Nurse Practitioner

Why Work for Us?

Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 employees and 150 volunteers delivers compassionate, patient-centered care across a 10,000-square-mile area. Additionally, Hospice House in Bend, Oregon, is a specialty hospital for inpatient hospice care, creating an oasis of tranquility and comfort for patients and their families.

We prioritize excellence, empathy, and collaboration. We foster a culture of kindness, respect, and learning while valuing diversity and the well-being of our employees, volunteers, patients, and families.

Status:
Full Time (salaried-exempt) 40-hours per week.

Hours:

8:00 AM to 5:00 PM-combination of weekdays and weekends. Work outside of these hours may be required.

Location:

Working all throughout Central Oregon.

The Nurse Practitioner will be responsible for performing the face-to-face visits as required by Medicare’s final ruling on Section 3132(b) of PPACA (the Affordable Care Act), updating Sec 418.22 Certification of terminal illness, and adhering to all State, Federal, and compliance regulations, as well as other provider responsibilities not requiring a physician to perform.

• Responsible for reviewing the status of the hospice patient with the IDT prior to conducting the required face‑to‑face visit as designated by the Hospice Medical Director.
• Conducts a thorough, comprehensive assessment of the patient in order to support evidence of decline and a continued need for hospice if appropriate.
• Completes appropriate documentation within 48 hours of visit.
• Executes e‑scribe orders in a timely manner.
• Assists in the completion of death certificates in OVERS.
• Provides education to clinical and other staff.
• Mentors and serves as a clinical resource for hospice field RNs.
• Collaborates as part of a team of physicians and nurse practitioners with regular meetings.
• Conducts patient visits in the field for those requiring more intensive symptom management as requested by hospice team.
• Reviews medications and recommends changes appropriate to individual cases.
• Serves as PCP for patients when applicable.
• Travels throughout the Central Oregon service area, including La Pine, Crescent, Christmas Valley, Prineville, Madras, and Sisters.
• Takes calls M‑F from 8:00 AM to 5:00 PM.
• Communicates findings to the Medical Director and the rest of the IDT involved in the case.
• Adheres to the PIC mission and values.

• Licensed to practice medicine in the State of Oregon;
  Nationally Certified Family or Adult Nurse Practitioner preferred.
• Excellent understanding of pharmacology, interactions, and use of controlled substances.
• Compliance with professional standards and applicable federal, state, and local laws, rules, and regulations; adherence to Partners In Care’s policies and procedures, accreditation and certification requirements.
• Maintenance of DEA registration and any applicable state agency registration; provides current proof upon request.
• Qualifies for Partners In Care’s Professional Liability Insurance Coverage.
• Experience in primary care for 3‑5 years in a variety of settings; preferred experience with underserved, medically complex patients in uncontrolled settings.
• Previous experience with complex pain patients and knowledge of federal regulations regarding controlled substances/utilization of narcotic contracts.
• Knowledge of LCD guidelines for hospice diagnoses; some hospice experience/exposure preferred.
• Flexibility in schedule to meet the needs of the population/organization/team.
• Demonstrated cultural competency;
  Spanish speaker helpful.
• Ability to pass a background test, drug screen, and TB test.
• Valid CPR Certification.
• Current automobile insurance, a valid Oregon driver’s license, and reliable transportation required for field work.
• Strong communication and interpersonal skills; ability to work independently and collaboratively within an interdisciplinary team.
• Compassion, empathy, and dedication to patient care.