For over 45 years Pathways has been a Bay Area pioneer, leader, and innovator in Hospice and Home Health. We provide care at home or in settings such as assisted living, a nursing home, or the hospital. We have offices in Sunnyvale, South San Francisco, and Oakland. Patients and their families know us for our personalized, high-quality care, delivered with empathy, kindness, and respect.

Title: Hospice Nurse Practitioner
Schedule: Full Time
Schedule: M-F 8:30am-5pm
Territory: Santa Clara County

The posted compensation range of $76.00 - $91.00/Hour is a reasonable estimate that extends from the lowest to the highest pay Pathways Home Health & Hospice in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Pathways Home Health & Hospice may ultimately pay more or less than the posted range as permitted by law.

Position Summary: 
In coordination and collaboration with the assigned Director of Hospice and Hospice Medical Director, is responsible for the evaluation of appropriateness of on-going hospice care to identified patients. Coordinates care with other members of the hospice care team to assure appropriate plan of care and recertification documentation. Serve as a consultant for appropriate transition to hospice care. This person is an adjunct to the Hospice Medical Director and serves as a resource and consultant.

Areas of Responsibility:

• Provides assessment of select patients to determine appropriateness for home health or hospice.
• Coordinates and communicates with the Hospice Physicians to assure that ongoing appropriateness for Hospice program participation is documented and certified.
• Provides consultative services to Case Managers regarding patients with chronic conditions and/or symptom management issues. 
• Assists select patients and Case Managers with creating a smooth transition to Hospice services.
• Document observations, clinical findings and problems, skilled interventions and response, goals, plans and submits according to policy.
• Admits patients to service: assessing patient’s physical, mental and social status and eligibility for hospice services according to hospice admission criteria
• Assures that all applicable services ordered are explained and offered; obtains physician orders for services, equipment, medication as needed
• Assesses need for and coordinates services of and with all other IDG members, including Physician, Social Worker, Home Health Aide, Dietician, Volunteer, Spiritual Care, or therapy services (PT, OT, ST).
• Assists in the Performance of supervisory visits to the nursing staff and communicates findings to appropriate Nursing Manager.
• Assures that Plan of Care changes are documented as indicated.
• Assesses need for care beyond current certification period, obtains required orders and completes required documentation.
• Completes required discharge procedures and documentation.
• Participates in multiple Hospice interdisciplinary team conference.
• Maintains and updates level of knowledge and skills required to provide quality hospice nursing care
• Assists in development of hospice protocols, procedures and policies as requested
• Participates in QA / PI activities and in-service education related to areas of practice as appropriate.
• Follows established standards for point of service technology, documentation and synchronization. 
• Uses agency provided telecommunication devices (i.e. cell phone, voicemail, tablet) according to established guidelines.
• Submits weekly visit schedule of assigned patients. 
• Submits all documentation according to agency requirements.
• Meets established productivity standards.
• Demonstrates established clinical competencies.
• Assists in development of agency protocols, procedures and policies as requested.
• Assesses, develops, organizes and delivers teaching materials for assigned home care patients as appropriate.
• Participates in the development of protocols for patients.  Evaluates areas in which Hospice should be considered for inclusion in disease management protocols and outcomes.
• Performs other duties as assigned consistent with skills and training and the mission and goals of Pathways.

Qualifications:

• Nurse Practitioner License Required
• Demonstrated program development and teaching skills preferred.
• Minimum of one-year experience as a professional nurse within the last three years or a baccalaureate degree in nursing from a program accredited by the National League for Nursing.
• Must be highly motivated, self directed, flexible, and able to work well and participate in a multidisciplinary team setting.
• Meets competencies per Pathways guidelines.
• Minimum of 5 years of professional nursing experience.
• Demonstrates willingness and ability to work with electronic input and telecommunication devices.
• Current California driver's license and automobile insurance with coverage meeting the agency required limits.
• Current CPR Certificate.