Nurse Practitioner

Why Work for Us?
Partners In Care (PIC) is an independent 501(c)(3) nonprofit organization and the largest, oldest provider of home health, palliative care, and hospice services in Central Oregon. Serving Deschutes, Crook, and Jefferson counties, our dedicated team of over 200 employees and 150 volunteers delivers compassionate, patient-centered care across a 10,000-square-mile area. Additionally, Hospice House in Bend, Oregon, is a specialty hospital for inpatient hospice care, creating an oasis of tranquility and comfort for patients and their families. We prioritize excellence, empathy, and collaboration. We foster a culture of kindness, respect, and learning while valuing diversity and the well-being of our employees, volunteers, patients, and families.

Status: Full Time (salaried-exempt) 40-hours per week.
Hours: 8:00 AM to 5:00 PM-combination of weekdays and weekends. Work outside of these hours may be required.
Location: Working all throughout Central Oregon.
Benefits:

• We offer two medical, dental, and vision plans. Insurance starts on the 1st of the month following the hire date!
• Generous Paid time off.
• $25,000 life insurance policy.
• Short and long-term disability.
• 403b retirement savings with employer match, no vesting required!
• Employee Assistance Program
• Voluntary benefits: Legal Shield, AFLAC & MASA Transportation.

Summary/Objective:
The Nurse Practitioner will be responsible for performing the face-to-face visits as required by Medicares final ruling on Section 3132(b) of PPACA (the Affordable Care Act), updating Sec 418.22 Certification of terminal illness, and adhering to all State, Federal, and compliance regulations, as well as other provider responsibilities not requiring a physician to perform.

Essential Functions:

• Responsible for reviewing the status of the hospice patient with the IDT prior to conducting the required face-to-face visit as designated by the Hospice Medical Director.
• Conducts a thorough, comprehensive assessment of the patient in order to support evidence of decline and a continued need for hospice if appropriate.
• Completes appropriate documentation within 48 hours of visit.
• Executes e-scribe orders in a timely manner.
• Assists in the completion of death certificates in OVERS.
• Provides education to clinical and other staff.
• Mentors and serves as a clinical resource for hospice field RNs.
• Collaborates as part of a team of physicians and nurse practitioners with regular meetings.
• Conducts patient visits in the field for those requiring more intensive symptom management as requested by hospice team.
• Reviews medications and recommends changes appropriate to individual cases.
• Serves as PCP for patients when applicable.
• Travels throughout the Central Oregon service area, including La Pine, Crescent, Christmas Valley, Prineville, Madras, and Sisters.
• Takes calls M-F from 8:00 AM to 5:00 PM.
• Communicates findings to the Medical Director and the rest of the IDT involved in the case.
• Adheres to the PIC mission and values.

Required Skills & Qualifications:

• Nurse Practitioner is and shall remain duly licensed to practice medicine in the State of Oregon. Nationally Certified Family or Adult Nurse Practitioner preferred.
• Requires excellent understanding of pharmacology, interactions, and use of controlled substances.
• Professional Standards; Compliance with Law. Nurse practitioner shall at all times comply with the ethics and professional standards of the medical profession; applicable federal, state, and local laws, rules, and regulations; Partners In Cares policies and procedures; and the rules and regulations that are applicable to Partners In Care, including accreditation and certification requirements.
• Drug Enforcement Administration. Nurse practitioner has and shall at all times during the course of employment maintain registration with the Drug Enforcement Administration (DEA) and any applicable state agency without limitation on the Medical Directors authority to prescribe drugs under such registration and shall provide current proof of such registration upon Partners In Cares request.
• Qualify for Partners In Cares Professional Liability Insurance Coverage. Nurse practitioner shall at all times qualify for insurance coverage under Partners In Cares professional liability policy.
• Experience in primary care for 3-5 years in a variety of settings is preferred.
• Preferred ability to have worked with underserved, medically complex patients in uncontrolled settings.
• Previous experience working with complex pain patients and a good understanding of federal regulations regarding controlled substances/utilization of narcotic contracts.
• Knowledge of LCD guidelines for hospice diagnoses and some hospice experience/exposure preferred.
• Flexibility in schedule to meet the needs of the population/organization/team.
• Demonstration of cultural competency.
• Spanish speaker helpful.
• Ability to pass a background test, drug screen, and TB test.
• Valid CPR Certification.
• Current automobile insurance, a valid Oregon drivers license, and reliable transportation are required for those working in the field.
• Strong communication and interpersonal skills.
• Ability to work independently and collaboratively within an interdisciplinary team.
• Compassion, empathy, and dedication to patient care.

Work Environment:

• May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances.
• May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations.
• Handles emergency or crisis situations.
• Physical demands also include the ability to lift patients, assist with ambulation, walking, carrying, and pushing.
• OSHA exposure category 1: Position includes tasks that involve exposure to blood, body fluids, tissues.
• Required Personal Protective Equipment as conditions warrant: gloves, gown, mask, mask with shield, goggles, shoe covers, bouffant cap.