Hospice Nurse Practitioner PRN

Position Overview:

The Hospice Nurse Practitioner is responsible for performing face to face encounters with each hospice patient prior to the start of the 3rd benefit period and all subsequent re-certifications for the purpose of determining continuing eligibility for hospice care.

Productivity Expectation: 10-20 visits per month

Essential Job Functions:

• Performs the face to face encounter within 30 calendar days prior to start of the 3rd benefit period and all subsequent re-cert periods as scheduled by the appropriate member of the administrative staff.
• Gathers and documents clinical findings to determine continued hospice eligibility.
• Shares the clinical findings with the hospice medical director.
• Attests in writing that he/she performed the face to face encounter and that these findings were provided to the certifying physician.
• Communicates with Clinical Director and RN Case Manager prior to visits as to pertinent details of patient’s disease process and outcome of the actual face to face visit.
• May make patient consults and visits as appropriate and as requested.
• May attend interdisciplinary team meetings as appropriate. 
• Provides inservice education as requested
• Maintains sound privacy and security practices and prevents privacy or security breaches.  If breach occurs, takes corrective action. 

Requirements:

• Able to tolerate being physically active the entire working day.
• Able to transfer, lift and guard patients safely with appropriate level of assistance and without any likelihood of injury to the patient or self.
• Able to bend, stoop, squat and lift numerous times daily.
• Able to carry out fine motor and manual dexterity skills required to perform treatments/care for the assigned caseload.
• Mental acuity and judgment skills to adequately and safely perform job requirements and assure patient safety.
• Able to see and hear adequately in order to respond to auditory and visual needs and clinical indications of the assigned caseload. 
• No medical problems that could endanger self or others if such should occur while providing patient care.
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport.
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases.
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases.

Preferred:

• Current License as Nurse Practitioner in the State of Tennessee
• Minimum of one (1) year medical/surgical experience.  Hospice/Home Health experience preferred.
• Acceptance and support of the hospice concept of care.
• Demonstrated ability to assess and respond to the needs of patients and families in a variety of settings.
• Well organized with excellent time management skills, excellent assessment and problem solving skills; excellent communication skills.
• An understanding of Medicare regulations, and Joint Commission standards governing the delivery of hospice services.
• Current, valid Tennessee Driver’s License. 
• Proof of automobile insurance coverage.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

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