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Job Title
Nurse Practitioner
Cincinnati, OH

Department: CareBridge Palliative Care

Reports To: Director of CareBridge

FLSA Status: Exempt

Job Summary

The Nurse Practitioner assesses, plans, implements, monitors, and evaluate the options and services required to meet clients’ health needs. The Nurse Practitioner coordinates available resources to promote quality and cost-effective outcomes, assuring compliance with CareBridge and HSWO standards and federal, state and local regulations. The Nurse Practitioner completes audits of charts and computer files as needed to continually improve data quality, demonstrates knowledge and support of the philosophy, purpose, goals and policies of CareBridge and HSWO and consistently complies with the Client Bill of Rights in collaboration with QAPI/Education Manager. The Nurse Practitioner is a member of the palliative care team that respects the dignity of all patients and serves their needs with competence and compassion. The Nurse Practitioner takes direction from and assists the Director of CareBridge.

Duties and Responsibilities

Nurse Practitioner Functions

  1. Provides patient care to ensure the delivery of safe, economical and efficient patient care which adheres to relevant standards for accepted nursing, regulatory, medical practice and payer source criteria.
  2. Provide patient care according to the plan of care as ordered by the physician.
  3. Ensure that notes are completed in an informative and descriptive manner that reflect the care provided to the patient, as well as the patient’s response to the care.
  4. Maintain strict patient confidentiality.
  5. Assist with overflow admissions to Hospice of Southwest Ohio
  6. Participate in on-call rotation.
  7. Checks schedule daily for assignments
  8. Documentation is to be in EMR system and completed by midnight each day.
  9. Provides face-to-face evaluation for recertification of patients currently enrolled in hospice and approaching the third benefit period as needed.
  10. Educates patients and their family/caregivers, providers and the community on palliative care services.
  11. Serves as a clinical resource for the nursing staff at Hospice of Southwest Ohio.
  12. Participates in meetings, activities and functions required by the Director.
  13. Demonstrates knowledge of Medicare benefit patients’ rights, advanced directives, available hospice services and resources to patients and families.
  14. Knowledgeable about and adheres to the HSWO and CareBridge Compliance Plan.
  15. Maintains daily schedule and follow ups with patients as necessary and scheduling follow up appointments.

Drug Administration Functions

  1. Prepare and administer medications as ordered by the physician.
  2. Prescribe medications, supplies and order equipment in accordance with established policies.
  3. Maintain narcotic records to be accurate and investigate and report to Director of Clinical Services any drug and narcotic discrepancies.
  4. Dispose of drugs and narcotics in accordance with established procedures.

Human Resources Functions

  1. Participate in departmental orientation and training in accordance with policies and procedures.
  2. Develop and maintain a good working rapport with departmental staff, as well as staff in other departments within the facility, to ensure that clinical services meet the needs of the patients.
  3. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the organization.

Staff Development Functions

  1. Attend and participate in continuing education programs designed to keep abreast of changes in the profession, as well as to maintain licensure on a current status.

Safety and Sanitation Functions

  1. Abide by facility and departmental policies and procedures, including dress codes
  2. Participate in the identification, evaluation and classification of routine and job-related functions to ensure that tasks in which there are potential exposure to blood/body fluids are properly identified and recorded.
  3. Personal protective equipment is to be on hand and readily available to perform procedures that involve exposure to blood or body fluids and dispose of personal protective equipment according to established procedures.
  4. Follow hand washing techniques in the administering of nursing care procedures.
  5. Participate in fire safety and disaster preparedness drills.
  6. All field staff involved in direct patient care or patient contact has potential for occupational exposure to blood borne pathogens or other potentially infectious body fluids.

Equipment and Supplies Functions

  1. Adequate levels of medications, medical supplies, equipment, etc. are to be maintained at all times to meet the needs of the residents.
  2. Participate in the maintenance of procedures for the safe operation of all patient equipment.

Patient Rights

  1. Maintain the confidentiality of patient care information.
  2. Maintain private and safe setting for patient care.
  3. Understand and have knowledge of the residents’ responsibilities and rights including the right to refuse treatment.
  4. Report allegations of resident abuse and/or misappropriation to Director of Clinical Services immediately.

Job Specifications

Minimum Education: Graduate of an accredited school of nursing; registered nurse practitioner with a current State of Ohio license.
Minimum Experience: One year experience in a home care, hospital, hospice or palliative care setting.

Specific Requirements

  1. Must be able to read, write, speak and understand the English language.
  2. Must possess the ability to make independent decisions when circumstances warrant such action.
  3. Must possess the ability to deal tactfully with staff, patients, family members, visitors, government agencies and the general public.
  4. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to hospice and palliative care services.
  5. Must possess the ability to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care.
  6. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult situations.
  7. Must be able to relate information concerning a patient’s condition.
  8. Must not pose a direct threat to the health or safety of other individuals in the workplace.
  9. Must be willing to work Monday-Friday 8:00am-5:00pm and evenings and weekends as needed.

Physical and Sensory Requirements (with or without the aid of mechanical devices)

  1. Must be able to move intermittently throughout the work day.
  2. Must be able to speak and write the English language in an understandable manner.
  3. Must be able to cope with the mental and emotional stress of the position.
  4. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
  5. Must function independently and have flexibility, personal integrity and the ability to work effectively with residents, staff and support agencies.
  6. Must meet the general health requirements set forth by the policies of this facility which include a medical and physical examination.
  7. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset and, at times, hostile people within the facility.
  8. Must be able to push, pull, move and/or lift a minimum of 75 pounds.
  9. May be necessary to assist in the evacuation of residents during emergency situations.

The above listing of duties and responsibilities is not intended to be construed as an exhaustive list. The facility may require the Nurse Practitioner to perform other duties as assigned. In addition, the facility has the right to change the job duties or specifications required for the Nurse Practitioner position from time to time and without prior notice.

Working Conditions

  1. Works throughout the clinical area (drug rooms, nurses’ stations, patient homes, etc.).
  2. Moves intermittently during working hours.
  3. Is subject to frequent interruptions.
  4. Is involved with patients, staff, visitors, government agencies etc. under all conditions and circumstances.
  5. Is subject to hostile and emotionally upset patients, family members, staff and visitors.
  6. Communicates with medical staff, clinical staff and other department supervisors.
  7. Works beyond  normal working    hours   and in     other positions temporarily, when necessary.
  8. Is subject to call-back during emergency conditions (severe weather, evacuation, etc.)
  9. Attends and participates in continuing education programs.
  10. Is subject to injury from falls, burns from equipment, odors, etc. throughout the work day, as well as to reactions from dust, disinfectants and other air contaminants.