Nurse Practitioner - After Hours

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role

The After Hours Hospice Nurse Practitioner (APRN) is responsible to provide night, weekend and/or holiday telephone coverage during assigned shifts for hospice patients among the hospice affiliates. Provides high quality care that is consistent with the hospice plan of care and patient/family goals of care.

Experience

Must have at least 3 years of recent clinical experience to include sufficient experience hospice, palliative care, and/or acute inpatient care.

Education

Must hold a Masters or Doctoral degree in Nursing from an accredited Family or Adult Nurse Practitioner Program.

Certificates And/or Licenses

The After Hours Nurse Practitioner must hold national certification, licensure, and prescriptive authority from the appropriate governing body for advanced nursing practice in their home state and in additional state(s) where care is provided. Licensure and prescriptive authority must be obtained and maintained for all required jurisdictions. Applications for required licenses must be submitted within 60 days of the date of hire and/or receiving notification. Must hold and maintain Basic Life Support certificate from an approved organization by date of hire. Additionally, all eligible NPs must currently hold, or obtain, Advanced Certification in Hospice and Palliative Nursing (ACHPN) within 3 years of the date of hire. NPs who are not eligible to obtain the certification within 3 years of hire will have 6 months from date in which they meet criteria to apply for the exam.

Schedule

Shifts may vary and can include nights, evenings, weekends, and/or holidays based on the needs of the business.

Essential Duties And Responsibilities

Quality Provision of Services:

• Provides fully remote virtual serious illness care management to patients and families throughout our continuum of care; This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.
• Consults with medical staff, and/or other members of the IDT as indicated to ensure optimal patient care in an effective and efficient manner.
• Performs virtual assessment of patient/family/caregiver needs.
• Identifies, manages, orders, and prescribes medication and equipment as appropriate.
• Adjusts and supports the plan of care in accordance with Chapters policies and procedures and within the guidelines of the corresponding nurse practice act.
• Assesses the caregiver’s ability to meet the patient’s immediate needs and confidence in the patient’s plan of care.
• Provides education to increase the caregiver’s confidence as necessary and appropriate.
• Supports staff by answering clinical questions, entering orders and prescriptions, and supporting the clinical needs of patients and families.
• Maintains access to all electronic medical records (EMR), electronic prescribing systems, and other required websites and applications.
• Documents all interactions as appropriate in the corresponding EMR in a timely manner.
• Communicates and collaborates with the primary team to ensure continuity of care.
• Supports with discharge planning including prescribing medications, entering discharge orders and instructions, etc.
• Participates in Quality Assurance/Performance Improvement (QAPI) activities as needed, including regular medical record reviews and medical peer reviews. Seeks to continually improve the care practices of Chapters to assure compliance with regulatory and accreditation standards.
• Keeps knowledge base and skill levels current to assure quality patient care and professional growth.
• Organization/Regulatory Compliance:
• Maintains current knowledge of the latest research and trends in Hospice and Palliative Medicine.
• Maintains continuing education as required for licensure and to ensure specialty level expertise in end-of-life care.
• Obtains & maintains hospital/facility credentialing as required.
• Participates in departmental and medical staff activities as requested.
• People/Communications:
• Communicates and collaborates with team members, patients/families/caregivers, partnering providers and staff as required & appropriate within HIPAA guidelines to help provide comfort & deliver upon Chapters core values.
• Provides patient and family education as needed to maintain quality care, to decrease patient and family anxiety, to facilitate the patient living with the highest quality care, and to assure both the patient and the family have the skills to care for the patient.
• Participates as a member of the interdisciplinary team to develop by implementing a patient-directed individualized plan of care and assures the availability of information to team members. Provides teaching to staff as required.
• Functions as a role model in providing exceptional customer service to patients and families through effective and timely communication. Supports organizational changes.
• Demonstrates flexibility in providing coverage and/or availability.
• Financial Stewardship:
  
  

Achieves expected productivity standards as defined by the organization and in alignment with best practices/the Chapters model. If /when Telemedicine billing is accepted, implements time-based billing procedures using the electronic medical record system software and other appropriate methods to capture timely billing (weekly for home and nursing home; daily for inpatient and clinic charges).

The above statements are intended 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.

Compensation Pay Range

$88,500.00 - $134,300.00

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.