Nurse Practitioner; Hospice​/Palliative Care​/RRTP

Summary

Cheyenne Veterans Affairs Healthcare System (CVAHCS) is a Level 3 facility with service-lines serving medical - mental health - surgical - and neurological outpatients - with a Level 3 Emergency Department - and multiple Community-Based Outpatient Clinics (CBOCs). There is a large outpatient psychiatric population - with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home.

• The Advanced Practice Nurse (APN) II Certified Nurse Practitioner (NP) practices in Geriatrics Extended Care Service and the Residential Rehabilitation Treatment Program to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission
• The NP provides advanced clinical practice - consultation - and management
• The NP practices to the full extent of their education - training - and certification
• Core functions are outlined in the clinical privileges that correspond with this position
• The NP has prescriptive authority for a panel of patients or program as indicated by their position
• Major duties and responsibilities:
  • Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence‑based practice
  • Develops and implements an individualized plan to achieve optimal population health and disease management
  • Demonstrates leadership and works collaboratively with the interdisciplinary team
  • Orders and interprets labs - tests - and diagnostic studies
  • Prescribes pharmacologic and non‑pharmacologic interventions
  • Initiates referrals and consults to specialty services
  • Provides education to patients and their families
  • Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes
  • Exemplifies the ICARE core values of-Integrity
    - Commitment
    - Advocacy
    - Respect - and Excellence
• The Nurse Practitioner provides direct patient care through various modalities - including in-person visits (at the Community Living Center - hospital - and outpatient settings) - VVC/telehealth - and any other appropriate environments for care
• The NP will collaborate with the interdisciplinary team across services - including but not limited to mental health - pain management - whole health - education - primary care - home oxygen - laboratory services - radiology services - innovation
  - Physical Medicine & Rehabilitation Services (PM&RS) - complementary/integrative health - social work - pharmacy - physical therapy - occupational therapy - surgical services - telehealth - and nursing services
• The hospice and palliative care nurse practitioner will conduct palliative care consultations in conjunction with palliative care team members - including engaging in goals of care conversations and addressing symptom management needs
• They will communicate palliative care consultation findings with the referring medical provider - the veteran - and/or their medical decision‑maker
• The NP will provide consultations and follow‑ups for veterans receiving hospice care in the Community Living Center - offering prognostic estimations - addressing symptom management - and meeting other palliative care needs in conjunction with other team members
• The NP will collaborate with the veteran's attending medical provider at the Community Living Center
• They will complete or update Life‑Sustaining Treatment orders for veterans receiving palliative and/or hospice consultations after discussions with the veteran or their medical decision‑maker
• The NP will provide education to palliative care team members and medical staff on palliative care topics - contribute to policies - protocols - and strategic planning for palliative care at the CVAHCS - and generate reports on palliative care services for MEB and other requested meetings
• The NP will also track and analyze palliative care surveys and data
• The Nurse Practitioner will assess hospice eligibility and handle recertifications
• Additional responsibilities - as assigned by the Chief of Geriatrics and Extended Care - may include providing coverage for the Community Living Center and/or Home-Based Primary Care as needed
• Residential Rehabilitation…