Position Summary:

The Nurse Practitioner collaborates with other Interdisciplinary Team members to create, review, and revise the patients’ plan of care. He or she provides direct medical care of hospice patients through visits at the patient’s place of residence and through advice and direction to nursing staff. The Nurse Practitioner performs face-to-face visits under the supervision of the Medical Director.

Relationships

Reports to: VP of Ancillary Services

Others: Interacts with IDT and other administrative staff

Duties and Responsibilities:

• Stewards the philosophy/mission of PH Healthcare, Inc. which focuses on the overriding values of human dignity and respectful response to the needs of persons with life-threatening/terminal and/or chronic illnesses.

• Collaborates with the IDT to create, review, and revise the patient’s plan of care. Provides medical care within the scope of practice to patients in their place of residence. Advises Palliative nurses on patient care issues and consults with the Medical Director on medical issues that are outside of the Nurse Practitioner’s scope of practice.

• Provides education and counseling to patients and their caregivers on preventative care and medical problems as needed.

• Visits assigned patients in their place of residence to evaluate their continued eligibility for Palliative services, including performing the face-to-face encounter. Documents all patient information and services provided in the patient’s electronic medical record.

• Maintains expertise in and attends ongoing educational programs.

• Establishes, builds, and nurtures relationships with staff and community referral sources to facilitate program growth.

Qualifications:

South Carolina Nurse Practitioner Certification/SC License is required. Prior management experience in long-term care or hospice experience is preferred. Computer skills are required.

Knowledge Skills and Abilities:

• Must be able to read, write, speak, and understand the English language.

• Must possess the ability to make independent decisions when circumstances warrant such action.

• Must possess the ability to deal tactfully with personnel, patients, family members, visitors, government agencies/personnel, and the general public. Must be knowledgeable of palliative nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to hospice.

• Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.

• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.

• Must have patience, tact, as well as willingness to handle difficult residents.

• Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.

• Must be able to relate information concerning a patient’s condition.

• Must not pose a direct threat to the health or safety of other individuals in the workplace.

• Must be a caring and flexible individual who willingly works with patients and their needs as they arise.

• Must have effective computer skills for documentation purposes. Must have knowledge of HIPAA compliance and regulations.

Working Conditions:

• Requires travel within the agency’s service area in a personal automobile, therefore, must have a current driver’s license, auto insurance, and the ability to operate an automobile.

• Works in office area(s), community, and long-term care facilities.

• Moves intermittently during working hours. Is subject to frequent interruptions.

• Is involved with patients, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset patients, family members, personnel, and visitors.

• Communicates with the medical staff, nursing personnel, and other department supervisors.

• Works beyond normal working hours and on weekends and holidays when necessary.

• Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.)

• Is involved in community/civic health matters/projects as appropriate.

• Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.

• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.

• May be subject to the handling of and exposure to hazardous chemicals.

• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

• Please note every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform, the omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Position Summary

The primary purpose of your job position is to provide hospice services according to physician’s orders and patient plan of treatment based on hospice policies and procedures, through the application of the nursing process.  As a hospice ON CALL NURSE you work directly under the supervision of a registered nurse.

Relationships

Reports to:  Director of Compliance

Others:  Interacts with IDT and administrative staff

Duties and Responsibilities

• Stewards the philosophy/mission of PH Healthcare, Inc which focuses on the overriding values of human dignity and respectful response to the needs of persons with life threatening/terminal and/or chronic illnesses.
• Primary On Call Nurse Monday – Thursday.
• Continue to have case load of 10 patients plus weekly.
• Follows the Nursing Standards of PH Healthcare, Inc.
• Builds and maintains positive working relations with potential referral sources.
• Perform nursing visits as needed.  Notify case manager or physician of any abnormal findings.
• Demonstrate familiarity with policies of the hospice, state, and federal regulations pertaining to hospice and general nursing services.
• Implement hospice nursing care in accordance with current rules, regulations, and guidelines.
• Make written and oral reports/recommendations to the Director of Clinical Services as necessary/required, concerning the operation of the nursing service department.
• Participate in the hospice quality assurance program as directed by the Director of Clinical Services.
• Build effective relationships with contracted facility nursing staff to ensure that the hospice care service is well integrated into the facility plan of care for hospice patients.
• Full and appropriate documentation of direct patient care services to support successful professional billing of these services.
• Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary.

Qualifications

Must possess a degree from an accredited school of nursing and must be licensed to practice in the state of South Carolina.

Knowledge, Skills, and Abilities

• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, patients, family members, visitors, government agencies/personnel, and the general public.
• Must be knowledgeable of hospice nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to hospice.
• Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
• Must have patience, tact, as well as the willingness to handle difficult residents.
• Must be able to relate information concerning a patient’s condition.
• Must not pose a direct threat to the health or safety of other individuals in the workplace.
• Must have effective computer skills for documentation purposes.
• Must have knowledge in HIPAA regulations and compliance.

