Job Description

This role is a full-time, salaried, exempt position
Schedule: Monday-Friday, 8am-5pm
Location - Onsite, option to work in the Asheboro, NC or High Point, NC office.

This position collaborates with Medical Directors, physicians, homecare nurses, and the interdisciplinary team to support hospice and palliative patients by managing symptom-related calls from clinical staff. The Triage Nurse Practitioner uses advanced clinical knowledge, critical thinking, and prescriptive authority to assess symptoms, provide timely direction, and recommend or enter medical orders to support the plan of care. Care is guided by patient goals and complies with the Nurse Practice Act and agency standards.

Essential Duties:

• Accepts, assesses, and manages symptom management calls from homecare nurses regarding hospice patients experiencing pain, dyspnea, nausea, agitation, anxiety, constipation, wounds, medication concerns, change in condition, or other distressing symptoms.
• Reviews relevant clinical information in the medical record and information provided by the nurse to determine appropriate symptom management interventions consistent with the patient’s goals of care and plan of care.
• May prescribe, recommend, or enter medications and other medical orders to alleviate pain and other distressing symptoms within scope of practice and in collaboration with the attending physician and/or Hospice Medical Director as appropriate.
• Provides timely clinical direction to nurses, including medication changes, nonpharmacologic comfort measures, follow-up instructions, escalation steps, and recommendations for in-person assessment or change in level of care when indicated.
• Documents in the patient medical record in accordance with federal and state regulatory requirements, standards of practice, and organizational policy, including assessment, clinical reasoning, orders, communications, and follow-up plan.
• Acts in a professional manner to collaborate with physicians, other health care providers, pharmacies, contracted agencies, and interdisciplinary team members and makes timely reports of pertinent information to appropriate health care professionals.
• Serves as a resource to the Homecare interdisciplinary team and may make home visits at the direction of the Hospice Medical Director or leadership in order to assess and recommend changes to the patient’s plan of care.
• Identifies and escalates urgent clinical concerns requiring Medical Director involvement, attending provider notification, higher level of care, or emergency intervention.
• Completes all necessary tasks and required documentation required by the position including but not limited to clinical notes, as applicable, signing of orders as generated by the Electronic Health Record and responding to order requests through various electronic means of e-prescribing and submission.
• Serves a primary interface for Triage Nurses and provide clinical support as may be applicable.
• Consults and recommends referrals to other health care providers in the specialty area indicated by patient’s health care needs.

Job Requirements:

• Graduate of accredited school of nursing
• Master’s degree or higher from an accredited Nurse Practitioner program required
• Current, unencumbered North Carolina Registered Nurse and Nurse Practitioner license
• Current, unencumbered DEA registration.
• Current approval to practice as a Nurse Practitioner in North Carolina, including
  prescriptive authority as applicable

Here are some things we find very valuable..

• Advanced knowledge of hospice and palliative symptom management
• Excellent clinical judgment, critical thinking, and problem-solving skills
• Proficient in electronic medical record systems and related software
• Ability to collaborate with agency staff and volunteers as part of the interdisciplinary team
• Ability to maintain positive working relationships and courteous interaction with the public
• Excellent verbal and written communication skills
• Ability to work independently while appropriately escalating clinical concerns

What our employees have to say about working here:

• This is the best organization I have ever worked for. What makes it stand out most is the culture of trust and understanding created by senior leadership, which filters down to every level of the organization and provides a safe environment for everyone to do and be their best.
• I feel this organization does everything that it can to empower me to perform my role with as much autonomy as possible.
• We are the best because we are encouraged to be the best.
• Everyone who works here is focused on the mission of providing the best end of life care possible. This includes not just the clinical staff but also the support staff who are made to feel a part of the team.
• This organization is one of a kind. From top to the bottom, there is respect, integrity, and kindness. Our leaders lead by example.