Chapters Health System
  • Staffing Services
  • Temple Terrace, FL, USA
  • Full Time
  • ARNP / Nurse Consultant

Role:

Provide clinical expertise and program direction for medical services staff providing care in hospice in-patient units. Provide indirect supervision to medical staff to maximize quality of care provided to hospice in-patients while ensuring regulatory adherence. Assist medical and clinical services by setting and evaluating in-patient practice standards, providing in-patient care education, establishing quality assurance monitors, and ensuring excellence in hospice in-patient care. Analyze practices among hospice in-patient units and develop consistency in care provided to hospice patients in these settings.  

Qualifications:

  • Master's degree in nursing
  • Licensure by state of Florida to work as an ARNP
  • ARNP certification recognized by CMS for Medicare billing
  • Current DEA license
  • Certification in Hospice and Palliative Care preferred or obtained within two years of hire date
  • Knowledge and experience in hospice in-patient medical practice and symptom management preferred
  • Advanced clinical skills which allow thorough patient assessments and management for any patient with serious illness as well as those near the end of life
  • Ability to work under protocol with multiple physicians in multiple settings
  • Ability to translate organizational goals into effective program implementation
  • Ability to provide effective education to clinical staff and serve as a mentor/preceptor for medical staff
  • Ability to monitor outcomes of program standards and implement change when needed
  • Strong interpersonal, communication (written and verbal), collaboration and conflict resolution skills
  • Ability to communicate with community physicians regarding patient treatment options and program standards
  • Ability to work independently with other disciplines within the Organization, exercising discretion and independent judgment
  • Valid driver's license and automobile insurance per Company policy
  • Ability to travel to multiple locations with reliable transportation
  • Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload
  • Competencies:
  • Satisfactorily complete competency requirements for this position
  • Responsibilities of all employees:
  • Represent 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 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 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 Company 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:  

 

  • 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.
  • Judgement. Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources.
  • Planning, Organizing and Controlling. Assist department managers with establishing a course of action for the departments to accomplish specific goals. Monitor results.
  • Leadership. Use appropriate interpersonal styles and methods in guiding others toward task accomplishment.
  • Work Standards. Set high goals or standards of performance for self and others. Compel others to perform.
  • Tolerance for Stress. Maintain stability of performance under pressure and/or opposition.
  • Innovativeness. Generates and/or recognizes imaginative, creative solutions in work related situations.
  • Delegation. Allocate decision making and other responsibilities effectively and appropriately.
  • Staff Development. Develop the skills & competencies of staff.
  • Organizational Sensitivity. Perceive the impact and implications of decisions on other departments in the organization.          

 

  • Ethics. Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse.
  • Regulatory Compliance: Educate and assist with monitoring regarding department responsibilities for regulatory compliance.Job Responsibilities:Hospice In-patient Care 
  • Evaluate and manage patients in in-patient settings while optimizing their care.
  • Serve as an expert in the provision of in-patient care to hospice house patients and as a mentor to hospice house medical staff.
  • Assist hospice house staff in making treatment and care recommendations regarding complicated hospice house in-patients, as needed.
  • Collaborate with the patients' hospice and/or community attending/consulting physicians, as needed, to assist patient/family in making treatment decisions that are in their best interest.
  • Respond to clinical in-patient emergencies, as an expert consultant, to medical and nursing staff, as requested.
  • Collaborate with Hospice House/Clinical Managers and medical staff to identify the needs of patients, families and staff regarding hospice house in-patient level of care.
  • Maintain practice excellence through active involvement in direct patient care, as requested.
  • Utilize practice opportunities to provide expert care to patients, to assist in evaluating clinical practice, and to provide clinical learning activities for medical and nursing staff.
  • Act as a role model for advanced practice by integrating all components of the professional role: clinical practice, consultation, collaboration, leadership, education, and research /evaluation.Consultation                 
  • Provide consultation to nursing and medical staff, Hospice House and Clinical Managers, and other health care professionals regarding in-patient care of hospice patients.
  • Participate in hospice house complex case conferences, as a consultant, to assist in identifying best options for care management of patients in the hospice house setting.
  • Collaborate with hospice and community health care providers, as appropriate, to define Organizational practice standards and outline appropriate case management. Program Development/Evaluation 
  • Implement program policies and procedures that maximize appropriate utilization of and access to in-patient services in hospice house settings.
  • Develop and implement hospice in-patient program standards and protocols to ensure high quality care to patients in those settings.
  • Collaborate with appropriate departments within the hospice affiliates to develop effective hospice in-patient unit patient care practices.
  • Identify and implement best and efficient practices and ensure consistency for the hospice house interdisciplinary team meetings.
  • Evaluate the effectiveness of current practices and processes in the hospice house in-patient settings and make recommendations for improvement/efficiencies.
  • Evaluate the Organizational use of hospice in-patient services, develop and retrieve appropriate outcome measures, and develop programs to maximize its effective use.
  • Work with Compliance Department and affiliate hospice to monitor adherence to regulatory requirements regarding hospice in-patient level of care.
  • Implement program and monitoring for documentation excellence in the care of patients in the in-patient setting.  
  • Assist the hospice house and clinical leadership in the evaluation of affiliate practices regarding the appropriate use of in-patient level of care services.
  • Collaborate with other departments/leadership when recommended changes in practice are indicated.
  • Monitor the Company's costs of hospice house in-patient care, including medications, laboratory and diagnostic testing, and develop/implement cost savings or efficiency changes, when appropriate.
  • Participate and/or chair/co-chair appropriate committees/task forces. (e.g., Performance Improvement Teams, Hospice House Admitting Task Force, etc.).Education/Orientation/Competencies 
  • Develop and provide educational programs on Organizational approach to utilization of hospice house in-patient services.
  • Make recommendations for and participate in orientation program, as appropriate, regarding hospice house in-patient level of care and Organizational approach to best practices in these settings.
  • Develop and implement in-patient orientation for new medical staff.
  • Assist in the development of the competency program related to hospice house in-patient medical staff practices.
  • Serve as a preceptor for new medical staff to ensure competent medical practice in the provision of in-patient level of care services.
  • Provide Medical Services and Hospice House Managers with feedback regarding strengths and opportunities for development regarding hospice house in-patient care.
  • Develop appropriate educational tools to facilitate learning.
  • Provide education for Professional Relations Representatives and Directors so they may educate community physicians and other appropriate persons on Organizational approach to utilization of hospice houses for in-patient level of care.Research and Development
  • Support and assist in implementation of hospice house projects to promote clinical knowledge, development and research-based clinical practice.
  • Conduct research and submit for presentation/publication, as appropriate.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 hospice in-patient health care trends and practices.
  • Participate in professional organizations to advance the profession and improve hospice house in-patient health care delivery to patients.Other 
  • Perform other duties as assigned.
Chapters Health System
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