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Hospice Nurse Practitioner (NP) - Temporary (23986)

Company: CareOregon
Location: Portland
Posted on: April 1, 2024

Job Description:

If you receive an offer of employment for this position, it is contingent on the satisfactory completion of a pre-employment background check, immunization review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal laws.Position Title: Position Title: Nurse Practitioner (NP) - HospiceDepartment: HCP-HospiceTitle of Manager: Medical Director - HospiceSupervises: Non-Supervisory PositionExemption Status: ExemptRequisition ID: 23971Pay and benefits: Estimated hiring range $64.16 - $77.63 / hour, 5% bonus target, full benefits. This part-time (0.6 FTE) position will be salaried. www.careoregon.org/about-us/careers/benefitsPosting Notes: This is a contingent position with an estimated assignment of 3 to 4 months. This hybrid role will split time between seeing patients in the Portland Metro area and working remotely from home, and some weekend and evening coverage will be needed on a rotation. This role will focus on face-to-face encounters to assess eligibility for services, symptom management with needed orders and attending IDT.Housecall Providers https://www.housecallproviders.org/Housecall Providers is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase patient comfort, reduce health care costs and increase provider satisfaction. We are a proud part of the CareOregon family of health organizations.Our MissionImproving lives by bringing health care homeOur VisionTo sustainably transform home-based medicine so all homebound adults and those living with serious illness have access to care that improves their quality of life.Our ValuesCompassion and respect, authentic relationships, collaboration, courage, social justiceDiversity StatementWe embrace the diversity of our employees, patients, and those who care for them. Through awareness and advocacy, we are working to create health equity by recognizing and reducing barriers that affect non-dominant groups within Housecall Providers and our communities at large.The quadruple aim is real at Housecall ProvidersIn home medical care for homebound patients is proven to increase patient comfort, improve health outcomes, reduce health care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ensuring greater patient comfort, improved health outcomes and care team satisfaction. With the population aging, more people are suffering from multiple chronic conditions and degenerative diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system.Job SummaryThe Hospice Nurse Practitioner works in collaboration with hospice staff to provide professional, comprehensive, quality medical care with a focus on symptom palliation and end of life care to hospice patients under the direction of the supervising Housecall Providers Hospice Medical Director. Care may be provided directly, through visits to the patient's place of residence/facility or indirectly by advising and directing members of the interdisciplinary team. This position also identifies opportunities to improve care delivery, uses resources effectively, and ensures compliance with legal, regulatory and clinical policies and procedures.Essential ResponsibilitiesClinical Services and Care* Collaborates with the interdisciplinary team to create, implement, and revise care plans which reflect the patient's goals, values, and mental, spiritual, and physical needs to assure overall continuity of hospice services.* Assists in ensuring Housecall Providers hospice remains compliant with CMS guidelines by helping to complete face-to-face encounters in a timely fashion.* Documents and shares information to assist in determining initial and continuing eligibility of patients for hospice services.* Engages in independent decision making about a patient's healthcare concerns and provide hospice services on an as needed basis; this may include managing urgent medical issues by advising and supporting on-call nursing staff, including after-hours and on weekends or making patient visits.* Provides education, counseling, and guidance to patients, families, and caregivers about medical issues, goals of care, and hospice services.* Helps to coordinate case management activities for assigned patients.* Assesses and counsels patients regarding hospice care needs; determines need for specialty and rehabilitative services and makes appropriate referrals.* Documents care provided in the patient's clinical record, including evidence of end-stage-disease progression.* Reviews, prescribes and dispenses medications and drugs to ensure adequate symptom management; initiates and/or continues medical regimes for new patients; reviews medication to ensure they are medically necessary. Provides compassionate anticipatory guidance through decline due to chronic disease and provides high quality palliative care focused on the goals of the patient and family.* In conjunction with the hospice team, participates in family meetings to educate patients and families on medical conditions and the pros and cons of treatments or medications.* Manages complex clinical situations requiring a high level of responsibility, application of advanced subject knowledge, and significant independent judgment and initiative.* Delivers quality care while maintaining all company metrics pertaining to productivity.* Provides coverage for clinical colleagues in their absence.Administration* Participates in staff and professional conferences; consults on and assists in the development of in service training and orientation activities in areas of treatment and care of the patient population; participate in peer review.* Assists in the development of policies and procedures.* Attends and participates in all required staff meetings and other ad hoc committees as assigned.* Participates in quality improvement activities as assigned.* Completes and maintains medical records according to agency protocols and in support of quality metrics.* As assigned by the Medical Director, may train and assess performance of other providers.* Participates in the development and updating of patient care policies and emergency procedures.* Participates in resolution of interpersonal conflict and issues of clinical and ethical concerns.