Job Description
Job Title: Nurse Practitioner
Job Location: Sunnyvale, CA
Job Type: Pathways Home Health and Hospice
Job Description:
- Provides assessment of select patients to determine appropriateness for home health or hospice.
- Responsible to conduct Face to face assessments, in the home setting.
- Coordinates and communicates with the Hospice Physicians to assure that ongoing appropriateness for Hospice program participation is documented and certified.
- Provides consultative services to Case Managers regarding patients with chronic conditions and/or symptom management issues.
- Assists select patients and Case Managers with creating a smooth transition to Hospice services.
- Document observations, clinical findings and problems, skilled interventions and response, goals, plans and submits according to policy.
- Admits patients to service: assessing patient's physical, mental and social status and eligibility for hospice services according to hospice admission criteria
- Assures that all applicable services ordered are explained and offered; obtains physician orders for services, equipment, medication as needed
- Assesses need for and coordinates services of and with all other IDG members, including Physician, Social Worker, Home Health Aide, Dietician, Volunteer, Spiritual Care, or therapy services (PT, OT, ST).
- Assists in the Performance of supervisory visits to the nursing staff and communicates findings to appropriate Nursing Manager.
- Assures that Plan of Care changes are documented as indicated.
- Assesses need for care beyond current certification period, obtains required orders and completes required documentation.
- Completes required discharge procedures and documentation.
- Participates in multiple Hospice interdisciplinary team conference.
- Maintains and updates level of knowledge and skills required to provide quality hospice nursing care
- Assists in development of hospice protocols, procedures and policies as requested
- Participates in QA / PI activities and in-service education related to areas of practice as appropriate.
- Follows established standards for point of service technology, documentation and synchronization.
- Uses agency provided telecommunication devices (i.e. cell phone, voicemail, tablet) according to established guidelines.
- Submits weekly visit schedule of assigned patients.
- Submits all documentation according to agency requirements.
- Meets established productivity standards.
- Demonstrates established clinical competencies.
- Assists in development of agency protocols, procedures and policies as requested.
- Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate.
- Participates in the development of protocols for patients. Evaluates areas in which Hospice should be considered for inclusion in disease management protocols and outcomes.
- Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways.
Job Tags
Contract work,