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Nurse Practitioner (Casual)

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Job Title:  Nurse Practitioner (Casual)
Job Ref No:  1499443
Job Role:  Nurse Practitioner - ANP
Location:  Tennessee
City:  Clarksville
Job Description:  Job Advertisement

You're more than a Nurse Practitioner (Casual) at AseraCare Hospice. With your vast experience, you know quality care and that's why we've entrusted you to join together with a team of spiritual care coordinators, social workers and counselors. That's because we know you'll go to any length for our patients during their end-of-life journeys. You'll ensure patients receive care on a variety of levels because at AseraCare Hospice, we consider the whole patient. That's why you'll participate in our interdisciplinary approach while simultaneously leading by example and setting only the highest standards. You'll engage with the patient's entire family to help them and other caregivers understand and support the process. You'll see your impact in this highly valuable role every day, as you adjust to new working environments and make a profound difference in the lives you touch.

We are looking for qualified and compassionate candidates with considerable nursing experience. You are independent, flexible, a leader and ready to inspire our talented medical professionals to uphold our promise of quality care. Ideal Nurse Practitioner (Casual) candidates should also have:

The NP practices independently and in collaboration with appropriate physicians to provide primary care to patients and oversees, conducts and/or completes all required visits and documentation in accordance to CMS hospice regulations for face-to-face encounter visits. Assists in the evaluation and treatment of patients. Provides patient education and trains other health care professionals in a variety of settings. Makes applicable clinical recommendations to nursing staff to address the medical needs of the patients.

Essential Job Functions

  • Physical Assessment and Diagnosis

  • Provide direct clinical care to patients within established clinical guidelines.

  • Conducts patient interviews, and collects and interprets diagnostic data.

  • Holistically assesses patients' disease trajectory to provide accurate clinical data to determine hospice eligibility.

  • Treatment

  • Participate in recommendations for improved medical care management, ordering medications, laboratory test, diagnostic studies, consults, etc. when appropriate.

  • Encourage open communication between the IDG team members, patient and family that ensures their end of life goals of care are met and/or ensures quality outcomes.

  • Assess and prioritize patient needs, place orders and communicate with medical staff, nursing staff, social services, therapy, dietary, consultants, referring and primary care physicians as well as the hospice Medical Director to coordinate patient's plan of care.

  • Participate and lead (as appropriate) patient and family meetings.

  • Encourage the patient and family to play a central and active role in the establishment of goals of care and end of life needs.

  • Care Management and Documentation

  • Completes all documentation in accordance to regulatory and company policy including but not limited to purpose of patient visits made e.g., face-to-face encounter for hospice eligibility or medical purposes.

  • Identify and mitigate high risk patients for readmission to acute care.

  • Track, evaluate, recommend and implement dispositions to reduce causes for live discharges as related to clinical care/symptom management issues.

  • Collaborate with medical team as appropriate including consult on test/lab results as appropriate.

  • Collaborate with delegating physician to manage prescriptions

  • Respond to phone calls with medical team, agency staff, IDG, patient and /or family following successful transition and or F2F encounter visits.

  • Document phone calls and/or interventions in patient medical record via point of care or other as appropriate.

  • Coordinate patient lists for all eligible and/or required visits.

  • Collaborate on all new admissions or transfers.

  • Fully document all aspects of patient care, and complete all required paperwork for administrative purposes.

  • Medication Reviews

  • Collaborate with physicians/pharmacy with goal of reducing unnecessary polypharmacy to reduce harm while also providing necessary documentation to support appropriate medication use.


- Nurse Practitioner currently licensed in the state where practicing.
- Graduate of an accredited Geriatric or Palliative Care (preferable), Adult or Family Nurse Practitioner Master's program. Previous geriatric, palliative care and hospice experience is preferred but not required.
- Board Certified as an Adult, /or Gerontological Nurse Practitioner preferred.
- Superior communication skills.
- BLS certified on date of hire. ACLS certified within one year of hire.
- ELNEC or HPNA certification preferred.
- In-depth knowledge of service specific disease pathophysiology
- Strong collaborator and facilitator of interdisciplinary teams
- Experience in and/or working knowledge in 'motivational interviewing techniques'
- Maintain good interpersonal relations with other healthcare personnel and maintain professional conduct at all times
- Advocate, role model and facilitator for patient-family-centered care
- Broad base of technical knowledge and skills needed to perform all assigned clinical/administrative and academic duties.
- Relevant experience in palliative care/geriatrics/long term care settings; experience in an academic/teaching environment desirable.
- Three (3) to five (5) years experience in health care management
- Has an ability to deal tactfully with the community. Has knowledge of corporate business management. Understands hospice care and the services provided to patient and family/caregiver through an interdisciplinary group. Intimate knowledge of Medicare Hospice Certification.
- Must be a licensed driver with 24-hour access to a reliable automobile that is insured in accordance with state and/or organization requirements.
- Must be capable of maintaining regular attendance.
- Demonstrates an ability to collaborate with/ direct professional and administrative personnel.
- Must be able to maintain confidentiality regarding patient and company proprietary information.
- Participate in agency-based Quality Improvement Initiatives.
- Collaborate with team to ensure completion and documentation of appropriate core measures and quality indicators
- Participate and lead (where appropriate) in training and ongoing staff education related to 'transitions of care and patient eligibility'.
- Participate and collaborate with community outreach services including but not limited to "facility in-services", partnering with sales leadership
- Collaborate with Corporate Director of Clinical Education in providing ongoing staff education
- Collaborate with corporate clinical service department in facilitating best-evidenced practice in agency among staff.
- Keep up-to-date on relevant medical research, technology, and related issues by attending continuing education courses and professional meetings, reading journals, etc.
- Maintain appropriate Licensures and Certifications.
- Practice within the Scope of Practice as determined by each individual's state Nurse Practice Act as determined by the individual State Board of Nursing.
- Practice within scope as determined by federal and state regulations regarding practice in hospice and/or long-term care facilities.
- Understand and comply with the policies and procedures of the hospice, home health and/or long-term care settings.
- ADDENDUM: Regarding prescriptive authority, Nurse Practice Acts in individual states specify the nurse practitioner (NP) must practice within established protocol(s) for prescriptive authority, including prescribing of Scheduled drugs.
- ADDENDUM: Regarding collaborative agreements with physicians, the nurse practitioner will adhere to state regulations regarding what terms, definitions, and parameters are required in developing practice agreement with physician.
- Must possess computer skills at a level necessary to accomplish the job

Job: Nursing

Primary Location: Tennessee, Clarksville

Schedule: Casual

Shift: Day Job

Shift Time:

Department Address: 1539c Ashland City Bypass*

Department City: Clarksville

Department State: TN

Department Zipcode: 37040

Organization: AseraCare

Company Profile

As AseraCare Hospice professionals, helping our patients and their families to feel as comfortable as possible during a stressful and emotional time is at the heart of everything we do. We believe the hospice care journey is about compassion, commitment, and dignity. Partnering with our patients' personal physicians, we work to minimize pain and provide emotional and spiritual guidance for patients and their families as they prepare for change. As one of the nation's premier providers of hospice services, we offer a full range of hospice career opportunities. If you share our approach to delivering personalized, quality hospice care, we can deliver the independence, rewards and clinical excellence you want from your career!

Clarksville, TN
Clarksville, Tennessee

Employer:  AseraCare.

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