* Maintains current knowledge of the latest research and trends in hospice care and pain/symptom management.Essential Department and Organizational Functions* Proposes, participate and implement process improvements.* Meets deadlines for completion of workload.* Practices in accordance with the nurse practitioner's scope of practice and within established standards of care, and department policies, procedures, and guidelines.* Perform duties in compliance with Medicare Condition of Participation.* Develop and maintain professional boundaries with all patients/family/caregivers* Serve as an ambassador for CareOregon and Housecall Providers at all times.* Demonstrates cooperation and teamwork and maintains collaborative relationships with all levels of staff and community partners.* Participate in ongoing education and assume responsibility for updating professional skills.* Maintains agreed upon work schedule.* Demonstrates cooperation and teamwork.* Provides cross-training on specific job responsibilities.* Meets identified business goals that contribute to departmental goals* Performs other duties as assigned.Knowledge, Skills and Abilities Required* Current clinical and regulatory knowledge regarding patient prognosis and hospice eligibility* Knowledge of the ethical and medico-legal aspects of medical practice* Knowledge of the principles and practices of public health, including familiarity with epidemiology, health services delivery and financing systems, and environmental health* Knowledge of the population served in adult health, including culture, demographics, patterns of disease, barriers to care and other unique features or special needs* Knowledge of available interventions and medications, the expected palliative benefits in the hospice population, and the likely ability to meet the needs of an individual patient* Knowledge of Federal, State and Local regulations, Hospice Medicare Conditions of Participation, and HIPAA privacy rules and regulations* Ability to assist in the development and implementation of appropriate outcome tools, metrics, and assessment strategies to inform quality outcome, safety, and performance improvement* Ability to understand the needs of and work with dying individuals in a hospice setting* Outstanding communications and conflict resolution skills; ability to provide emotional support to patients, caregivers and the hospice team* Ability to communicate effectively with diverse staff and patients, their families and caregivers.* Problem-solving skills* Skilled in use of electronic medical records* Proficient in the practice of hospice and palliative care, particularly in a geriatric population* Cultural competence and ability to work effectively with people from all walks of life* Characteristics of compassion, commitment, and integrity that are required for success in this position* Ability to work a flexible schedule, including evenings and weekends* Ability to work both independently and collaboratively* Ability to work under pressure to meet deadlines* Ability to take initiative and utilize innovative techniques and ingenuity* Ability to plan, prioritize and coordinate multiple projects or tasksPhysical Skills and Abilities RequiredLifting/Carrying up to 20 PoundsPushing/Pulling up to 30 PoundsPinching/Retrieving Small ObjectsCrouching/CrawlingReaching Above ShouldersClimbing StairsRepetitive Finger/Wrist/Elbow/Shoulder/Neck MovementUp to 3 hours/dayUp to 3 hours/dayUp to 3 hours/dayUp to 3 hours/dayUp to 3 hours/dayUp to 3 hours/dayMore than 6 hours/dayStandingWalkingSittingBendingSeeingReadingHearingSpeaking Clearly3-6 hours/dayUp to 3 hours/dayMore than 6 hours/day3-6 hours/dayMore than 6 hours/dayMore than 6 hours/dayMore than 6 hours/dayMore than 6 hours/dayAbility to operate a motorized vehicleCognitive and Other Skills and Abilities RequiredThe following cognitive or mental requirements are necessary on a daily basis:* Critical thinking* Reading, writing, mathematics* Drawing conclusions from written or computer generated materials* Implementing recommendations by coordinating people and/or other resources* Developing plans, procedures, goals, strategies or processes* Clear verbal articulation* Ability to tolerate and manage stress and grief* Maintain effective professional boundaries for resiliency* Accept direction and feedback from manager and/or the leadership or hospice teamEducation and/or ExperienceRequired:* Master's degree from an accredited advanced nurse practitioner program* Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)* Minimum 2 years' experience as a Nurse Practitioner, including at least 1 year' experience in hospice* Drug Enforcement Administration (DEA) license* Valid driver's license, acceptable driving record, and automobile liability coverage or access to an insured vehicle* CPR (BLS) certification at hire or within 6 months in positionPreferred:* Certification in Hospice and Palliative Care (CHPN)* Experience in geriatrics, safety net populations and/or hospice and palliative medicine* Experience in performing medical home visits* Experience with the mental health, substance abuse and behavioral health issues of a safety net population* Experience with medical ethics and quality improvement methodologyWorking Conditions* Environment: This position's primary responsibilities typically take place in the following environment(s) (check all that apply on a regular basis):? Inside/office ? Clinics/health facilities ? Member homes* ? Other: Custodial care facilities, shelters, etc.* Travel: This position requires frequent travel outside of the workplace, in which the employee's personal vehicle, local transit, or other means of transportation may be used. Driving may be required in all kinds of weather conditions. Driving infractions will be monitored in accordance with organizational policy.* Equipment: General office equipment and/or mobile technology* Hazards: OSHA Category I - Assigned tasks may involve exposure to communicable diseases, blood, body fluids or tissues#Li-HybridCandidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.Veterans are strongly encouraged to apply.Equal opportunity employer. This company considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.Visa sponsorship is not available at this time.

Keywords: CareOregon, Portland , Hospice Nurse Practitioner (NP) - Temporary (23986), Healthcare , Portland, Oregon

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