Chapters Health

Nurse Practitioner Palliative Care

US-FL-Temple Terrace
Job ID
5000 Prog & Svcs Mgmt Palliative
Full Time Regular



The Advanced Registered Nurse Practitioner (ARNP) provides comprehensive and efficient primary and/or consultative patient care under protocol with physician staff.  Utilizes clinical expertise and participates in management decision making while promoting maximization of quality of life for the Company's patients and caregivers.

In additional to his/her primary clinical responsibilities, the ARNP Preceptor is responsible for assisting the Medical Director with orienting, teaching and mentoring the Palliative Care ARNPs with regards to clinical skills, operational goals, and documentation standards on the Palliative Care service.  Participates in the planning and implementation of orientation and on-boarding for new ARNP team members.  Also provides ongoing mentoring over the first year of new ARNPs' employment within Palliative Care to provide ongoing oversight and training in the domains of clinical expertise, documentation accuracy and completeness, and operational efficiency.  Helps identify specific areas within these domains needing more intensive study or training, and in conjunction with the Medical Director, communicates these to the ARNPs, sets specific performance goals, and monitors their progress in achieving established goals.


          Master's degree in nursing

          ARNP certification recognized by CMS for Medicare billing

Current DEA license

          Licensure by state of Florida to work as ARNP

          Knowledge and experience in palliative medical practice and symptom management

          Advanced clinical skills which allow thorough patient assessments and management for any patient with advanced chronic disease as well as for those near the end of life

          Ability to work under protocol with multiple physicians in multiple settings

          Basic computer skills including use of email and word processing (Microsoft Outlook and Word or equivalent programs)

          Strong interpersonal skills, communication, collaboration, and conflict resolution

          Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload

          Ability to work independently exercising discretion and independent judgment

          Ability to work in collaboration  with other disciplines within the organization

          Certified by appropriate hospice and palliative nursing organization within two years of hire date       

          Ability to travel to off-site locations

          Valid driver's license and automobile insurance per Company policy; must have reliable transportation to be able to meet visit schedule

          Must be able to physically access any home in any area of Company service area, i.e., navigate stairs, and  narrow spaces, tolerate heat and lack of air conditioning

          Ability to exhibit flexibility in schedule regarding appointment changes, care settings, and coverage issues.

          Ability to work collaboratively with palliative care interdisciplinary staff, as available, in each care setting.

          Palliative Care ARNP Preceptor:  One (1) year's experience as a Palliative Care ARNP preferred, with demonstrated competence in quality clinical management and consistently high achievement of goals, and in depth understanding of Company systems.            


          Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

          Represent the company professionally at all times through care delivered and/or services provided to all clients.

          Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.

          Comply with company policies, procedures and standard practices.

          Observe the company's health, safety and security practices.

          Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the company.

          Use resources in a fiscally responsible manner.

          Promote the company through participation in community and professional organizations.

          Participate proactively in improving performance at the organizational, departmental and individual levels.

          Improve own professional knowledge and skill level.

          Advance electronic media skills.

          Support the company's research and educational activities.

          Share expertise with co-workers both formally and informally.

          Participate in Quality Assessment Performance Improvement activities as appropriate for the position.

Job Responsibilities:


          Provide high quality primary and/or consultative patient palliative care through hospital, nursing home, assisted living facility, home, or clinic visits as appropriate and as designated by the Medical Director.

          Work directly under protocol with physicians from the Company's medical staff.

          Provide clinical expertise and participate in interdisciplinary team decisions regarding diagnosis and medical management of patient/family needs, assuring that the highest quality of medical care is provided and that continuity and comprehensiveness of care is maintained in a cost-effective manner.

          Consult to patients' primary and attending physicians regarding integration of patients' palliative care and primary or other care.

          Report regularly to physician staff regarding clinical care provided.

          Make visits to care for patients to meet assigned productivity goals.

          Evaluate patients for eligibility for hospice care according to current guidelines and make referrals, as appropriate.

          Work cooperatively with Patient Access and other staff to facilitate timely provision of services to potential Company patients.

