Hospice Nurse Practitioner

Job Title/Position: Hospice Nurse Practitioner

Reports To: Clinical Director

Location: Powell, Wyoming

Wage: $125 per patient visit / $50 per hour for training and meetings

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. He/She provides hospice care through the evaluation and assessment of the health history, health promotion, diagnosing medical conditions, management of health problems by directing and developing the plan of care, prescribing medications or treatments, coordinating and collaborating with patients, families, and other healthcare practitioners.

Under the supervision of a physician, the nurse practitioner visits patients, completes physical assessments, performs face‑to‑face assessments and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The nurse practitioner builds from the resources of the community to plan and direct services to meet the need of individuals and families within their homes and communities.

• Provides medical care, palliates, and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician.
• Completes history and physical examinations, by evaluating the patient’s medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient’s medical record.
• Manages health conditions and terminal illnesses by developing an individualized plan of care, prescribing medications and/or treatments, obtaining consultations or making referrals and coordinating hospice care services.
• Completes the hospice face‑to‑face visit requirements prior to the third and subsequent hospice benefit periods to assess hospice eligibility based on the hospice conditions of participation and the local coverage determinations; provides clinical information to the hospice medical director for interpretation for eligibility for hospice recertification.
• Makes recommendations to the hospice medical director regarding patient eligibility for certification and recertification for hospice care.
• Reviews clinical information, coordinates and oversees patient care in consultation with the hospice interdisciplinary team and other healthcare practitioners.
• Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members.
• Consults the collaborating physician when the patient’s plan of care is outside standardized practice and protocols.
• Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician.

• Communicates and collaborates with the interdisciplinary group to create, review and revise the patient’s plan of care.
• Consults with the patient’s attending physician, the hospice medical director and other healthcare practitioners regarding the patient’s eligibility for hospice care, ongoing care needs and medical management related to the patient’s terminal condition.
• Communicates with other community health practitioners to coordinate the plan of care.
• Attends and participates in hospice interdisciplinary group meetings.
• Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record.
• Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.
• Provides and maintains a safe environment for the patient.
• Assists the patient and family / caregiver and other team members in providing continuity of care.
• Works in cooperation with the family /…