
1. Provides accurate assessments and documentation of patients who
require a face to face encounter. This is done in conjunction with
other team members and especially the RN case manager and hospice
physician. Provides accurate, timely, educational, and appropriate
exchange of information during IDT and collaborates with physicians
and other members of the healthcare team to meet patient/family
needs.
2. Provides appropriate and pertinent patient education to the
patient/family according to the plan of care to facilitate optimal
patient and family comfort and support in life limiting
illness.
3. Appropriately documents and communicates all required
information in accordance with agency policies and procedures,
accreditation, regulation, and legal requirements. Ensures that the
face to face encounter is done in a timely manner and findings
communicated to the hospice physician prior to the IDT meeting
where the patient will be recertified.
4. Works effectively with other health care professionals and is
able to adapt to each environment by which we may see patients:
skilled nursing, assisted living, home, and hospital.
5. Organizes and performs work effectively, efficiently, and
productivity meets expectations.
6. Maintains and adjusts schedule to enhance program performance;
is responsible for organizing, communicating with the
patient/family the time of the visit and ensuring the face to face
to is done within the 30 day time limit and prior to the team date
where the patient will be recertified.
7. Demonstrates positive interpersonal relations in dealing with
others.
8. Maintains and promotes customer satisfaction.
9. Effectively demonstrates the mission, vision, and values of
Lower Cape Fear LifeCare on a daily basis.
JOB SPECIFICATIONS
1. Education: Graduate of an accredited school of nursing, either
through an AD, Diploma or BSN program. Graduate of a Masters degree
in nursing program with a major or post-masters as a nurse
practitioner. Certification in hospice/palliative care preferred
(CHPN, ACHPN)
2. Licensure / Certifications: Current license to practice
professional nursing in the State of North Carolina / South
Carolina. Approval for practice as a nurse practitioner by the
North Carolina Board of Nursing and the North Carolina Board of
Medical Examiners.
3. Experience: Minimum of five years general medical experience in
inpatient, outpatient and nursing home settings. Two years as a
nurse practitioner preferred. Experience in an acute care setting
desirable. Demonstrated competence in leadership and teaching.
Demonstrated achievement and familiarity with administrative
nursing techniques.
4. Essential Technical / Motor Skills: Good hand/eye coordination
and manipulative skills when performing examination, providing
treatments, injections, use computer, etc. Speaking clearly to
communicate with patients, families, physicians and staff regarding
patient's condition and care. Must be able to communicate and be
literate in the English language. Working knowledge in the use of
personal computer workstations and Microsoft Windows environment
for delivering patient care to include placing orders for clinical
services, reviewing results from clinical tests and documenting
delivered care.
5. Interpersonal Skills: Ability to deal with the public,
co-workers, patients, guests, outside agencies and physicians in a
professional manner. Ability to positively interact with patients,
families, physicians and staff in order to effectively care for the
patients. Competence at providing leadership and direction to
supervisees. Strong interpersonal skills to manage working
relationships with departmental leadership.
6. Essential Physical Requirements: Ability to lift and/or maneuver
objects weighing at least 45 pounds or less in the assessment and
implementation of patient care. Requires pushing, moving, lifting
of patients.
7. Essential Mental Abilities: Must be able to assess a patient's
condition, formulate a Plan of Care, implement appropriate
interventions to meet patient/family outcomes. Requires higher
level of mental faculties accompanied by short and long-term
memory. Strong problem solving, analytical and critical thinking
skills.
8. Essential Sensory Requirements: Must be able to assess patients
and to utilize sight to implement and evaluate Plan of Care.
Utilize hearing to auscultate lung sounds, bowel sounds and
effectively communicate with patients, families, physicians, and
staff.
9. Exposure to Hazards: Frequent exposure to blood and body fluids,
infectious diseases, needle puncture wounds. May be exposed to
dangerous animals and traffic hazards while home visiting. May
encounter patients and other situations that present a potential
threat to personal safety. May encounter temperature changes and
weather extremes.
10. Other - Hours of Work: Flexible schedule to accommodate
staffing needs, which may include weekends/holidays, rotating
shifts and on-call.
11. Population Served: Lower Cape Fear LifeCare service area,
internal and external.
12. Driving: May be required to drive. Must have a valid driver's
license, proof of insurance, and reliable transportation. Will be
required to sign a release authorizing HR to check DMV records
every three years. Will be subject to the Safe Driver Policy.
Associated topics: arnp, assessments, bilingual, certified nurse
midwife, certified nursing assistant, crna, fnp, gerontological
nurse practitioner, nurse specialist, splst
Keywords: Lower Cape Fear LifeCare, Wilmington , Nurse Practitioner - Palliative Care, Healthcare , Leland, North Carolina
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