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.
- Master’s degree in nursing
- ARNP certification recognized by CMS for Medicare billing
- Licensure by state of Florida to work as ARNP
- Current DEA license
- 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 (2) years of hire/job date
- Mobile Driver - Valid driver's license and automobile insurance per Company policy; must have reliable transportation to be able to meet visit schedule
- Ability to travel to off-site locations
- 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. Must remain in good standing from a performance perspective in providing nursing services to patients.
- 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.
- 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
- 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.
- Prescribe controlled and non-controlled medications, as indicated, to relieve pain and non-pain symptoms associated with the terminal illness.
- 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.
- 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.