Nurse Practitioner - FTW

Nurse Practitioner - FTW# Nurse Practitioner - FTWAllen, TX 75013## Description## Position Summary The PRN Palliative Care Nurse Practitioner provides comprehensive, patient-centered palliative care services to individuals with serious, chronic, or life-limiting illnesses across various care settings, including skilled nursing facilities, assisted living communities, and patient homes. Collaborating with physicians, interdisciplinary team members, patients, and families to manage symptoms, improve quality of life, support goals-of-care discussions, and facilitate advance care planning.

The Nurse Practitioner may also provide support to the hospice program, including completion of hospice Face-to-Face visits, participation in eligibility evaluations, and collaboration with the hospice interdisciplinary team to ensure regulatory compliance and high-quality patient care.

This position is scheduled on an as-needed (PRN) basis to provide coverage for patient visits, admissions, follow-up consultations, and team support.

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Essential Duties and Responsibilities ### Clinical Care
* Conduct comprehensive palliative care assessments, including physical, psychosocial, emotional, cultural, and spiritual evaluations.
* Diagnose and manage acute and chronic symptoms related to serious illness, including pain, dyspnea, nausea, anxiety, depression, fatigue, and other distressing symptoms.
* Develop and implement individualized care plans in collaboration with patients, families, and healthcare teams.
* Prescribe medications and treatments within the Nurse Practitioner scope of practice and state regulations.
* Monitor treatment effectiveness and modify care plans as needed.### Patient and Family Support
* Facilitate goals-of-care conversations and shared decision-making with patients and caregivers.
* Provide education regarding disease progression, treatment options, symptom management, and advance care planning.
* Support patients and families through complex medical and end-of-life care decisions.
* Assist with Advanced Care Planning including advance directives, POLST/MOLST forms, and other healthcare planning documents as appropriate.### Care Coordination
* Collaborate with physicians, nurses, social workers, chaplains, case managers, and other interdisciplinary team members.
* Coordinate transitions of care across healthcare settings.
* Participate in interdisciplinary team meetings and case reviews.
* Communicate clinical findings and recommendations to referring providers and care teams.
* Provide clinical support to the hospice program as needed, including conducting and documenting Face-to-Face (F2F) encounters for hospice patients in accordance with Medicare regulations and organizational policies.
* Collaborate with hospice physicians and interdisciplinary team members to identify patients who may be hospice eligible and assist with hospice admissions, recertifications, and continuity of care when appropriate.### Documentation and Compliance
* Complete timely, accurate, and compliant documentation within Fire Note (EMR).
* Ensure billing and coding documentation meets regulatory and organizational standards.
* Maintain compliance with federal, state, and organizational policies and procedures.
* Participate in quality improvement and performance initiatives as assigned.## Qualifications##

Required Qualifications
* Master's or Doctoral degree in Nursing from an accredited Nurse Practitioner program.
* Current, unrestricted Nurse Practitioner license in the applicable state.
* National board certification as a Family Nurse Practitioner (FNP), Adult-Gerontology Nurse Practitioner (AGNP), Adult Nurse Practitioner (ANP), or related specialty.
* Current DEA registration and prescriptive authority.
* Basic Life Support (BLS) certification.
* Minimum of 2 years of advanced practice clinical experience preferred.
* Experience in palliative care, hospice, oncology, geriatrics, internal medicine, family practice, or related specialty preferred.

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Preferred Qualifications
* Certified Hospice and Palliative Nurse (CHPN) or Advanced Certified Hospice and Palliative Nurse (ACHPN) credential preferred.
* Experience caring for patients with complex chronic or life-limiting illnesses.
* Knowledge of palliative care principles, symptom management, and advance care planning.
* Experience working within interdisciplinary healthcare teams.