Qureos Mentor

Affinity Health Management

<div><h3 class="jobSectionHeader">Job Description Summary</h3>

The Nurse Practitioner is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive palliative and advanced disease management services in compliance with the state Nurse Practice Act and under the supervision of a collaborating physician. Works in collaboration with patient&rsquo;s Primary Care Provider to provide compassionate care to patients with serious or life limiting illness in need of palliative care support. Patient care will be provided in the community setting and through telehealth. Under the direction of the medical director, the nurse practitioner uses the nursing process to assess, review medication, diagnose, plan, provide and evaluate care. Actively determine patient prognosis, provide and educate patient on the disease progression, assist with advanced directives and address issues of grief to patients and caregivers.
<h3 class="jobSectionHeader">
Essential Job Functions/Responsibilities</h3>
<h4 class="jobSectionHeader">Patient Care</h4>
<div><ul><li>Provides medical care, palliates and manages advanced illness in compliance with the state Nurse Practice Act under the supervision of a collaborating physician in the community.</li></ul>
<ul><li>Reviews history &amp; performs physical examinations, by evaluating the patient's medical condition and health history, ordering and interpreting results from laboratory and diagnostic tests or procedures, diagnosing health conditions and documents the findings in the patient's medical record.</li></ul>
<ul><li>Manages chronic and complex conditions through collaboration with the patient and their care team by developing an individualized plan of care, prescribing medications and / or treatments, obtaining consultations or making referrals and coordinating with other community care services.</li></ul>
<ul><li>Educates patient and caregivers regarding medications, side effects, treatment, illness progression, diet and nutrition, medical adherence and crisis anticipation and prevention.</li></ul>
<ul><li>Educate and provide assistance to patient and caregiver(s) in understanding and completing advanced directives based on the patient&rsquo;s goals and wishes.</li></ul>
<ul><li>Facilitate clarification of patient and caregiver goals of care to support development of a comprehensive care plan.</li></ul>
<ul><li>Implements interventions to support the patient with chronic conditions to decrease the recurring hospitalizations. Monitors the effectiveness of interventions.</li></ul>
<ul><li>Facilitates patient transitions between health care settings.</li></ul>
<ul><li>Assures that patient receives appropriate measures to control symptoms, through collaboration with interdisciplinary team members.</li></ul>
<ul><li>Reviews and develops protocols for treatment and proposes options for interventions based on the literature in collaboration with the collaborating physician.</li></ul>
<ul><li>Consults the collaborating physician when the patient's plan of care is outside standardized practice and protocols.</li></ul>
</div><h4 class="jobSectionHeader">Communication</h4>
<div><ul><li>Communicates and collaborates with the interdisciplinary group to create, review and revise the patient's plan of care.</li></ul>
<ul><li>Consults with the patient's primary care provider, the advanced disease management medical director and other healthcare practitioners regarding the patient's ongoing care needs and medical management related to the patient's chronic and complex condition.</li></ul>
<ul><li>Communicates with other community health practitioners to coordinate the plan of care.</li></ul>
<ul><li>Attends and participates in interdisciplinary group meetings.</li></ul>
<ul><li>Completes, maintains and submits accurate and relevant clinical notes, physical examination notes, assessment visit notes, medical orders, collaboration notes and other documentation in the medical record.</li></ul>
<ul><li>Educates/counsels patients, families, and/or caregivers as to preventative care, medical problems, psychological problems, and spiritual problems in conjunction with the interdisciplinary team to meet the total needs of patients.</li></ul>
<ul><li>Provides and maintains a safe environment for the patient.</li></ul>
<ul><li>Assists the patient and family / caregiver and other team members in providing continuity of care.</li></ul>
<ul><li>Works in cooperation with the patient, family / caregiver and interdisciplinary group to identify the goals of care and meet the care needs of the patient and family / caregiver.</li></ul>
<ul><li>Serves as a nursing resource for consultation and educations to members of the interdisciplinary team and other healthcare practitioners in the community.</li></ul>
<ul><li>Establishes, builds and nurtures relationships with staff and community referral sources to facilitate program growth.</li></ul>
</div><h4 class="jobSectionHeader">Additional Duties</h4>
<div><ul><li>Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and regulations for professional (palliative care, advanced disease management, transitional and chronic care) services</li></ul>
<ul><li>Ensures compliance with the Medicare conditions of participation and other state regulations govern the provision of healthcare.</li></ul>
<ul><li>Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policies.</li></ul>
<ul><li>Participates in organizational monitoring of the quality of medical services and quality improvement initiatives.</li></ul>
<ul><li>Assumes responsibility for personal growth. Develops, maintains and upgrades professional knowledge and practice skills through attendance at seminars, conferences and participation in continuing education and in-service classes.</li></ul>
<ul><li>Fulfills the obligation of requested and/or accepted assignments.</li></ul>
<ul><li>Demonstrate knowledge in communication and counseling patient/family in dealing with life limiting and end-of-life issues</li></ul>
</div><h3 class="jobSectionHeader">Position Qualifications</h3>
<div><ul><li>Graduation from an accredited School of Nursing.</li></ul>
<ul><li>Completion of an accredited Nurse Practitioner Program which conforms with the Board&rsquo;s educational standards.</li></ul>
<ul><li>Current nursing licensure in State and CPR certification.</li></ul>
<ul><li>Master's degree with a minimum of one (1) year Nurse Practitioner experience and a minimum of one (1) year hospice or palliative care experience.</li></ul>
<ul><li>Accreditation from an approved certifying body for advanced practice nursing as required by State.</li></ul>
<ul><li>Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), Pediatrics or Geriatrics)</li></ul>
<ul><li>Able to perform duties autonomously, schedule and meet workload expectations. Provide leadership for the care team, to ensure that the patient&rsquo;s care plan and interventions are met.</li></ul>
<ul><li>Identify and report to leadership immediately any concerns or issues, that places the team, patient or caregiver at risk.</li></ul>
<ul><li>Excellent observation, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist.</li></ul>
<ul><li>Prolonged or considerable walking or standing. Able to lift, position and / or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills.</li></ul>
<ul><li>Travel between care sites is mandatory. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.</li></ul></div></div>

