• Nurse Practitioner

    Job ID
    2018-1468
    Location
    US-VA-Alexandria
    Type
    Full-Time
    Telecommute
    No
  • Overview

    Make the most of every moment –it’s the heart of our philosophy and mission at Capital Caring, a leader in hospice and palliative care in the DC metro region. We live our mission of improving the care of people facing life-limiting illness every day and are seeking a dedicated Nurse Practitioner to join our Alexandria team!

     

    Our Core Values include:

    • Complete Customer Satisfaction
    • Culture of Trust
    • Leadership to Grow
    • We are all Learners and Teachers
    • Live within the Model

    Employment with Capital Caring comes with great benefits - with flexibility to choose the health and welfare plans to best meet your needs.

    • Competitive salary
    • Health, Dental, Vision Insurance & Short/Long Term Disability Insurance
    • Life Insurance
    • 403(b) plan with a generous match
    • Education Assistance/Tuition Reimbursement
    • Generous Vacation, Sick and Personal Leave

     

    Responsibilities

    POSITION SUMMARY (PHYSICIAN): The Hospice and Palliative Medicine Physician is a member of the Active Medical Staff of Capital Caring and provides services to our patients throughout our continuum of care. This continuum includes, but is not limited to: home and facility-based hospice; home and facility-based palliative care; inpatient hospice; hospital-based palliative care consultation; and outpatient palliative care clinics.

    1. When the Hospice and Palliative Medicine physician functions within the hospice environment, s/he serves as a part of the assigned hospice interdisciplinary team/group (IDT/IDG) as the Hospice Medical Director (HMD). The HMD assumes overall responsibility for the medical component of the hospice’s patient care. S/he shares with other members of the medical staff the responsibility for quality of care provided to patients receiving Capital Caring Hospice Services.
    2. When the Hospice and Palliative Medicine physician functions within the Palliative Care environment, s/he serves in a consultative role for hospitalized and/or outpatients with Palliative Care needs. The Hospice and Palliative Medicine physician is part of the assigned interdisciplinary team/group (IDT/IDG) for each palliative care patient, and coordinates the Palliative Medicine plan of care in conjunction with the patient’s attending physician and other consultants. S/he shares with other members of the medical staff the responsibility for quality of care provided to patients receiving Capital Caring Palliative Care Services.

    POSITION SUMMARY: Provides quality patient care in variety of settings in collaboration with and under the direction of Hospice and Palliative Medicine physician. Follows established nursing and organizational standards, procedures, and practice. Gives specific patient care directions to nursing and other staff. Provides education and support for patients, families and staff members.

    Quality Provision of Services:

    1. Provides direct patient care to patients with a progressive or terminal illness, evaluates outcomes, consults with the physician, nursing staff and other members of the Interdisciplinary team as indicated to ensure optimal patient care in an effective and efficient manner.
    2. Performs examinations, procedures and other processes related to direct patient care.
    3. Performs initial history and physical, assesses patient’s condition, initiates and individualizes standing orders and writes additional orders as necessary and in collaboration with nursing staff, develops individual plans of care.
    4. Makes daily rounds on patients, assesses patients’ conditions and writes routine orders with consultation and countersignature of the physician.
    5. Writes and/or dictates appropriate notes in the medical record to be reviewed and countersigned by the physician, or on many occasions, independently.
    6. Performs advanced assessments of end-of- life issues including pain, constipation, wounds, anorexia, weakness; psycho-social, emotional/spiritual issues, etc.
    7. In collaboration with the nursing staff, develops individualized education plans for patient/family education, based on patient/family identified needs. Provides patient and family education as needed to maintain quality care, to decrease patient and family anxiety, to facilitate the patient living until death and to assure both the patient and the family have the skills to care for the patient.
    8. Participates in discharge planning including follow-up care decisions, writing prescriptions, writing discharge orders and instructions, etc.

    Organization/Regulatory Compliance:

    1. Documents in appropriate chart and forms in an accurate and timely manner to provide a written record of assessments, plans of care and to assure the availability of information to team members.
    2. Maintains established departmental policies and procedures; objectives; quality improvement program; safety; environmental and infection control standards.
    3. Keeps knowledge base and skill levels current to assure quality patient care and professional growth.

    People/Communications:

    1. Participates as a member of the interdisciplinary team to develop and implement a patient-directed individualized plan of care and to assure the availability of information to team members.
    2. Provides leadership and coordination for the interdisciplinary team in the absence of the Clinical Manager.
    3. Provides teaching to staff on an as needed basis to enhance care of the patient/family.
    4. Functions as a role model in providing exceptional customer service to patients and families by effective and timely communication.

    Stewardship of Financial Resources:

    1. Achieves expected productivity standard (based on patient visits and caseload) as defined by the organization and in alignment with best practices/the Capital Caring model.

    Qualifications

    LICENSURE: Licensed to practice medicine in the Commonwealth of Virginia, State of Maryland and/or the District of Columbia as dictated by job responsibilities and regional assignments. DEA and State Controlled Substances Registration in above jurisdictions or Licensure in the jurisdiction of practice - Current Commonwealth of Virginia, State of Maryland, or District of Columbia professional Nurse Practitioner.

     

    EDUCATION: A licensed physician (Doctor of Medicine or Osteopathy) from an accredited school or Master’s degree, RN, completion of accredited program for Nurse Practitioners or Physician Assistants and related NP/PA certification. Board certification in a related specialty; certification in Hospice and Palliative Medicine is preferred.

     

    EXPERIENCE: 5 years recent clinical experience to include sufficient experience in hospice, palliative care and/or acute inpatient care. Expertise in the medical care of terminally ill individuals required.

     

    SKILLS:

    • Training and experience in the palliative care of terminally ill patients.
    • Ability to obtain admitting privileges at area hospitals and nursing homes as requested.
    • Ability to work cooperatively with a team of healthcare professionals throughout the organization.
    • Ability to effectively communicate with patients, families, team members, and professionals in the community served.

    PHYSICAL/MENTAL/EMOTIONAL:

    • Ability to remain flexible and adaptable to change despite increased pressure and deadlines.
    • Ability to see, hear, speak, grasp, feel, walk and lift or otherwise perform essential functions with or without reasonable accommodations.

    COMPUTER SKILLS:

    • Ability to use Microsoft Windows 2000 or XP.
    • Ability to use all Microsoft Products: Word, Excel and PowerPoint. Knowledge of Access Database is helpful.
    • Experience with Suncoast Software is preferred.

    PHYSICAL/MENTAL/EMOTIONAL

    • Lift and move equipment and patients weighing over 50 pounds.
    • Provide care for highly emotional patients/families.
    • Develop coping mechanisms in order to care for patients who are terminally ill and to work in a stressful environment.
    • See, hear, grasp, feel, speak, or otherwise perform essential functions with or without accommodations.

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