Chapters Health System
  • Medical Services 6A
  • Tampa, FL, USA
  • Full Time
  • ARNP / Nurse Consultant

As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey. From hospice and palliative care for adults and children suffering with life-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life's ever-changing landscape. We'll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life.

Role:

Provide comprehensive and efficient direct primary or consultative patient care under protocol with hospice physician staff. Utilize clinical expertise and participate in diagnostic and management decision making while promoting maximization of quality of life for the company's patients and caregivers.

Qualifications:

  • Masters 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 
  • Commitment to the research process and application to practice 
  • 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 nursing organization within two years of hire date 
  • Ability to travel to off-site locations 
  • Valid driver's license and automobile insurance in the State of Florida; 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 

Competencies:

  • 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.

Leadership Success Factors: (Managers)

  • Communication: Express thoughts and ideas clearly. Adapt communication style to fit audience 
  • Initiative: Originate action to achieve goals 
  • Management Identification: Identify with and accept the problems and responsibilities of management. 
  • Judgment: Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources 
  • Planning, Organizing and Controlling: Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitor results 
  • Leadership: Use appropriate interpersonal styles and methods in guiding others 
  • Ethics: Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse 
  • Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance 

Job Responsibilities:

  • Provide direct primary or consultative patient care through home visits, as well as clinic/nursing home/assisted living/inpatient unit/hospital visits, 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' hospice care and primary or other care 
  • Report regularly to physician staff regarding clinical care provided 
  • Evaluate patients referred to hospice for eligibility according to current guidelines 
  • Work cooperatively with the Admissions Department 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 research/evaluation 
  • Collaborate with all disciplines within the agency and community to develop effective patient care programs. 
  • Respond to clinical emergencies as an expert consultant under protocols to case managers (i.e., oncologic emergencies, high risk or potential) 
  • Provide care for patients in a hospice inpatient facility, as designated by the Medical Director. 
  • Participate in after-hour coverage for hospice patients cared for by hospice medical staff 
  • Prepare patient billing information in conjunction with the appropriate billing agency 
  • Complete timely medical documentation of medical information on all patients seen by nurse practitioner using the electronic health record 
  • Contribute to Performance Improvement efforts of medical documentation by company staff 
  • Contribute to research efforts of the company by actively recruiting research subjects 
  • Promote the company's programs to nursing homes, ALFs, HMOs, hospitals, and other referral sources 
  • Attend the company's Medical Staff meetings regularly, a minimum of 50% of all scheduled monthly 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 agency-wide committees 
  • Supervise and educate fellows, residents, and medical students participating in company programs 
  • 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 leadership in the development, implementation, and evaluation of standards of practice within the hospice specialty 
  • 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 
  • Other duties as assigned by Medical Director*
Chapters Health System
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