Nurse Practitioner/Physician Assistant (B) PRN, Palliative Care

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GENERAL SUMMARY:

The Palliative Care APP works under the direction of the Director of Palliative Care. The NP/PA makes recommendations to the physician and interdisciplinary team (IDT) regarding patient needs, pain and symptom management, discharge planning, and goals of care moving forward. The NP/PA also collaborates with several hospice agencies regarding inpatient and outpatient services.

Under the general guidance of the medical director, the Nurse Practitioner/Physician Assistant will evaluate, diagnose, and treat patients with diseases and adverse health conditions following the written guidelines approved by the department.

Schedule: day shift, may include some afternoons/early evenings, per diem.

ESSENTIAL DUTIES:

• Assesses the physical and psychosocial status of clients by means of interview, health history, physical examination, and diagnostic studies.
• Recognizes deviations from normal in the physical assessment. Works in collaboration with a physician in formulating treatment plans for health problems and follow-up.
• Writes prescriptions for medication, blood products based upon laboratory results, routine diagnostic and follow-up studies, therapeutic measures, and post-discharge care in accordance with written practice protocols.
• Determines eligibility of patients for entry into clinical trials based on findings.
• Requests written consultation from physicians and other healthcare professionals to ensure appropriate and quality patient care.
• Interprets and evaluates findings of studies/tests.
• Relays appropriate information regarding patient care to the collaborating physician.
• Administers therapeutic measures and obtains specimens as prescribed.
• Evaluates the quality of care provided and recommends changes for improvement.
• Initiates appropriate actions to facilitate the implementation of therapeutic plans that are consistent with the continuing healthcare needs of the client.
• Dictates follow-up letters to referring physicians with summaries of treatment, response, and plan.
• Maintains provision of preventive health services (e.g. screening, risks assessment, immunizations, PAP smears, self-breast exam).
• Dictates or writes patient history, admissions, care plans, progress, and discharge notes.
• Interacts with program assistants and data managers for optimal patient care.
• Assists in the management of family dynamics and coping mechanisms during acute and chronic phases of patient care.
• Conducts or participates in daily multidisciplinary rounds and ensures appropriate and quality care for assigned patient.
• Provides on-call coverage.
• Performs patient triage and determines the urgency of physician's evaluation.
• Provides symptom management for side effects related to oncologic treatment.

KEY RESPONSIBILITIES:
* A thorough understanding of Hospice regulations (federal, state, and local government) preferred.
* Possesses excellent communication skill, both oral and written.
* Excellent organizational skills
* Ability to handle confidential matters and understand HIPPA rules and regulations.
* Ability to work some flexible hours. May occasionally need to have afternoon hours meetings with families.
* Commitment to the Palliative Care concept and standards of practice.
* Ability to interact with a variety of different age groups.
* Ability to understand and interact with an interdisciplinary team.
* Excellent patient physical assessment skills
* Excellent documentation skills; paper and electronic systems.
* Educates team members on various life limiting diagnoses, decline, treatments and /or medications as needed in order to provide quality-of-life care, often at end of life.
* Conducts physical assessments of patients as assigned (Face to Face, new consults, routine visits).
* Works closely with Medical Director and team to promote quality care for patients.
* Participates in Performance Improvement Program.
* Participates in the development of the patient /family interdisciplinary care plan.
* Participates in team conferences and staff meetings.
* Reviews clinical documentation as needed for hospice eligibility.
* Performs other related duties as assigned by Medical Director.

STANDARD QUALIFICATIONS

Education / Training:

• Master's Degree in Nursing OR a Masters in Physician Assistant studies
• Family Nurse Practitioner Masters Degree is preferred.

Work Experience:

• 1 to 3 years' experience as an Advanced Practice Provider in a specialty clinical setting, preferred.
• Previous EMR experience preferred.

Certification, Licensure, Registration:

• State of Michigan Nurse Practitioner/Physician Assistant license required
• AHA/ARC BLS certification required
• Hospice/Palliative Care certification to be obtained within 3 years of hire

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• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.