Nurse Practitioner AIM CPOM

Join to apply for the Nurse Practitioner AIM CPOM role at Gentiva

Join us to make a difference when life matters most. We believe every day is an opportunity to make care more personal and life more comfortable. That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.

The Nurse Practitioner – Advanced Illness Management AIM CPOM facilitates advanced illness management and palliative care for our patients, ensuring a comprehensive, individualized treatment plan, while demonstrating excellent clinical skills and ethical, relevant judgment. Provides diagnosis, treatment, consultation, and follow-up under the direction of the Professional Services Corporation Physician.

• Work in collaboration with the Professional Services Corporation (PSC) Physician or supervising physician, Primary Care Physician, and other palliative team members to deliver advanced illness management and palliative care by providing diagnosis, treatment and follow-up for patients.
• Take responsibility for advanced illness management from the initial assessment through discharge. Assessment should include disease-specific changes, decline or change in function, nutrition and/or cognition, inadequately controlled pain or other distressing symptoms, falls, infections or similar events, and the impact of the disease burden on the patient’s condition, caregiver and/or family quality of life.
• Establish the plan of care, individualized for each patient, in consultation with the patient, family and other members of the Advanced Illness team, to include the PCP.
• Facilitate obtaining care for the patient when a need is identified in accordance with the Plan of Care.
• Participate in evening/weekend call as required, conducting on-call services in a clinically competent and responsive manner.
• Prescribe medications including controlled substances to the extent delegated and licensed, in accordance with state law. Order and interpret laboratory, imaging and other diagnostic tests within the scope of professional practice. Order treatments and durable medical equipment as indicated.
• Communicate clinical findings to the PSC Physician as needed, but no less than bi-weekly. Reassess the effectiveness of the care plan on a regular basis and modify as needed.
• Maintain effective working relationships with supportive care team (e.g., Social Worker and RN Care Manager), as applicable, and involve the team when the patient’s care plan warrants team participation to achieve the desired outcome.
• Establish and maintain effective working relationships with those contacted in the course of work.
• Document clinical findings, treatment plan, and care provided in the patient’s medical record in a manner consistent with acceptable standards to support sound medical practice and reimbursement for services provided.
• Knowledgeable of Palliative Medicine Quality Measures collection, documentation and reporting.

• Excellent leadership, interpersonal, written and verbal communication skills.
• Independent decision making and self-motivation.
• Working knowledge or understanding of: principles of Palliative Medicine, including when a patient may be appropriate for home health or hospice care;
  Medicare/Medicaid regulations; and interdisciplinary process; value based and/or accountable organization requirements.
• Meets mandatory continuing education requirements of Gentiva and licensing board.
• Must be able to work efficiently with electronic medical record software.

• Minimum of Master of Science in Nursing from an accredited school of nursing, or an equivalent as allowed under state law.
• Minimum of two years Nurse Practitioner experience.
• Nurse Practitioner specialty in Family or Adult Medicine preferred.
• Value Based Care practice experience preferred.
• Practice experience with Part B billing.
• Able to work autonomously in an Advanced Practice Role.

• Current license as a registered nurse or equivalent as required by state law for Nurse Practitioner licensure.
• Active and…