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Nurse Practitioner-PRN- Palliative

Company: Addus HomeCare Corporation
Location: Salem
Posted on: June 8, 2021

Job Description:

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 members.
  • 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 program.
  • 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 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 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

Additional Duties

  • Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for palliative services.
  • 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 assignments.
  • 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.

Position Qualificatins

  • 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 experience.
  • 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 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.
  • Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.

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 educational programs.


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 fluids, tissues.

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 management personnel.

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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