Job Description

This is a full-time, salaried, exempt position
Schedule: Monday-Friday 8am-5pm

This position works in collaboration with the Medical Director, Hospice Providers, and Community Primary Care Providers to deliver hospice and palliative care services to patients. The nurse practitioner's main duties include serving as the attending provider and performing symptom management and regulatory visits for hospice patients in their homes and extended care facilities, plus other settings as assigned. The nurse practitioner is responsible for developing and implementing a medical plan of care in accordance with the patient’s express wishes and in full compliance with all regulatory requirements including the Nurse Practice Act and agency policy, procedures, and standards of care. The nurse practitioner will assist with program development, provide education in hospice and palliative care, and serve as a resource to the interdisciplinary team. The nurse practitioner provides medical staff on call coverage for hospice and palliative care as assigned.

Essential Duties:

• Provides consultation with inpatient and outpatient referrals as requested. Reviews medical chart, talks with health care staff, visits with patients and caregivers. Performs comprehensive assessment including physical, emotional, cultural, social and spiritual to identify symptom issues, establish goals of care and to identify and implement treatment plan. Establishes a therapeutic relationship with the patient and caregiver that includes providing emotional support and teaching. May prescribe or recommend medications to alleviate pain and other distressing symptoms, provide guidance and counseling to patients and families regarding managing their chronic, life-limiting illness throughout the disease continuum from diagnosis into bereavement for survivors.
• Documents in patient medical record in accordance with federal and state regulatory requirements, standards of practice and organizational policy.
  Acts in a professional manner to collaborate with physicians, other health care providers, and interdisciplinary team members and makes timely reports of pertinent information to appropriate health care professionals.
• May serve as hospice patient’s attending physician if the patient does not have a medical provider and requests that the nurse practitioner serve as their hospice attending physician.
• Serves as a resource to the Interdisciplinary team and may make home visits at the direction of the Hospice Medical Director in order to assess and recommend changes to the patient’s plan of care. May provide medical orders if the patient’s attending physician is not available.
• 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
• Current North Carolina Registered Nurse and Nurse Practitioner license
• Hospice and palliative care experience and certification preferred
• Valid NC driver’s license, reliable independent transportation, and current automobile liability insurance at limits required by the agency

Here are some things we find very valuable..

• Ability to collaborate with agency staff and volunteers as part of the interdisciplinary team
• Ability to maintain positive working relationships and courteous interaction with public
• Excellent verbal and written communication

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.