Nurse Practitioner - Trinity Health At Home - Grand Haven, Casual

Job Status: Casual, as needed

What are the Minimum Skills, Experience and Educational Requirements?

• RN with Michigan license, Masters degree in Nursing required with Advanced Practice Certification.
• Current BLS certification.
• Valid Michigan driver’s license.
• Experience in Internal Medicine or family Practice required, Hospice and/or geriatric experience preferred.
• Certification in Hospice and Palliative Care preferred or willing to obtain in 3 years.
• Must be able to manage several job tasks simultaneously and be able to function effectively under high stress situations.
• Ability to read and interpret data from equipment and computer, including data entry.
• Good communication skills.
• Able to control confidentiality of sensitive information.
• Capable of working independently and making judgments on the basis of collected data.
• Capable of developing effective working relationships.
• Knowledge of billing and ICD-9 HCPCS coding is preferred.
• Ability to be mobile to carry out responsibilities throughout the community.
• Knowledge of Hospice philosophy, Medicare Hospice benefit and end of life care.
• Knowledge of Hospice Medicare conditions of participation

What are the Essential Job Functions and Responsibilities?

Clinical Responsibilities:

• Performs a comprehensive assessment / history and physical including subjective and objective data obtained from all relevant sources.
• The assessment is accomplished using appropriate assessment techniques, including ordering and interpreting diagnostic tests.
• The assessment should include the use of the standardized prognosis guidelines for determining Hospice eligibility.
• Collaborates with the medical director in the development of the plan of care.
• Patient’s responses are assess based on expected outcomes consistent with scientific and practice knowledge as well as the patient situation.
• In collaboration with the medical director interventions are changed based on the patient’s response  
• Makes home visits as needed.
• Makes rounds in the Hospice Residence / Hospital as required.
• Completes, reviews and signs documents timely to meet regulatory requirements, including face to face visits and is available for support and consultation during normal office hours and after hours. 

  Leadership:

• Demonstrates accountability for personal, professional, ethical and legal standards.
• Assists in the development and review of clinical protocols.
• Promote open communication across the continuum. Acts as a liaison to physicians in the community. Promotes Hospice and Palliative Care through personal educational contact with health professionals and the community.

  Professional Development:

• Assumes responsibility for continually improving own expertise.
• Participates in continuing education and in-service programs related to Hospice and Palliative Care and other pertinent topics.

  Performance Improvement:

• Participates in the performance improvement program.
• Coordinates with the Quality and Compliance RN to meet all regulatory requirements.
• Participates in committee activities.

  Regular attendance at standing and ad hoc meetings to include:

• Community Hospice and Hospice House Team meetings as available
• Palliative Care meetings
• Ad Hoc meetings with Medical Director and Manager
• Relevant community meetings and conferences
• Staff meetings

  What are the Critical 

• Demands of the Job?
  • Able to life 50 pounds.
  • Able to climb multiple stairs with medical evaluation equipment.
  • Able to sit/drive/stand for extended periods of time.
  • Able to deal effectively with potentially combative, confused patients in the home setting.
  • Able to work in less than ideal situations; potential lack of plumbing, water, telephone or electrical support in the home setting.

  What are the Working Conditions?

  • May work in unpredictable environment (see above).
  • Required to drive in all types of weather conditions.
  • Renders care in patient home setting exhibiting diverse social, cultural and economic ranges. May encounter hostile pets and difficult to access homes.