Job Title/Position: Advanced Disease Management/Palliative Nurse Practitioner Reports To: Clinical Director Job Description Summary The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive palliative and advanced disease management services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. Works in collaboration with patient’s Primary Care Provider to provide compassionate care to patients with serious or life limiting illness in need of palliative care support. Patient care will be provided in the community setting and through telehealth, with limited practice in the inpatient setting. Under the direction of the medical director, the nurse practitioner uses the nursing process to assess, review medication, diagnose, plan, provide and evaluate care. Actively determine patient prognosis, provide and educate patient on the disease progression, assist with advanced directives and address issues of grief to patients and caregivers. Essential Job Functions/Responsibilities Patient Care Provides medical care, palliates and manages advanced illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician in a variety of settings. Reviews history & performs 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 chronic and complex conditions through collaboration with the patient and their care team by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating with other community care services. Educates patient and caregivers regarding medications, side effects, treatment, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention. Educate and provide assistance to patient and caregiver(s) in understanding and completing advanced directives based on the patient’s goals and wishes. Facilitate clarification of patient and caregiver goals of care to support development of a comprehensive care plan. Implements interventions to support the patient with chronic conditions to decrease the recurring hospitalizations. Monitors the effectiveness of interventions. Facilitates patient transitions between health care settings. Job Title/Position: ADM/Palliative Nurse Practitioner 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 the collaborating physician when the patient's plan of care is outside standardized practice and protocols. Communication Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care. Consults with the patient's primary care provider, the advanced disease management medical director and other healthcare practitioners regarding the patient's ongoing care needs and medical management related to the patient's chronic and complex condition. Communicates with other community health practitioners to coordinate the plan of care. Attends and participates in 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 patient, family / caregiver and interdisciplinary group to identify the goals of care and meet the care needs of the patient and family / caregiver. Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community. Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth. Job Title/Position: ADM/Palliative Nurse Practitioner Additional Duties Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for professional (palliative care, advanced disease management, transitional and chronic care) 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. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes. Fulfills the obligation of requested and/or accepted assignments. Demonstrate knowledge in communication and counseling patient/family in dealing with life limiting and end-of-life issues Position Qualifications Graduation from an accredited School of Nursing. Completion of an accredited Nurse Practitioner Program which conforms with the Board’s educational standards. Current nursing licensure in State and CPR certification. Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience. Accreditation from an approved certifying body for advanced practice nursing as required by State. Job Title/Position: ADM/Palliative Nurse Practitioner Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics) Able to perform duties autonomously, schedule and meet workload expectations. Provide leadership for the care team, to ensure that the patient’s care plan and interventions are met. Identify and report to leadership immediately any concerns or issues, that places the team, patient or caregiver at risk. Excellent observation, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Travel between care sites is mandatory. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
Overview PRN Per Diem Flexible Scheduling Monday - Friday (no weekends) Shifts are generally 7a-4p and 8a-5pm, depending on location. half days/partial days are also available Schedule 2-3 months in advance Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can make a meaningful difference in the lives of the patients you serve. Responsibilities As a PRN staff clinician, you are a vital part of a dedicated team of clinicians committed to exceptional patient care. Your patients, as well as your medical and support team, will look to you for your excellent problem solving and leadership skills. As a Concentra Clinician, you will be accountable for assessing patients and providing treatments while ensuring an exceptional and reassuring experience. The treatments you provide will make a tremendous difference in the lives of those who look to us for care and comfort. This is an extraordinary opportunity for you to make a difference as you watch your clinical and leadership skills impact the health of America’s workforce, and when you’re done for the day, your personal time is yours. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Current unrestricted medical license in state of jurisdiction as required for clinical and/or business duties Unrestricted DEA license for state of jurisdiction Must be eligible to participate in Medicare FMCSA NRCME required prior to start date (we provide this CME for colleagues not yet certified) Job-Related Skills/Competencies Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies Agrees, supports, and commits to Concentra’s core practice standards and Policies and Procedures Ability to supervise, evaluate, coach, and develop staff Fosters a cooperative and harmonious working climate conducive to maximize employee morale and productivity Ability to “put patients first” and enjoys treating patients Superior patient/customer service and “bed side manner” skills Must be a team player in a multidisciplinary environment Additional Data 401(k) Retirement Plan with Employer Match Colleague Referral Bonus Program Employee Discounts This job requires access to confidential and critical information, requiring ongoing discretion and secure information management. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Concentra is an equal opportunity employer that prohibits discrimination, and will make decisions regarding employment opportunities, including hiring, promotion and advancement, without regard to the following characteristics: race, color, national origin, religious beliefs, sex (including pregnancy), age, disability, sexual orientation, gender identity, citizenship status, military status, marital status, genetic information, or any other basis protected by federal, state or local fair employment practice laws.
