Salary $101,400.00 per year

• Provides and documents medically necessary services in accordance with physician/NP protocol.
• Develops the appropriate treatment plan that maximizes the health potential of the patient (i.e., ordering and interpretation of diagnostic tests, identifying appropriate pharmacologic agents, identifying appropriate non-pharmacologic interventions, developing an education plan as appropriate, interpretation of laboratory and radiology tests, ordering of durable medical equipment). Advanced care planning for the maximization of continuity of care.
• Consult with collaborative physician, consulting practitioners, primary care physician and other specialist physicians.
• Establishes relationships with existing hospital-based palliative care teams, partner organizations, medical directors, hospital physicians, community physicians, nurses and other team members as well as community members to build a culture of collaboration and clinically integrated care across the continuum.
• In collaboration with PCP, refers patients to medical specialists and/or refers patients to other healthcare services as medically indicated.
• Assists in all facets of care coordination for referrals.
• In association with Marketing department, develops outreach programs for community agencies and health care setting. Participates in outreach presentations to interested groups.
• Provides disease management instruction and education to patients and their families.
• Provides clinical guidance to facility staff relative to patient care issues, assessments and interventions.
• Performs reasonable on-call services as applicable.
• Participates with care setting?s interdisciplinary team as appropriate.
• Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided, and support of appropriate medical uses.
• Acts as a clinical resource to coordinate complex cases for safe and appropriate transitions to other care settings.
• Complies with applicable laws and regulations with respect to Delegation Protocol Agreements, prescriptive authority, and NP scope of practice.
• Reviews KAQ policies and services with referred patients and/or family caregivers or authorized patient representative and obtains consent for medical care.
• Works collaboratively with Intake department in verification of coverage/payment and initiates reimbursement for services rendered.
• Assists in the development and review of clinical practice guidelines/standards in support of quality care, and the preparation of associated policies and procedures.
• Acts with integrity, compassion, and customer focus to ensure quality care.
• Adheres to employment policies as described in the employee handbook; maintains and respects confidentiality; adheres to all HIPAA regulations.
• Participates in all required in service education programs and meetings.
• Demonstrates compliance with the dress code policy by appearing well groomed, wearing ID badge while on duty and maintaining a professional appearance.
• Performs other duties as assigned.