Make a difference in the lives of patients in their families facing advanced cancer in beautiful Grand Junction, Colorado. HopeWest, an innovative leader in hospice and palliative care, is looking for an experienced Nurse Practitioner with exceptional communication skills to provide Palliative Medicine consultations for oncology patients in our care, serve as Attending for cancer patients receiving hospice care, help develop best practices around oncology and palliative care, and provide support to staff through education and provision of expertise.
HopeWest’s mission is “Through creativity, volunteerism, and philanthropy, we profoundly change the experiences of aging, illness, and grief – one family at a time.” Be part of a team dedicated to transforming cancer care in our community, and providing the continuity of care and high level of care that patients and their families facing cancer deserve.
Join HopeWest as a Nurse Practitioner and be a part of a team, working along side of
Dr. K. Ellissa Tiller MD FAAHPM CPE
Dr. Tiller joined HopeWest in December 2016 and serves as its Hospice Medical Director and Senior Vice President. Prior to HopeWest, she established the Sentara Rockingham Memorial Hospital (RMH) Palliative Care Program in Harrisonburg, Virginia, 2010 and served as its Medical Director for over 6 years. Dr. Tiller was also the Medical Director for Sentara RMH Hospice. Dr. Tiller is Board Certified in Hospice and Palliative Medicine and was honored as a Fellow of the American Association of Hospice and Palliative Medicine in 2016. She finished an Internal Medicine Residency program at the University of Virginia Roanoke-Salem program in 2000, and has extensive experience as a primary care physician and hospitalist. She completed medical school at the University of Queensland in Australia and worked as a general practitioner in rural Australia. Her awards include the Donnelly Award for best all-round Internist in 2000 and the RMH Golden Stethoscope Award for excellence in patient care, customer service, communication and teamwork in 2010, and the HopeWest Heart of Hope Award in 2018, for exemplifying the mission and values of HopeWest. She is recognized as a Certified Physician Executive (CPE).
SUMMARY OF JOB RESPONSIBILITIES:
The Hospice Nurse Practitioner works in collaboration with physicians and the Interdisciplinary Team as an Advanced Practice Nurse to provide acute symptom management, goal setting, discussion of advance directives and psycho-social support to patients and families facing serious illness and grief in the following settings: Hospice Care Center, Nursing Homes, Assisted Living, Hospitals, Homes.
Treats each person with respect and dignity, without regard to power or position.
Collaborates with Oncologists, Attending Physicians, HopeWest physicians and nurse practitioners and interdisciplinary team members.
Communicates with patients’ Oncologists or Attending Physicians regularly in person, via telephone calls, secure e-mail and/or via electronic medical records as appropriate.
Effectively communicates with patients and their families.
Balances time appropriately between patient contact, office time and phone time.
Responds to requests to visit patients in a timely way.
Responds to telephone consultation requests in a respectful and timely manner.
Attends team meetings, Medical Affairs meetings and other work meetings as requested, on time and participates effectively.
Accepts constructive feedback without undue defensiveness.
Projects a consistent, positive, professional image through appearance and behavior.
Effectively precepts students and others as requested.
Supports and adheres to policies, procedures and standards of practice of HopeWest.
Writes complete and meaningful electronic medical records in a timely fashion which tell the patient’s story and meets billing requirements.
Prescribes medications for symptom management.
Bills appropriately for services including advanced directives, initial visits, and follow up visits.
Seeks and/or maintains certification in hospice and palliative care.
Maintains and promotes relationships with cancer centers and hospitals in Mesa County, including the Veterans Administration.
Resource for HopeWest hospice and PACE colleagues regarding cancer treatment and symptom management.
Provides palliative medicine consultations to PACE patients with cancer diagnoses as requested.
PATIENT CARE DUTIES
Provides expert management of patient symptoms secondary to advanced cancer, including pain, constipation, nausea and vomiting, dyspnea, fatigue, anxiety, depression.
Assists with diagnosis, treatment and management of acute and chronic health conditions and collaborates effectively with other specialty providers for additional disease specific needs identified during visits, for example, cardiology, pulmonology, rheumatology, endocrinology.
Monitors and assesses for side effects related to cancer treatment and oncologic emergencies, relaying concerns to the Oncologist in a timely fashion, and directs the patient, when appropriate, to follow up with their Oncologist and/or the emergency room as appropriate.
Provides patient care visits in the office (Center for Living Your Best Clinic, Cancer Center), in patient homes, Assisted Living Facilities, Group Homes, Nursing Facilities, and area hospitals as requested. The nature of the visits will include but not be limited to: palliative medicine consults for acute symptom management and/or goals of care discussions, discussion of advanced directives, hospice eligibility, psychosocial functioning, and Medicare hospice face-to-face visits.
Prescribes medications including controlled substances for patients with acute and chronic health conditions, in collaboration with the patient’s Oncologist or Attending Physician, consulting with the HMD/SVP or his/her designee as appropriate.
Effectively communicates with and counsels patients and families in dealing with serious illness, coping, crisis points and as goals of care change.
Effectively communicates with the patient’s Oncologist or Attending Physician regarding the patient’s care including change in condition, decline, eligibility for hospice, changes in medications, and admission (when necessary) to higher level of care in the emergency room or hospitalization.
Demonstrates clear understanding of the Hospice Medicare Benefit and eligibility guidelines for Hospice.
When completing Face-to-Face visits for hospice re-certification, gathers clinical data in support of ongoing eligibility and reports findings to the certifying hospice physician. Notifies the HMD/SVP if concerns about hospice eligibility.
