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Posted: Wednesday, December 6, 2017 12:05 AM


ChaplaincyHealth Care

Richland, WA

Positions Available

Full Time

Contact Information

Shannon Novakovich

(509) 783-7416 (Phone)

The Palliative Care Nurse Practitioner provides advanced care to acutely and critically ill patients living with advanced chronic illness, or potentially life-limiting conditions by developing a plan of care based on assessment, examination and selected diagnostic procedures within his/her scope of practice.

The Nurse Practitioner collaborates with the attending physician and/or other Chaplaincy medical providers as necessary to formulate a diagnosis and/or appropriate referral.

The Nurse Practitioner provides consultation and education as a specialized practitioner within the scope of hospice and palliative care.

Hospice Care:

The Nurse Practitioner is responsible, in cooperation with the Medical Director and or other Nurse Practitioners working with Hospice for the overall medical component of services provided to Hospice's clients.

The Nurse Practitioner will conduct Face-to-Face visits to validate appropriateness of diagnosis and prognosis’ on Hospice patients that have been on service longer than 180 days.

The Nurse Practitioner shall be supervised by and report directly to, the Hospice’s Medical Director


Current Washington State license as a professional ARNP
At least two years nursing experience, preferably with one year emergency, oncology, home health or hospice nursing.

Required Knowledge, Skills and Abilities:

Ability to accept a wide variety of assignments and adjust to changing situations.
Ability to read and write clearly, concisely, and legibly.
Ability to work cooperatively with others and function as a member of a team.
Ability to follow written and oral instructions.
Ability to communicate effectively with and respond appropriately to patients and families in both routine and crisis situations.
Ability to maintain a neat and clean appearance in accordance with dress policy.
Ability to perform personal patient care and maintain a mature, sensitive, and caring attitude toward patients and their families.

Essential Duties

Palliative Care (.75)

Perform bedside palliative care patient/family assessment and evaluation primarily in the home setting.

Assist with diagnosis, treatment, and management of acute and chronic health

Collaborates with patient’s physician, other health care team members, the patient and family in developing realistic care expectations based on patient’s goals of care.
Facilitates patient and family decision making regarding treatment decisions.

Prescribes pharmacological and non-pharmacological interventions.
Performs/orders procedures based on the patient’s condition.

Determines effectiveness of interdisciplinary treatment plan, evaluates patient response, and revises plan of care accordingly.
Communicates effectively with patients and families for understanding of diagnosis, prognosis, and treatment plans.

Assist in all facets of care coordination for palliative care referrals.
Assists in developing a process to provide outpatient support services as available through the Chaplaincy’s Community Palliative Care Program
Prepare and maintain accurate patient records, and documents.
Serves as a resource to health care team members regarding palliative care and end-of-life care management.
Provides palliative education to patients and families regarding chronic disease management, symptom management and quality of life expectations.
Coordinates data and prepared outcome reports and statistics as required
Assist in development of clinical practice guidelines/standards in support of quality palliative care.
Ensures a culture of continuous improvement through oversight of quality monitoring, regulatory compliance, and risk management and performance improvement activities.
Develops and maintains effective working relationship with providers, staff, leadership and community organizations to promote positive image, heighten awareness, and promote collaboration
Represents Chaplaincy Health Care at required meetings, boards, conferences and community events
Provide training and continuing education for staff.
Initiate reimbursement for services rendered
Practice reflects knowledge of HIPAA, TJC/CMS, OSHA and other regulatory standards guiding healthcare.
Other duties as assigned.

Hospice (.25)

The Nurse Practitioner, upon request, will serve as a staff resource for medical information.

The Nurse Practitioner, upon request, shall participate in interdisciplinary care conferences that effectively coordinate communication regarding Hospice client issues and needs.
The Nurse Practitioner shall respond to requests for consultation and problem solving within appropriate time frames.
The Nurse Practitioner will advocate when requested for hospice care with referring, primary care physicians and other members of the health care delivery system. Nurse Practitioner shall educate Hospice's clients and their families regarding hospice philosophy and care.
Nurse Practitioner will provide Services only with the express authorization of Hospice. Nurse Practitioner’s Services will be provided in compliance with professional standards. Nurse Practitioner will not alter the type, scope or duration of Services without the prior approval of the Hospice patient’s attending physician and the Hospice interdisciplinary team except in the event of an adverse reaction to a specific test, procedure or treatment. Nurse Practitioner will exercise independent professional judgment when providing Services, subject to the responsibility of Hospice to maintain professional management responsibility for the care provided.

Provide Hospice, on a timely basis, with documentation of all care and Services provided to Hospice patients, including accurate records of all visits made and hours of Services provided, and such documentation will be placed in the Hospice clinical record. Nurse Practitioner must prepare and maintain accurate and complete reports and other documentation in accordance with state and federal laws and regulations and Hospice policies and procedures. Such records will be the property of Hospice.

Be informed of all current Medicare, Medicaid, similar government programs, and other third-party coverage requirements for Services provided pursuant to this agreement.

Adhere to infection control guidelines in accordance with Centers for Disease Control guidelines and as set forth under applicable federal and state law.

Be familiar with Hospice policies and standards related to emergency procedures, communication with Hospice staff, grievance procedures, ethical concerns, confidentiality, patient/caregiver rights, and safety and infection control.

Immediately notify Hospice with respect to any formal allegation (including any complaint, indictment, or initiation of proceedings) made against it before any court of law or licensing or regulatory agency or authority.

Immediately report to the Hospice administrator all alleged violations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property.

• Location: Tri-Cities, WA

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