Lumina Hospice & Palliative Care is seeking a full time Nurse Practitioner to join our team. As the Nurse Practitioner your primary responsibility will be to play an important role on our team, in our community, and for our clients while collaborating with the patient, family, hospice team, and other care providers. Lumina Nurse Practitioners facilitate goals of care conversations, assess, and document patient prognosis, and manage symptoms. Our goal is to maximize the comfort and health of patients and families consistent with hospice philosophy and the organization’s policies and procedures. We have an excellent team of caring individuals committed to our mission by sharing their talents in our non-profit environment.
Your responsibilities will be to:
- Provides nursing care as needed; attentive to physical, emotional, and spiritual needs of patient.
- Counsels’ patient and family regarding symptom control, medications, direct nursing care measures, nutrition, etc.
- Assists patient and family in making choices that best meet their needs by providing alternatives and support.
- Attends deaths, supports families, assists with final arrangements.
- Collaborates professionally with other health care providers, including the patient’s physician, pharmacies, and care facilities to ensure optimal care for patient.
- Communicates often and well with other Lumina staff, functions as an integral member of the patient care team.
- Develops and revises, as appropriate, patient care plan in collaboration with other IDG members.
- Provides all services in full compliance with Medicare regulations, including timely, professional documentation. Documents all patient and family contacts and interventions and maintains accurate, up-to-date patient records and care plan including observations and reports of patient’s eligibility for Medicare Hospice Benefit.
- Contributes to communication, positive work environment, and team effort.
- Serves as assigned on agency-wide initiatives and/or committees.
- Utilize appropriate standards of care for the identified medical diagnosis.
- Utilize Universal Precautions and safety measures to ensure a safe care environment for patients including consistent use of personal protective equipment (PPE).
- Utilize and become proficient in navigating the electronic medical records system for documenting and reviewing patient conditions and plan of care.
- Demonstrate an understanding and respect for patient rights when providing care.
- Establish and maintain effective working relationships with the patients and families, co-workers, and members of diverse cultural backgrounds. Know and apply principles of an inclusive work environment.
- Complete annual mandatory education review and competency programs.
- Establishes effective relationships with referring physicians to build a culture of collaboration among specialists, primary care physicians, nurses, and other staff to meet patient needs.
- Assures patients receive quality hospice care through consultation with interdisciplinary team members, including participating in weekly and impromptu case conferences.
- Will participate in physician call coverage and share shift coverage for other Nurse Practitioner(s) during vacation periods.
- Provides palliative medical services for patients including written and verbal care orders and medical consultation. May provide primary care services.
- Review medications, assuring they meet palliative care goals, are cost effective and are related to the patient’s terminal condition and prognosis and participates in decision making regarding when to seek Medicare Part D exceptions for medications.
- Provides clinical leadership in improving the quality of hospice and palliative care and to assist the oversight of nursing.
- Participates in the interview and screening of nursing candidates alongside the Clinical Nursing Manager.
- Leads and/or assists with staff education and training, including playing a leadership role in the clinical onboarding and oversight of nursing practice such as conducting quality field visits, nurse onboarding and competency activities, and leading nurse training conversations as requested.
- Participates as a member of the Quality Assessment and Performance Improvement (QAPI) Committee and quality improvement activities, including review of clinical policies and procedures and recommending policy and procedural updates or content.
- Performs other duties as assigned.
- Commitment to serving the needs of the terminally ill.
- Requires a current unencumbered Oregon licensure as an RN and national certification as a Nurse Practitioner in family practice or adult nursing prior to the first day of employment.
- Must have a master’s degree in advanced nursing or equivalent and be in good standing with Medicare such that clinical, non-administrative services provided can be billed.
- Requires current unencumbered DEA license to prescribe schedule II medications.
- Flexibility, independence, and superior skills working with patients, families, and professional colleagues.
- Ability to work as a member of an interdisciplinary team.
- Intermediate skills in email, word processing, internet, keyboarding, and ability to learn to use medical software to complete accurate and timely charting.
- Demonstrated skill in communication, patient documentation requirements, and service coordination with the ability to work successfully with patients and family members in aspects of terminal care.
- Flexibility, independence, and demonstrated superior skills working with patients, families, and professional colleagues in delivering assistance within scope of practice.
- Must have current Basic Life Support CPR (AHA-BLS or ACLS) card for Health Care Provider. Valid card must be obtained prior to patient contact and within two weeks of hire.
- Experience working independently with minimal supervision while delivering effective and on-time results.
- Strong organization skills, time management and attention to detail.
- Excellent oral, written, and interpersonal communication skills.
- Must be reliable and dependable in completing work on time, following through to complete tasks, and be available for scheduled hours.
- Bi-lingual, Spanish speaking ability and certification in Hospice and Palliative Care are helpful.
- Must have a minimum of one-year professional nursing experience, preferably in hospice, palliative care, home health, oncology and/or medical surgical or equivalent, that includes expert knowledge in the clinical provision of comfort/palliative care.
- Requires well-developed critical thinking, patient assessment, and problem-solving skills, including demonstrated excellent skills in discussing end of life goals/wishes and advance directives with clients.
- Requires the ability to work independently and as part of an interdisciplinary team with strong verbal and written communication skills and to perform on-call services for face-to-face visits and telephone consultation.
- Requires practical experience and knowledge of medical ethics and quality improvement methodologies.
- Must have a valid driver’s license and acceptable driving record and have access to a reliable automobile to travel to and from patient homes.
- Basic life support CPR card
*Schedule: Usual hours fall within the 8:00-5:00, Monday through Friday.
*Preferred applicant will be asked to pass a background check and drug screen following a job offer. **New employees are required to complete tuberculosis screening and provide proof of hepatitis B vaccination or signed declination.
Lumina has the reputation and community trust that comes from a local history of providing outstanding end-of-life care and education and bereavement services to thousands of family’s year over year. We recognize the unique and emotional needs of each patient and family member. Our caring service delivery as a non-profit provider is a reputation we plan to keep.
Lumina offers competitive compensation and a comprehensive benefits package that includes medical, dental, vision, and 403B retirement plan.
Working for Lumina Hospice & Palliative Care, a community-based nonprofit organization, may make you eligible for the Public Service Loan Forgiveness Program.
Lumina is an equal opportunity employer and does not discriminate on the basis of race, religion, color, sex, age, national origin, disability, sexual orientation, veteran status, or any other classification protected by law.