Founded in 1987, Partners In Home Care is a non-profit provider of skilled home health, hospice, home infusion, Home Medical Durable Medical Equipment (DME), and Big Sky Waiver services. We are proud to serve communities in Missoula, Lake, Ravalli, Mineral, Sanders, and Granite Counties. This increased focus into rural areas throughout the region reflects the organization’s commitment to delivering compassionate care and support to a wider community.

For over thirty years, Partners in Home Care has been a beacon of care and comfort in Western Montana offering a comprehensive range of healthcare services that cater to the unique needs of individuals with the goal of helping them live more comfortably in the place they call home. Whether regaining mobility after surgery or trauma, providing compassionate end of life hospice care, receiving infused medications at home, or helping patients sleep better through PAP Therapy, their specialized team of skilled professionals is dedicated to enhancing the quality of life for patients and their families during challenging times.

We offer an exciting new opportunity to join a innovative organization that is growing and expanding while leading the industry in compassionate care. Come be a part of an exceptional team!

The advance practice nurse (APN) serves as a professional, and qualified provider, with the responsibility to practice his/her profession commensurate with his/her licensure, training and experience in accordance with the laws and regulations governing the practice of an APN of the state in which services are performed, and all guidelines of applicable professional and accreditation agencies. The APN is responsible to work in collaboration with patients, their families and other caregivers, the patient’s primary care physician, and other specialists as appropriate, in an active practice to deliver chronic medical management for patients with progressive illnesses.

Essential Functions:

• Obtains Medicare and Medicaid provider statutes with the respective state carriers.

Physical Assessment and Treatment:

• • Provides and documents medically necessary services in accordance with mutually acceptable physician/APN protocols.
• • Develops the appropriate treatment plan that maximizes the health potential of the patient including, but not limited to:
• − Ordering and interpretation of appropriate diagnostic tests within scope of practice
• − Identifying appropriate pharmacologic agents
• − Identifying appropriate non-pharmacologic interventions
• − Developing an education plan as appropriate
• − Interpretation of laboratory and radiology tests within scope of practice
• − Ordering of durable medical equipment
• • In collaboration with PCP, refers patients to medical specialists as indicated.
• • In collaboration with PCP, refers patients to other healthcare services as medically indicated.
• • Consult with collaborative physician, consulting practitioner(s), primary care physician and other specialist physicians as appropriate.
• • Assists in all facets of care coordination for referrals.
• • Provides disease management instruction and education to patients and their families.
• • Provides clinical guidance to facility staff relative to patient care issues, assessments, and interventions.

Administrative:

• • Participates with care setting’s interdisciplinary team as appropriate (i.e. QAPI, care coordination, clinical
• etc.).
• • Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided, and support of appropriate medication uses.
• • Acts as a clinical resource to coordinate complex cases for safe and appropriate transitions to other care settings.
• • Comply with applicable laws and regulations with respect to Delegation Protocol Agreements, prescriptive authority, and APN scope of practice.
• • Attends required PIHC office meetings to enhance team communication, coordination of services and quality
• of care.
• • Reviews PIHC’s policies and services with referred patients and/or family caregivers or authorized patient
• representative, and obtains consent for medical care.
• • Provides training and continuing education for staff.
• • Assists in development of clinical practice guidelines/standards in support of quality care.
• · Collaborates with Business Development to develop and maintain positive working relationships with referrals and PCPs.
• · Promotes an environment of high integrity and teamwork.
• · Works with the PIHC leadership team to develop, credential and market the Palliative Care program.
• • Works collaboratively with patients and their family caregivers, physicians, supervisors, and other staff to facilitate effective transitions from one care setting to another.
• • Takes appropriate and timely measures to meet the needs of the patient, their family, care setting staff, referral source and attending physician.
• • Acts as a community liaison to educate providers and obtain referrals.

Minimum Education & Experience Requirements:

• Graduate of an accredited Geriatric, Adult or Family Nurse Practitioner Master’s program.

• Board Certified APN (as a Geriatric, Adult or Family Nurse Practitioner preferred).

• Three years of experience as a nurse practitioner in clinical nursing care of geriatrics, adult/family practice, or oncology preferred.

• Advance certification in hospice and palliative nursing care (ACHPN) preferred; required within 18-months of hire.

• Experience with home health, hospice and palliative care strongly preferred.

Knowledge, Skills & Abilities Required:

Professional Requirements:

• Maintain appropriate licensures and certifications, including current Department of Public Health and Human Services (DPHHS), and Drug Enforcement Agency (DEA) registrations.

• Practice within established protocols for prescriptive authority, including prescribing of scheduled drugs.

• Adhere to state regulations regarding practice agreement with physician.

• Maintain a broad base of technical knowledge and skills to perform all assigned clinical/administrative duties.

• Knowledge of home/hospice regulations, clinical practice, end of life care services, and advance care planning.

• Demonstrate excellent teaching skills to relate medical information to the patient, family and nursing staff.

• Possess excellent communication, interviewing and counseling skills, and the ability to explain medical problems and treatments in accurate and understandable lay terms.

• Must be able to coordinate and communicate effectively with colleagues, managers, and medical staff and be able to teach and develop others.

• Must have the ability to prioritize, make decisions and set clear expectations for others.

• May have access to personal health information (“PHI”) necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.

Other Requirements:

• Computer proficiency includes the ability to utilize software programs used by the organization.

• Able to perform and prioritize multiple functions or tasks.

• Able to read and interpret technical instructions related to the care of the patient/ client.

• Able to effectively deal with multiple changes.

• Able to engage in moderate amount of local travel.

• Able to provide proof of valid driver’s license.

• Able to provide proof of valid liability insurance if assignments include driving own vehicle.

• Evidence of annual TB test and other state required tests.

Working Conditions & Physical Requirements:

• Works in community care settings (home, SNF, ALF, and hospital).

• Able to stand, bend, stoop, squat, kneel and reach freely.

• Able to freely lift up to a maximum of 50 pounds.

• Able to assist patient/client with standing, walking, sitting, and rolling in bed.

• Visual/hearing ability must be sufficient enough to communicate written and verbally.

• Sedentary physical activity that may require occasional lifting, carrying, pushing, or pulling up to 10 lbs in order to carry out daily job functions and related activities that may be required.