Palliative Care Nurse Practitioner

<div>JOB DESCRIPTION SUMMARY

The hospice aide works under the supervision of a registered nurse and performs various tasks as assigned in accordance with the patient&rsquo;s plan of care to meet the patient's personal needs and to promote comfort. The hospice aide is responsible for reporting and documenting observations and care performed.

The hospice aide will be assigned in a manner that promotes quality, continuity and safety of a patient's care.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Responsibilities of the hospice aide include, but are not limited to, the following:

1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly. If unable to perform a certain task, report to the Case Manager immediately.

2. Providing patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality.

3. Meeting safety needs of patient and using equipment safely and properly (foot stools, side rails, O2 etc.)

4. Giving personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned.

5. Assisting in dressing and undressing patients as assigned.

6. Assisting in feeding the patient as assigned. Hospice Aides may not provide patients with homemade food items or baked goods that they themselves prepared

7. Providing proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence.

8. Reporting any complaint of pain or other symptoms or changes in the patient's condition to the RN Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues.

9. Assisting in ambulation and exercise as instructed by the hospice nurse or therapist.

10. Provide normal range of motion and transfers/positioning as directed.

11. Assistance with self-administered medications as allowed by state regulations, such as &ldquo;reminders.&rdquo;

12. Offering and assisting with bedpans and urinals. Providing assistance as assigned with light laundry needs, emptying waste baskets and other light homemaker tasks.

13. Performing range of motion and other simple procedures as ordered with appropriate completed/demonstrated skills competency.

14. Providing respite for patient's/family/caregiver when on-site, as appropriate.

15. Keeping patient's living area clean and orderly, as assigned.

16. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct.

17. Participates in quality assessment performance improvement teams and activities.

18. Respectful of patient and family/caregiver environment and patient's personal needs.

19. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

20. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

JOB LIMITATIONS The hospice aide will not function in any manner viewed as the practice of nursing according to the Nurse Practice Act. Specifically, the hospice aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a licensed nurse, such as sterile techniques.

