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About the Role

This role involves providing compassionate, patient-centered care to individuals with serious, chronic, or life-limiting illnesses. You will serve as a Nurse Practitioner in a hybrid capacity, acting as a liaison within local hospitals and providing care in home-based palliative care or hospice programs.

Responsibilities

• Identify hospitalized patients who meet eligibility criteria to arrange for or conduct admissions to the United Hospice program or Living Well New York, prior to discharge.
• Develop and maintain positive relationships with referral sources and promote exemplary customer service to physicians, facility staff, patients, and families.
• Serve as an integral member of the clinical team to work in conjunction with hospital case managers in reviewing the daily hospital census to identify appropriate patients for UH admissions.
• Admit patients onto hospice or palliative care as appropriate.
• Provide in-depth palliative care assessments and ongoing management for patients referred to the program.
• Conduct home visits to assess clinical status, manage symptoms, and address patient and caregiver needs.
• Serve as a clinical resource embedded within community medical practices to support early identification and management of patients in need of palliative care.
• Develop and implement individualized care plans in collaboration with physicians, social workers, and other team members.
• Offer emotional and psychosocial support to patients and families, including goals-of-care discussions and advance care planning.
• Coordinate care transitions and collaborate with home health, hospice, hospital teams, and other community resources.
• Participate in interdisciplinary team meetings and case conferences.
• Maintain accurate, timely clinical documentation in accordance with organizational standards and regulatory requirements.
• Diagnose and treat acute, episodic, or chronic illnesses.
• Prescribe all necessary medications and treatments.
• Perform comprehensive physical examinations of patients.
• Develop and implement patient management policies and procedures.
• Facilitate referrals to other healthcare professionals and medical facilities.
• Communicate with collaborating physicians or specialists regarding patient care.
• Certify and re-certify patient eligibility for the Hospice Program in conjunction with the attending physician on a timely basis.
• Provide clinical support to the hospice Multi-Disciplinary team.
• Consult with primary physicians or specialists as needed regarding the patient's medical condition.
• Assume responsibility for the general medical needs of Hospice patients to the extent that the attending physician does not meet the needs, serving as attending physician as needed and when requested by the patient or their representative.
• Work with attending physicians to encourage the fulfillment of their responsibilities.
• Serve as a liaison between the attending physician and the Hospice Team by obtaining/sharing information about the patient's plan of care on an ongoing basis.
• Evaluate the patient's medical status in the home, outpatient, and inpatient settings based on a visit schedule.
• Work within the hospice provider team to ensure adequate delivery of care 24/7.
• Serve on the clinical leadership team.
• Attend Patient Care Conferences as requested.
• Provide ongoing community and professional education as it relates to the medical community.
• Routinely network with hospital staff to provide educational seminars on hospice.
• Assist with the design and development of a home-based palliative care program.

Requirements

• Ability to drive and daily access to a reliable automobile is required.
• Driver’s License and driving record acceptable for agency insurance coverage are required.
• Previous experience in nursing or other medical fields.
• Ability to build rapport with patients.
• Ability to thrive in a fast-paced environment.
• Excellent written and verbal communication skills.
• Strong leadership qualities.

Skills

• Pain and symptom management

Location

• Hybrid

Work Type

• Hybrid
• Full-time

Experience Level

• Five years of experience

Education Level

• Master's degree
• Graduate of a New York State-approved Nurse Practitioner program
• Currently licensed and certified as a Nurse Practitioner by a national certifying organization acceptable to New York State in a related practice specialty area
• Completion of the pharmacotherapeutic requirement enabling independent prescriptive privileges
• Must have a National Provider Identifier (NPI) and Federal Drug Enforcement Administration (DEA) Registration Certificate in order to prescribe controlled substances

About the Company

• We believe that life is enriched by compassion, and as individuals approach life's end, they deserve caregivers dedicated and skilled to deliver genuine compassion.