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Community Palliative Nurse Practitioner (NP)

Company: Commonwealth Care Alliance
Location: Springfield
Posted on: January 16, 2020

Job Description:

Commonwealth Care Alliance's (CCA) Palliative Care Team, comprised of multi-disciplinary clinicians, will provide care consultation and delivery on an on-demand basis in addition to providing scheduled non-urgent services to dually-eligible CCA members, a group of individuals with significant medical, behavioral, and social complexities that require intensive support. The Palliative teams will reside at CCA's state - wide locations and will be comprised of nursing (MA/RN), advance practice (NA/PA), and Behavioral Health (LICSW/LMHC/ equivalent). The Palliative Advanced Practice NP/PA provides clinical oversight of members referred to Palliative Care

  • Conducts thorough assessments of members identified as having Palliative Care needs including but not limited to: accurate history and physical assessment, medication reconciliation, goals of care identification, psychosocial/spiritual needs assessment, symptom management identification and plan
  • Determines and documents appropriate follow-up plans in line with member goals and communicates these plans with member and caregivers
  • Completes ACP documents as appropriate
  • Engages other team members to help address needs of members, through participation in family meetings or referrals as needed
  • Collaborates with and provides recommendations for outside providers. Documents these suggestions and contacted providers
  • Provides oversight and coordinates prescriptions and delivery for members on service with Collaborative Care Partners and end of life panel
  • Completes documentation within 24 hours of visit
  • Engages with outside providers in a meaningful, partnership-driven way. Identifies and suggests opportunities for education that may help further understanding of Palliative Care tenants to continue engagement.
  • Participates in multidisciplinary team meetings and works towards Palliative Care strategic objectives
  • Mentor and coach new staff as requested
  • Problem-solves local issues and engages in professional conflict management
  • Identify and communicate opportunities for operational improvement under direction of Palliative Program Manger to improve the performance of CCA
  • Identifies and initiates a plan to resolve areas of opportunity to meet quality metrics.
  • Assesses appropriateness of incoming requests and team's processes over time to suggest opportunities for improvement
  • Participates in work groups as requested for process or service delivery improvement
  • Provides education to stakeholders as requested
  • Shows an ongoing commitment to learning about the tenets of Palliative Care through ongoing pursuit of education
    • Masters in Nursing (NP) or Masters in Physician Assistant Studies
    • 3+ years of related experience as an Advanced Practice Clinician
      • 1+ years of experience with phone based clinical triage (preferred)
      • 1+ years as CCA Care Partner (or prior similar role) strongly preferred
      • 1+ years practicing in Hospice, Palliative care or end of life care setting strongly preferred

Keywords: Commonwealth Care Alliance, Springfield , Community Palliative Nurse Practitioner (NP), Healthcare , Springfield, Massachusetts

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