Nurse Practitioner, Evenings, Nights and Weekends Per Diem

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Job Profile Summary
The Resource Nights & Weekend (ReNW) Nurse Practitioner (NP) is an active member of Chapters Health System’s Medical Staff and provides fully remote virtual serious illness care management to patients and families throughout our continuum of care. This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.

Experience Requirements:

Must have a minimum of 3 years of recent clinical experience, including substantial experience in hospice, palliative care, and/or acute inpatient care.

Education Requirements:

Must hold a Masters or Doctors degree in Nursing from an accredited Family or Adult Nurse Practitioner Program.

Certificates and/or Licenses:

The ReNW NP must hold national certification, licensure, and prescriptive authority from the appropriate governing body for advanced nursing practice in their home state and in additional state(s) where care is provided. Licensure and prescriptive authority must be obtained and maintained for all required jurisdictions. Applications for required licenses must be submitted within 60 days of the date of hire and/or receiving notification. Must hold and maintain Basic Life Support certificate from an approved organization and compact RN license in their home state by date of hire.

Schedule:

Shifts may vary and can include nights, evenings, weekends, and/or holidays based on the needs of the business.

Essential Duties and Responsibilities:

Quality Provision of Services:

• Provides fully remote virtual serious illness care management to patients and families throughout our continuum of care; This continuum may include but is not limited to home-based, facility-based, and inpatient adult and pediatric hospice; palliative care; PACE, and additional service lines and programs offered or supported by Chapters Health System.
• Consults with medical staff, and/or other members of the IDT as indicated to ensure optimal patient care in an effective and efficient manner.
• Performs virtual assessment of patient/family/caregiver needs.
• Identifies, manages, orders, and prescribes medication and equipment as appropriate.
• Adjusts and supports the plan of care in accordance with Chapters policies and procedures and within the guidelines of the corresponding nurse practice act.
• Assesses the caregiver’s ability to meet the patient’s immediate needs and confidence in the patient’s plan of care.
• Provides education to increase the caregiver’s confidence as necessary and appropriate.
• Supports staff by answering clinical questions, entering orders and prescriptions, and supporting the clinical needs of patients and families.
• Maintains access to all electronic medical records (EMR), electronic prescribing systems, and other required websites and applications.
• Documents all interactions as appropriate in the corresponding EMR in a timely manner.
• Communicates and collaborates with the primary team to ensure continuity of care.
• Supports with discharge planning including prescribing medications, entering discharge orders and instructions, etc.
• Participates in Quality Assurance/Performance Improvement (QAPI) activities as needed, including regular medical record reviews and medical peer reviews. Seeks to continually improve the care practices of Chapters to assure compliance with regulatory and accreditation standards.
• Keeps knowledge base and skill levels current to assure quality patient care and professional growth.

2.Organization/Regulatory Compliance:

• Maintains current knowledge of the latest research and trends in Hospice and Palliative Medicine.
• Maintains continuing education as required for licensure and to ensure specialty level expertise in end-of-life care.
• Obtains & maintains hospital/facility credentialing as required.
• Participates in departmental and medical staff activities as requested.

3.People/Communications:

• Communicates and collaborates with team members, patients/families/caregivers, partnering providers and staff as required & appropriate within HIPAA guidelines to help provide comfort & deliver upon Chapters core values.
• Provides patient and family education as needed to maintain quality care, to decrease patient and family anxiety, to facilitate the patient living with the highest quality care, and to assure both the patient and the family have the skills to care for the patient.
• Participates as a member of the interdisciplinary team to develop by implementing a patient-directed individualized plan of care and assures the availability of information to team members. Provides teaching to staff as required.
• Functions as a role model in providing exceptional customer service to patients and families through effective and timely communication. Supports organizational changes.
• Demonstrates flexibility in providing coverage and/or availability,

4.Financial Stewardship:

Achieves expected productivity standards as defined by the organization and in alignment with best practices/the Chapters model. If /when Telemedicine billing is accepted, implements time-based billing procedures using the electronic medical record system software and other appropriate methods to capture timely billing (weekly for home and nursing home; daily for inpatient and clinic charges).

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Overall Skills: 

The ability to work both independently and as part of a team; demonstrate excellent interpersonal and collaborative skills; demonstrate organizational skills with the ability to delegate and follow up; manage multiple tasks and stressful situations with a positive attitude; demonstrate a strong work ethic and attention to detail.

Physical/Mental/Emotional Skills:

The ability to see, hear, grasp, lift, speak, sit and walk or otherwise perform essential functions with or without reasonable accommodations; demonstrate the mental and emotional ability to work with death/dying; demonstrate the maturity, customer service skills, and flexibility to work with individuals under stress; work in a fast paced and quickly changing environment; work under pressure and deadlines; effectively recognize and appreciate the diversity in the workplace; develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment; provide care for highly emotional patients/families.

Technological Skills:

The ability to learn and efficiently use patient health information systems and software required for the provision of care; demonstrate technical competency in the use of computer telephony systems and computer applications used in the organization; demonstrate proficiency with the use of all Microsoft Office programs, specifically Word, Excel, and PowerPoint.

Reasoning Ability:

The ability to apply common sense understanding to carry out instructions furnished in written or oral form and expert, advanced clinical judgment to problem solve.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, speak, and hear. The employee is required to use hands to finger, handle, or feel; reach with hands and arms. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Work Environment:

The work environment characteristics are representative of those an employee would normally encounter while performing in an office environment. Employees are required to maintain a HIPAA compliant, temperature controlled, noise-free work environment at all times. They must maintain reliable HIPPA compliant high-speed (100mb) internet with hardwired backup copiers, fax, scanner, shredder, etc. Patient privacy must be protected at all times, which includes, but is not limited to using headsets for all verbal communication, utilizing company approved devices, websites, and applications, and other HIPAA guidelines. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Compensation Pay Rate:

$52.50

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.