Nurse Practitioner - Care at Home - San Gabriel Valley (Mandarin)

Patient Care & Assessment

Conduct comprehensive health assessments, physical examinations, and diagnostic evaluations for patients in their homes.
Complete transitions of care post-discharge.
Develop individualized care plans for high-risk patients, considering their medical history, comorbidities, and functional status.
Prescribe and manage medications, including managing complex drug regimens for chronic conditions such as heart failure, diabetes, COPD, and more.
Perform health screenings and provide preventive care to help minimize hospitalizations and emergency room visits.

Palliative Care Management

Assess patients for eligibility and appropriateness for palliative care, focusing on symptom management and quality of life for individuals with serious or life-limiting conditions.
Provide compassionate palliative care to improve comfort, alleviate pain, and address psychological, emotional, and spiritual needs for patients and their families.
Collaborate with the palliative care team to develop care plans that align with the patient's goals, preferences, and values.
Educate patients and families on palliative care options, including advanced care planning, pain and symptom management, and end-of-life care.
Monitor and adjust palliative interventions based on patient needs, ensuring a holistic approach to care that includes physical, emotional, and social well-being.

Clinical Documentation & Reporting

Accurately document all patient interactions, assessments, treatments, and progress in the Electronic Health Record (EHR) system.
Maintain confidentiality and comply with all relevant healthcare regulations and standards (e.g., HIPAA).

Other Duties as Assigned

Advocate for patients’ rights and ensure that they receive the best possible care and services in the home setting.
Address any concerns or challenges that arise in the home care environment, ensuring patient safety and satisfaction.
Support patients and families with end-of-life planning, palliative care needs, and grief counseling when appropriate.

Qualifications

• Current, unrestricted Nurse Practitioner license in CA and Furnishing License
• Fluent Mandarin
• Certification as an Adult-Gerontology Nurse Practitioner (AGNP) or Family Nurse Practitioner (FNP), with additional certifications or experience in relevant specialties (e.g., palliative care, wound care, gerontology) preferred
• Strong understanding of home health care protocols, chronic disease management, palliative care, and geriatric care
• Ability and willingness to travel to patient homes and perform telehealth visits from home
• Ability to independently assess and manage patients in home settings with minimal supervision
• Excellent communication and interpersonal skills, with the ability to work collaboratively in a multidisciplinary team
• Ability to use electronic health records (EHR) systems and other clinical tools proficiently
• Knowledge of state and federal regulations governing home care services
• Strong critical thinking, problem-solving, and decision-making skills
• Ability to work with patients from various cultural backgrounds, ability to utilize translational services