Acts as Attending Physician for hospice patients with advanced cancer when requested.
Collaborates with the patient, family, and the Interdisciplinary Team to help determine the Plan of Care.
Participates in on-call rotation on a consistent basis, including nights, weekends and holidays.
Practices within scope of practice. Reaches out to the HMD/SVP or her designee if unsure about how to handle patient issues/symptoms.
DOCUMENTATION Documents care delivered in a complete and effective manner meeting standards and expectations set by the Organization, including:
Prepares and maintains accurate patient records, charts and documents to support sound medical practice and reimbursement for services provided.
Bills appropriately for services.
Provides complete, relevant documentation in the patient care record and related Hospice information forms in a timely manner.
PATIENT PRIVACY AND CONFIDENTIALITY
Responsible for upholding Privacy Program guidelines according to established policies and procedures in full compliance with HIPAA.
Assesses work areas and operations for adherence to privacy policies and procedures.
Adheres to and promotes confidentiality of protected health information (PHI) according to established policies and procedures.
LEADERSHIP AND ORGANIZATIONAL REPRESENTATION
Participates in general staff meetings, mandatory in-services and other meetings as requested.
Seeks out educational opportunities appropriate to position.
Provides oncology-based education to HopeWest teams caring for cancer patients.
Liaison to cancer centers to facilitate overall continuity of care between organizations providing services.
Professional development, including reading journal articles, in-services and conferences.
Participates in case reviews and organization-wide problem-solving task forces as requested.
Provides appropriate supervision, including rounding, on RN who is directly supervised.
CUSTOMER SERVICE Maintains a focus on exemplary customer service that leaves both internal and external customers fully satisfied with their experience at HopeWest. (This position will interact with many internal customers and may interact with external customers that come into the office.)
Acknowledges internal and external customers with direct eye contact and courtesy.
Makes a positive impression on customers by greeting and establishing rapport, showing courtesy and respect, actively listening, and showing concern for their spoken and unspoken needs.
Demonstrates the ability to openly and respectfully receive feedback from customers; acknowledging their level of satisfaction and seeking to understand their perceptions and feelings.
Demonstrates discretion in responding to issues of customer dissatisfaction, creating a positive memory of how the concern was handled.
Follows through on commitments made to both internal and external customers.
COMMUNICATION Demonstrates effective written and oral communications that engage internal and external audiences, and assures staff is kept well informed of organizational issues and plans.
Communicates effectively with Oncologist and/or Attending Physician to coordinate care.
Demonstrates respectful communication by speaking professionally and adjusting to the most effective communication and learning styles for various audiences.
Makes a strong and positive first impression by actively listening and quickly establishing a rapport with all internal and external customers.
Demonstrates the ability to openly and respectfully receive and provide feedback from supervisor, peers, subordinates and all internal and external customers. (We talk to each other not about each other)
Adheres to a participative management style, encouraging and valuing feedback from staff at all levels and incorporating the feedback into resulting actions. Is visible, accessible, and committed to communicating effectively with staff.
Involves staff in the development of challenging goals related to strategic objectives and policies & procedures so that potential obstacles are identified and addressed.
TRAINING & SAFETY Coordinates training and assists with ongoing building safety and security.
Provides leadership to the development of the Palliative Care program by providing training and continuing education for staff in the Palliative Care program.
Reviews and updates policies on the handling of and disposal of chemotherapy.
Updates oncology resource and teaching material.
Assures building is secured when closed in the absence of the manager.
Assists with the assurance the building environment is safe and free from hazards to customers, staff, and volunteers.
Collaborates with Safety Officer to conduct annual assessment and safety reviews for staff and volunteers.
Participate in the education of staff on symptom management and other topics as assigned
QUALITY & COMPLIANCE We utilize a framework of continuous improvement to achieve excellence in service, regulatory compliance and optimal organizational performance.
Actively seeks the root cause of problems or concerns, participates in quality improvement teams and communicates with supervisor to facilitate resolution.
Actively participates in the quality process, including incident reporting and resolving customer service issues effectively.
Adheres to organizational Policies, Procedures and Practices.
Responsible for upholding Compliance Program guidelines.
Responsible for upholding Privacy Program policies and procedures by promoting confidentiality of protected health information and reporting breaches/potential breaches to the Privacy Officer.
Understands and follows all Safety Standards and practices of the organization.
REASONABLE ACCOMMODATION: To perform this job successfully, an individual must be able to perform each essential duty. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Board Certified Advanced Practice Nurse licensed in the state of Colorado; preferably a Certified Family Nurse Practitioner.
Registered Nurse in the state of Colorado.
Controlled substance license with current DEA license number.
Must have and maintain hospice certification (CHPN or ACHPN) or obtain no later than the end of third year of employment.
Minimum of two years of experience in home care, oncology experience preferred.
Excellent interpersonal and communication skills.
Valid Colorado driver’s license and unlimited access to reliable transportation.
Adequate automobile insurance.
Eligible or currently possess a Medicare/Medicaid UPIN number.
Eligible or currently credentialed at local hospitals.
Eligible to bill insurance for palliative care and symptom management visits.
Internal Number: 02
A Culture Of Caring - Join The HopeWest Community
Together, through creativity, volunteerism and philanthropy, we profoundly change the experiences of aging, illness and grief - one family at a time. Every day, we see miracles of human caring, compassion, strength and courage.