Telehealth NP Chronic & Palliative Care

This Position Provides Medical Care And Treatment Services With Emphasis On Chronic Disease Management And Promotion Of Health And Palliative Care For Patients Not Best Served In a Clinic Setting. Care Is Provided In Patient Residencies, As Well Through Audio And Video Sessions. This Position May Focus On One Of The Following Areas Regular Care:
Provides ongoing care for patients within an assigned caseload and/or territory and includes long-term strategies focused on disease prevention. NOTES:
This position would cover Tigard/Tualatin areas.

$ - $

Bonus - SIP Target, 5% Annual

• Provide diagnosis, treatment, consultation, and follow-up care as indicated of patients including diagnosis and treatment of critical, prolonged, and long-term healthcare issues.
• Perform comprehensive health assessment of clients by completing a physical and psychosocial history; identify actual and potential health needs based on medical, mental/emotional, financial, and social factors.
• Make referrals to appropriate social or medical agencies and practitioners.
• Identify, evaluate, and address the prevention of diseases and/or acute change in condition, maintenance of chronic diseases, and appropriate end-of-life care per the goals of care outlined by the patient and their families.
• Develop and implement proactive patient centered care plan with the assistance of other disciplines within the care team.
• Order testing in diagnostics, orders medications with appropriate follow up and reassessment, and performs some surgical procedures as appropriate under certification.
• Approve medication refills and home health orders and respond to caregiver requests to provide continuity of care.
• Provide compassionate anticipatory guidance through decline due to chronic disease and provide high quality palliative care focused on the goals of the patient and family.
• Educate patients and families on goal-based, appropriate preventative care, chronic care, or urgent care needs, as well as the use of prescribed medications and treatment.
• Develop and maintain working relationships with lay and professional caregivers, including care facilities, to assure patient experience excellent continuity of care and orders are implemented appropriately.
• Deliver quality care while maintaining all company metrics pertaining to productivity.
• Practice within the scope of license where applicable, and as required by law and regulation.
• Participate in the after-hours call schedule.

• Communicate effectively with members of the medical staff on issues concerning consultation, collaboration, and referrals.
• Determine need for specialty and rehabilitative services and make appropriate referrals.
• Oversee the care plan/case management activities for assigned patients.
• Attend and participate in all required staff meetings and other ad hoc committees as assigned.
• Provide coverage for clinical colleagues in their absence.
• Participate in quality improvement activities as assigned.
• Complete and maintain medical records according to agency protocols and in support of quality metrics.

• Master’s degree from an accredited advanced nurse practitioner program
• Licensed nurse practitioner in the state of Oregon (ANCC or AANP certified)
• Drug Enforcement Administration (DEA) license
• Valid driver’s license, acceptable driving record, and automobile liability coverage or access to an insured vehicle
• CPR certification at hire or within 6 months in position

• Minimum 2 years of related clinical experience

• Knowledge of the principles and practice of medicine including urgent care and triage practices for providers focused on Relief Care
• Proficient in the practice of geriatrics and palliative care
• Knowledge of principles, practices, and procedures of general medicine
• Knowledge of methods and techniques of diagnosing and treating a variety of diseases and injuries
• Knowledge of sources of information and current literature applicable to the field of general medicine
• Knowledge of the ethical and medico-legal aspects of medical practice
• Knowle…