          Utilize practice opportunities to provide expert nursing care to patients, to evaluate nursing practice, and to provide clinical learning activities for case managers, IDT members, and students.

          Influence nursing practice by participating in patient care advocacy issues directed toward improving practice and the quality of patient care.

          Act as a role model for professional practice by integrating all components of the professional role:  clinical practice, consultation, collaboration, leadership, education, and evaluation.

          Collaborate with all disciplines within the Company and community to develop effective patient care programs.

          Participate in after-hour and weekend coverage for patients cared for by Palliative Care medical staff.

          Provide crossover coverage to all contracted facilities; including, but not limited to, hospitals, ALFs, Nursing Homes, and, as needed, in patient's homes.

          Maintain defined patient care data for clinical activities.

          Maintain accurate record of administrative, non-billable activities.

          Complete thorough and accurate medical documentation to support proper CPT and ICD-10 coding on all patients seen at the time of service.

          Complete billing documentation and submission on a daily basis for each day's activities.

          Contribute to Performance Improvement efforts of medical documentation by Company staff.

          May contribute to research efforts of the Company by recruiting research subjects.

          Promote the Company's programs to nursing homes, ALFs, HMOs, hospitals, and other referral sources.

          Actively participate in ongoing education about our Company and palliative care services to our community partners, referring providers, and general public.

          Attend all Palliative Care Staff meetings regularly (a minimum of 50% of all scheduled staff meetings) and review minutes of meetings not attended within 5 days of their being made available.

          Represent the Company at appropriate local, state, national, and international forums.

          Evaluate patient care outcomes and propose solutions.

          Participate in appropriate Company-wide committees.

          Support research to promote clinical knowledge, development, and research-based clinical practice.

          Participate in development of clinical policy and procedures to improve quality of care delivery.

          Evaluate current research findings for specialty and determine efficiency in practice setting.

          Provide care to patients and caregivers in efficient manner.

          Participate in programs to maximize access to palliative care for eligible patients.

          Identify opportunities for improvement in services and work cooperatively with Medical Director to implement appropriate changes.

          Participate in other clinical/administrative responsibilities as directed.

          Work cooperatively with the Medical Director to ensure quality care delivery to all Company patients.

          Provide leadership in the development, implementation, and evaluation of standards of practice within the palliative care specialty.

          Perform other duties as assigned.

Professional Development

          Assume responsibility as a self-directed professional for own continuing education.  Identify needs or seek direction in identification of needs to maintain expertise and keep current with health care trends and nursing practices.

          Pursue own professional growth through attendance at appropriate Continuing Education and reading of the medical literature relevant to the field of Palliative Care.

          Establish professional goals for self and continually evaluate self in the attainment of these goals.

Additional ARNP Preceptor Responsibilities:


          Develop and utilize an orientation checklist for ARNPs' first year of employment with the Company and present to the Medical Director for approval.

          Provide information and education to the ARNPs based on the orientation checklist.

          Serve as a mentor and role model for new Palliative Care ARNPs.

          Develop and update ARNP competency checklist that will be used annually and, as needed, in evaluating the ARNPs' performance.

          Explain their role and performance expectations to the new ARNPs.

          Assist the orientee to identify learning needs and provide prompt and consistent feedback, identifying areas in need of further development to the new ARNP and the Medical Director.

          Plan, coordinate, and carry out or suggest educational opportunities for the new ARNPs in conjunction with the Medical Director.

          Regularly assess clinical skills of new ARNPs over the first year of their employment with the Company.

          Regularly audit new ARNPs' documentation of patient visits for accuracy and completeness.

          Meet regularly, approximately monthly, to review progress and provide ongoing feedback to new ARNPs.

          Maintain records documenting each meeting with ARNPs and specific assessments of their progress, recommendations for improvement, and areas still in need of further improvement.

          Provide written report monthly to Medical Director regarding the progress of new ARNPs.

          Identify program issues to the Medical Director that may be helping or hindering new ARNPs' learning and on-boarding success.




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