POSITION QUALIFICATIONS

1. Completion of a state approved certified nursing assistant course or equivalent training

2. Nursing Assistant Certified (NAC)

3. Current Healthcare Provider CPR (Cardiopulmonary Resuscitation) certification ((may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

4. Current Food Handlers Permit

5. High school diploma or General Equivalency Degree (GED)

6. Ability to read and follow written instructions and document care given.

7. Understands hospice philosophy, comfortable providing specialized care to the terminally ill.

8. Prior experience in hospice, orderly, acute , rehabilitative, or long term care facility. 1 year previous home health/hospice experience preferred

9. Basic computer skills to document in electronic medical records (EMR)

10. At least 18 years of age.

11. Licensed driver with automobile that is insured in accordance with organization requirements and is in good working order.</div>

Hospice Certified Nursing Aid CNA

<div>Per Diem Hospice Respiratory Therapist

The Per Diem Respiratory Therapist provides compassionate respiratory care and symptom management to hospice patients in home, facility, and inpatient settings. Responsibilities include assessing respiratory status, providing comfort-focused treatments, educating patients and families on respiratory equipment and oxygen therapy, documenting care, and collaborating with the interdisciplinary hospice team to support quality end-of-life care.

Qualifications
<ul>
<li>Current state Respiratory Therapist license (CRT or RRT)</li>
<li>Minimum 1 year of RT experience preferred</li>
<li>Hospice, home health, or palliative care experience preferred</li>
<li>Valid driver&rsquo;s license and reliable transportation</li>
<li>Strong communication and compassionate patient care skills</li>
</ul>
Schedule

Per diem / as-needed flexibility, including possible evenings and weekends.</div>

Hospice Respiratory Therapist per diem

<div>JOB DESCRIPTION SUMMARY

The hospice aide works under the supervision of a registered nurse and performs various tasks as assigned in accordance with the patient&rsquo;s plan of care to meet the patient's personal needs and to promote comfort. The hospice aide is responsible for reporting and documenting observations and care performed.

The hospice aide will be assigned in a manner that promotes quality, continuity and safety of a patient's care.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Responsibilities of the hospice aide include, but are not limited to, the following:

1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly. If unable to perform a certain task, report to the Case Manager immediately.

2. Providing patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality.

3. Meeting safety needs of patient and using equipment safely and properly (foot stools, side rails, O2 etc.)

4. Giving personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned.

5. Assisting in dressing and undressing patients as assigned.

6. Assisting in feeding the patient as assigned. Hospice Aides may not provide patients with homemade food items or baked goods that they themselves prepared

7. Providing proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence.

8. Reporting any complaint of pain or other symptoms or changes in the patient's condition to the RN Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues.

9. Assisting in ambulation and exercise as instructed by the hospice nurse or therapist.

10. Provide normal range of motion and transfers/positioning as directed.

11. Assistance with self-administered medications as allowed by state regulations, such as &ldquo;reminders.&rdquo;

12. Offering and assisting with bedpans and urinals. Providing assistance as assigned with light laundry needs, emptying waste baskets and other light homemaker tasks.

13. Performing range of motion and other simple procedures as ordered with appropriate completed/demonstrated skills competency.

14. Providing respite for patient's/family/caregiver when on-site, as appropriate.

15. Keeping patient's living area clean and orderly, as assigned.

16. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct.

17. Participates in quality assessment performance improvement teams and activities.

18. Respectful of patient and family/caregiver environment and patient's personal needs.

19. As a mandatory reporter, reports failure to comply with the requirements of chapters 246- 335 WAC and 70.127 RCW to the Washington Dept. of Health as required within 14 calendar days, using Dept. of Health forms.

20. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of RCW 74.34.020 or 26.44.030 to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

JOB LIMITATIONS The hospice aide will not function in any manner viewed as the practice of nursing according to the Nurse Practice Act. Specifically, the hospice aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a licensed nurse, such as sterile techniques.

POSITION QUALIFICATIONS

1. Completion of a state approved certified nursing assistant course or equivalent training

2. Current Healthcare Provider CPR (Cardiopulmonary Resuscitation) certification ((may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)

3. Due to nature of job and working with multiples facilities with multiple covid guidelines must be covid vaccinated.

4. High school diploma or General Equivalency Degree (GED)

5. Ability to read and follow written instructions and document care given.

6. Understands hospice philosophy, comfortable providing specialized care to the terminally ill.

7. Prior experience in hospice, orderly, acute , rehabilitative, or long term care facility. 1 year previous home health/hospice experience preferred

8. Basic computer skills to document in electronic medical records (EMR)

9. At least 18 years of age.

10. Licensed driver with automobile that is insured in accordance with organization requirements and is in good working order.</div>

Hospice STNA Aid

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Affinity Health Management

About Company

Palliative Care Nurse Practitioner

Hospice Certified Nursing Aid CNA

Hospice Respiratory Therapist per diem

Hospice Respiratory Therapist per diem

Hospice STNA Aid