Advanced Practice Registered Nurses / Physician Assistants
As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey. From hospice and palliative care for adults and children suffering with life-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life's ever-changing landscape. We'll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life. As we grow, our affiliates are now accepting applications for experienced ARNP's with prior hospice and palliative care experience preferred.
Provide comprehensive and efficient direct primary or consultative patient care under protocol with hospice physician staff. Utilize clinical expertise and participate in diagnostic and management decision making while promoting maximization of quality of life for the company's patients and caregivers.
Masters degree in nursing
ARNP certification recognized by CMS for Medicare billing
Licensure by state of Florida to work as ARNP
Knowledge and experience in palliative medical practice and symptom management
Advanced clinical skills which allow thorough patient assessments and management for any patient with advanced chronic disease as well as for those near the end of life
Ability to work under protocol with multiple physicians in multiple settings
Basic computer skills including use of email and word processing (Microsoft Outlook and Word or equivalent programs)
Strong interpersonal skills, communication, collaboration, and conflict resolution
Commitment to the research process and application to practice
Ability to manage multiple priorities simultaneously and effectively handle the emotional stress of the workload
Ability to work independently exercising discretion and independent judgment
Ability to work in collaboration with other disciplines within the organization
Certified by appropriate hospice nursing organization within two years of hire date
Ability to travel to off-site locations
Valid driver's license and automobile insurance in the State of Florida; must have reliable transportation to be able to meet visit schedule
Must be able to physically access any home in any area of Company service area, i.e., navigate stairs, and narrow spaces, tolerate heat and lack of air conditioning
Satisfactorily complete competency requirements for this position
Responsibilities of all employees:
Represent the company professionally at all times through care delivered and/or services provided to all clients
Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse
Comply with company policies, procedures and standard practices
Observe the company's health, safety and security practices
Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the company
Use resources in a fiscally responsible manner
Promote the company through participation in community and professional organizations
Participate proactively in improving performance at the organizational, departmental and individual levels
Improve own professional knowledge and skill level
Advance electronic media skills
Support the company's research and educational activities
Share expertise with co-workers both formally and informally
Participate in Quality Assessment Performance Improvement activities as appropriate for the position.
Leadership Success Factors: (Managers)
Communication: Express thoughts and ideas clearly. Adapt communication style to fit audience
Initiative: Originate action to achieve goals
Management Identification: Identify with and accept the problems and responsibilities of management.
Judgment: Make realistic decisions based on logical assumptions, factual information and in consideration of organizational resources
Planning, Organizing and Controlling: Establish course of action for self and/or others to accomplish a specific goal; plan proper assignments of personnel and appropriate allocation of resources. Monitor results
Leadership: Use appropriate interpersonal styles and methods in guiding others
Ethics: Model highest standards of conduct and ethical behavior, adopting a strong position against fraud and abuse
Regulatory Compliance: Educate and monitor staff regarding their own and the organization's responsibilities for regulatory compliance
Provide direct primary or consultative patient care through home visits, as well as clinic/nursing home/assisted living/inpatient unit/hospital visits, as designated by the Medical Director.
Work directly under protocol with physicians from the company's medical staff
Provide clinical expertise and participate in interdisciplinary team decisions regarding diagnosis and medical management of patient/family needs, assuring that the highest quality of medical care is provided and that continuity and comprehensiveness of care is maintained in a cost-effective manner
Consult to patients' primary and attending physicians regarding integration of patients' hospice care and primary or other care
Report regularly to physician staff regarding clinical care provided
Evaluate patients referred to hospice for eligibility according to current guidelines
Work cooperatively with the Admissions Department to facilitate timely provision of services to potential company patients
Utilize practice opportunities to provide expert nursing care to patients, to evaluate nursing practice, and to provide clinical learning activities for case managers, IDT members, and students
Influence nursing practice by participating in patient care advocacy issues directed toward improving practice and the quality of patient care
Act as a role model for professional practice by integrating all components of the professional role: clinical practice, consultation, collaboration, leadership, education, and research/evaluation
Collaborate with all disciplines within the agency and community to develop effective patient care programs.
Respond to clinical emergencies as an expert consultant under protocols to case managers (i.e., oncologic emergencies, high risk or potential)
Provide care for patients in a hospice inpatient facility, as designated by the Medical Director.
Participate in after-hour coverage for hospice patients cared for by hospice medical staff
Prepare patient billing information in conjunction with the appropriate billing agency
Complete timely medical documentation of medical information on all patients seen by nurse practitioner using the electronic health record
Contribute to Performance Improvement efforts of medical documentation by company staff
Contribute to research efforts of the company by actively recruiting research subjects
Promote the company's programs to nursing homes, ALFs, HMOs, hospitals, and other referral sources
Attend the company's Medical Staff meetings regularly, a minimum of 50% of all scheduled monthly staff meetings and review minutes of meetings not attended within 5 days of their being made available
Represent the company at appropriate local, state, national, and international forums*
Evaluate patient care outcomes and propose solutions
Participate in appropriate agency-wide committees
Supervise and educate fellows, residents, and medical students participating in company programs
Support research to promote clinical knowledge, development, and research-based clinical practice
Participate in development of clinical policy and procedures to improve quality of care delivery
Evaluate current research findings for specialty and determine efficiency in practice setting
Provide leadership in the development, implementation, and evaluation of standards of practice within the hospice specialty
Assume responsibility as a self-directed professional for own continuing education. Identify needs or seek direction in identification of needs to maintain expertise and keep current with health care
At Chapters Health System, our team members thrive in an environment that fosters teamwork and professional growth. Our location offers the perfect Florida lifestyle to promote the ideal work / life balance. We reward each employees’ talent with a competitive salary and outstanding benefits.
As a compassionate non-profit organization since 1983, Chapters Health System is committed to enhancing the lives of those affected by advancing age or illness. Through our comprehensive system of healthcare choices, we deliver expert care and heartfelt support to guide the community during the aging and end-of-life journey. From hospice and palliative care for adults and children suffering with l...ife-limiting illnesses to in-home and community-based services for frail but independent seniors, Chapters Health offers a wide range of support services along life’s ever-changing landscape. We’ll help you navigate your individual experience – empowering you with more choices, education and guidance for these important chapters of life.