Home Care Nurse Practitioner

You can make a difference every day as part of Angela Hospice’s exceptional team. Angela Hospice was founded over 35 years ago, rooted on values of respect, dignity, and compassion – and that caring vision extends not only to the patients and families we care for, but to our team members, colleagues, and the community.

We’re looking for a Home Care Nurse Practitioner who shares this vision.

Your Opportunities

• Provides medical care, palliates and manages terminal illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician.
• Completes 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 Chief Medical Officer/Physician for interpretation for eligibility for hospice recertification. 
• Makes recommendations to the Chief Medical Officer/Physician 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 patients receive appropriate measures to control symptoms, through collaboration with interdisciplinary team members. 
• Reviews and develops protocols for treatment and proposes options for interventions based on literature, in collaboration with the collaborating physician. 
• Consults the collaborating physician when the patient’s plan of care is outside standardized practice and protocols. 
• 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 Chief Medical Officer, 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 on preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of the patient. 
• 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/caregiver and hospice interdisciplinary group to identify the goals of care and meet the care needs of the patient and family/caregiver. 
• Serves as a nursing resource for consultation and education to members of the interdisciplinary team and other healthcare practitioners in the community. 
• Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth.

What You Bring

• Graduate from an accredited school of nursing and accredited Nurse Practitioner program
• Master’s degree with a specialty certification preferred
• Accreditation from an approved certifying body for advanced practice nursing as required by the state
• Current nursing license in the state of Michigan
• Minimum of one year experience in hospice or palliative care
• Excellent organization and time management skills
• Proficient computer knowledge and skill
• Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist
• Auditory and visual skills
• Proficient interpersonal relations and communicative skills
• Knowledge of Federal/State, NHPCO, and CHAP regulations and guidelines
• Comprehension of hospice philosophy and issues of death/dying
• Knowledge of principals of pain/symptom management
• Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements