Nurse Practitioner-PRN- Palliative
Company: Addus HomeCare Corporation
Posted on: June 8, 2021
Job Description Summary
The Nurse Practitioner is a registered professional nurse with
advanced graduate education and clinical training who provides
comprehensive palliative services in compliance with the state
Nurse Practice Act and under the supervision of a collaborating
physician. She/he provides palliative care through the evaluation
and assessment of the health history, health promotion, diagnosing
medical conditions, and management of health problems by directing
and developing the plan of care, prescribing medications or
treatments, coordinating and collaborating with patients, families,
and other healthcare practitioners. Under the supervision of a
physician, the nurse practitioner visits patients, completes
physical assessments, performs face-to-face assessments and
evaluates palliative eligibility as assigned in consultation with
the palliative interdisciplinary team. The nurse practitioner
builds from the resources of the community to plan and direct
services to meet the need of individuals and families within their
homes and communities.
Essential Job Functions/Responsibilities
- Provides medical care, palliates, and manages terminal illness
in compliance with the state Nurse Practice Act under the
supervision of a collaborating physician.
- Completes history and 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 health conditions and illnesses by developing an
individualized plan of care, prescribing medications and/or
treatments, obtaining consultations or making referrals and
coordinating palliative care services.
- Provides clinical information to the palliative medical
director for interpretation for eligibility for palliative
recertification. Reviews clinical information, coordinates and
oversees patient care in consultation with the palliative
interdisciplinary team and other healthcare practitioners.
- Assures that patient receives appropriate measures to control
symptoms, through collaboration with interdisciplinary team
- Reviews and develops protocols for treatment and proposes
options for interventions based on the literature in collaboration
with the collaborating physician.
7.Consults the collaborating physician when the patient's plan
of care is outside standardized practice and protocols.
- Coordinates scheduling of patient visits, including follow-ups,
initial visits and urgent visits. Ensures that each patient is seen
at the correct frequency for their conditions and diagnoses and
that there is room each week to take new patients to the
- Completes goals of care and advance care planning conversations
with patients and families.
- Communicates and collaborates with the interdisciplinary group
to create, review and revise the patient's plan of care.
- Consults with the patient's other physicians (including primary
care physician, oncologists, nephrologists, cardiologists and other
specialists) the palliative medical director and other healthcare
practitioners regarding the patient's ongoing care needs and
medical management related to the patient's condition.
- Attends and participates in palliative interdisciplinary group
- 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
- Educates/counsels patients, families, and/or caregivers as to
preventative care, medical problems, psychological problems, and
spiritual problems as needed and able.
- Works in cooperation with the family / caregiver and palliative
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 education 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
- Maintains knowledge of and compliance with current
Medicare/Medicaid, state/federal rules and regulations for
- Complies with all Health Insurance Portability and
Accountability Act (HIPAA) requirements in accordance with federal,
state and organizational policies.
- Particiates 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
- Demonstrate knowledge in communication and counseling
patient/family in dealing with end-of-life issues.
The above statements are only meant to be a representative
summary of the major duties and responsibilities performed by
incumbents of this job. The incumbents may be requested to perform
job-related tasks other than those stated in this description.
- Graduation from an accredited School of Nursing and accredited
Nurse Practitioner Program.
- Current nursing licensure in State and CPR certification.
- Master's degree with a minimum of (1) year Nurse Practitioner
experience and a minimum of (1) year palliative or palliative care
- Accreditation from an approved certifying body for advanced
practice nursing as required by State.
- Certification in a specialist area preferred; (e.g. Palliative
and Palliative Nursing (CHPN), Pediatrics or Geriatrics)
- Excellent observation, verbal and written communication skill,
problem solving skills, mathematical skills; nursing skills per
- 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
- Must be a licensed driver with an automobile that is insured in
accordance with state/or organization requirements and is in good
Continuing Education Requirements: Organization personnel are
expected to participate in appropriate continuing education as may
be requested and/or required by their immediate supervisor. This
position requires a minimum of 8 education hours. In addition,
organization personnel are expected to accept personal
responsibility for other educational activities to enhance job
related skills and abilities. All personnel must attend mandatory
ENVIRONMENTAL AND WORKING CONDITIONS
Environmental Conditions: May be exposed to extremes of heat and
cold in all weather conditions. May be required to drive in various
weather conditions on roads in varying degrees of repair.
Working Conditions: May be exposed to infections and contagious
diseases. Contact with patients under wide variety of
circumstances. May be exposed or occasionally exposed to patient
elements. Subject to varying and unpredictable situations. Handles
emergency or crisis situations. Travel required.
OSHA exposure category: Category I
Position includes tasks that involve exposure to blood, body
Required Personnel Protective
Equipment: As required by working conditions.
This job description is not intended to be all-inclusive and
does not constitute a written or implied contract of employment.
The employee will be expected to perform other reasonably related
duties as assigned by their immediate supervisor and/or other
The employee will participate and adhere to ALL guidelines
contained in the company's compliance program.
Keywords: Addus HomeCare Corporation, Salem , Nurse Practitioner-PRN- Palliative, Other , Salem, Oregon
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