Nurse Practitioner Clinical Lead

Nurse Practitioner Clinical Lead

Hospice of Michigan Dearborn, Michigan, United States

Job Summary
:
Assumes responsibility and accountability for the Nurse Practitioner (NP) Clinical Lead role within the North Star Care Community (NSCC) as detailed below. The NP Clinical Lead dedicates approximately 80% of time to the delivery of direct hospice and/or palliative patient care, performing all essential functions of the NP role, and approximately 20% of time to administrative and clinical leadership responsibilities in support of the NPs within the assigned region(s).

Provides services under a collaborative practice agreement with the physicians of the practice. Participates in the on-call schedule per on-call policy. This role may include some or all of the below essential functions for hospice and/or palliative care based on assignments. The essential functions for the Clinical Lead (Administrative) role apply to all NP Clinical Lead assignments.

• Completes and documents an accurate history and physical examination and documents findings for Face to Face and/or certification of terminal Illness for physician review of initial and ongoing hospice eligibility.
• In collaboration with the hospice and attending physicians, works to establish and meet the goals of care, coordinates with internal and external members of the patient’s health care and family/caregiver teams, and makes recommendations for identified immediate needs and ongoing treatment plans.
• Completes timely and accurate documentation of all activities in the electronic medical record (EMR).
• Provides assistance to patients/families in goal setting, care plan development and end-of-life discussions.
• Promotes access to community resources and acts as a liaison by relaying information to other health care professionals and agencies to provide for continuity of care.
• Participates in Quality Assurance activities and committee service related to NP scope of practice and policies/procedures.
• Maintains consistent and on-going communications with attending physician regarding all aspects of care.
• Promotes patient relations through confidentiality, privacy, and dignity. Provides services in a quick and courteous manner with care and respect for the patient’s individual needs.
• Consults with physicians within the practice according to the collaborative practice agreement.
• Communicates with nursing home and other facility staff regarding goals and treatment plans.
• Provides educational support to the orientation process, ongoing staff development, and education about the organization’s services to referral sources, facilities, and the community.
• Maintains oversight of all allocated resources within assigned areas of responsibility including but not limited to time, expenses, supplies and labor and ensures pre-determined financial margins and/or clinical outcomes are achieved.
• Provides support to physicians as needed, including attending IDT with physician when requested.
• Acts as a representative of the North Star Community in the facilities, homes, and communities of the patients we serve. This includes identifying and solving problems within the NP scope of practice and patient care plan that are being encountered as part of the care delivered.

• Completes an accurate history and physical examination and provides diagnosis and treatment of symptoms, including recommending or prescribing of medications and treatments (as preferred by referring provider) according to the collaborative agreement and NP scope of practice laws and as approved by the Director of Medical Affairs.
• Working with the collaborating physician, identifies and documents medical necessity…