Working Conditions

• Requires travel within the agency’s service area in personal automobile, therefore, must have a current driver’s license, auto insurance, and have the ability to operate an automobile.
• Works in office area(s), community, and long term care facilities.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with patients, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset patients, family members, personnel, and visitors.
• Communicates with the medical staff, nursing personnel, and other department supervisors.
• Works beyond normal working hours and on weekends and holidays when necessary. 
• Is subject to call-back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
• Is involved in community/civic health matters/projects as appropriate.
• Attends and participates in continuing educational programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB, AIDS, and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

* Please note every effort has been made to identify the essential functions of this position.  However, it in no way states or implies that these are the only duties you will be required to perform.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Position Summary

The primary purpose of your job position is to provide each of your assigned patients with personal care services in accordance with the patient’s nursing assessments and care plan, and as directed by your nurse supervisors.

Relationships

Reports to:  Director of Clinical Services

Relationships:  Interacts with IDT and administrative staff

Duties and Responsibilities

• Stewards the philosophy/mission of PH Healthcare which focuses on the overriding values of human dignity and respectful response to the needs of persons with life-threatening/terminal and/or chronic illnesses.
• Participates with the IDG in the development and implementation of the patient/family’s plan of care.
• Perform all assigned tasks in accordance with Hospice policies and procedures, and as instructed by the supervisor.
• Follow work assignments and/or work schedules in completing and performing assigned tasks.
• Make sure the patient is as comfortable as possible at all times
• Changing bed linens when necessary and keep linens tight without wrinkles under the patient.
• Duties may include assisting patients with daily mouth care, bath functions, dressing/undressing, hair care functions, non-diabetic nail care, shaving, toileting, feeding, giving back rubs, assisting with exercises and ambulation, applying elastic stockings and/or heel/elbow protectors, checking intake/output records, checking bowel movements and character of stools, preparing and giving enemas, assist with lifting, turning, moving, positioning, and transferring into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc., assisting with the care of the dying patient, providing post mortem care as instructed, observing and reporting the presence of pressure areas and skin breakdown, report injuries of unknown source, including skin tears, assisting with special treatments as instructed (i.e. indwelling catheter care, perineal care, nonsterile vaginal irrigation/douches, application of bandages, etc.).
• Document tasks performed and other comments related to visit.
• Communicate with family or facility staff to ensure nursing services can be adequately maintained to meet the needs of the patient.
• Create and maintain an atmosphere of warmth, personal interest, and positive emphasis as well as a calm environment for the patient.
• Communicate with supervisor on a regularly scheduled basis to assist in identifying areas of concern regarding patient care
• Report all complaints and grievances made by the patient/caregiver/family member.

Qualifications

Must possess, as a minimum, a high school diploma or GED.  Must be a licensed Certified Nursing Assistant in accordance with the laws of South Carolina.  One year of experience as a C.N.A. under supervision preferred.

Knowledge, Skills, and Abilities

• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, patients, family members, visitors, government agencies, and the general public.
• Must possess the ability and willingness to work harmoniously with other personnel.
• Must have patience, tact, a cheerful disposition, and enthusiasm, project warmth in the environment, as well as the willingness to handle difficult situations.
• Must not pose a direct threat to the health and safety of other individuals in the workplace.
• Must demonstrate effective technical skills in order to utilize cellular devices for documentation purposes.
• Must have knowledge of HIPAA regulations and compliance.

Working Conditions

• Requires travel within the agency’s service area in personal automobile, therefore must have a current driver’s license, auto insurance, and have the ability to operate an automobile.
• Works in office area(s), the community, and long-term care facilities.
• Moves intermittently during working hours.
• Is subject to frequent interruptions.
• Is involved with patients, visitors, caregivers, family members, government agencies, etc., under all conditions and circumstances.
• Is subject to hostile and emotionally upset patients, family members, personnel, and visitors.
• Communicates with nursing personnel and other department personnel.
• Works beyond normal working hours, on weekends and holidays, when necessary.
• Is subject to call-back during emergency conditions.
• Attends and participates in continuing educational programs.
• Is subject to injury from falls, burns from equipment, odors, etc., throughout the work day, as well as to reactions from dust, disinfectants, tobacco smoke, and other air contaminants.
• Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses.
• May be subject to the handling of and exposure to hazardous chemicals.
• Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.

* Please note every effort has been made to identify the essential functions of this position.  However, it in no way states or implies that these are the only duties you will be required to perform.  The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.