Nurse Practitioner(Hospice/Palliative Care/RRTP)

About the role

Cheyenne Veterans Affairs Healthcare System (CVAHCS) is a Level 3 facility with service-lines serving medical, mental health, surgical, and neurological outpatients, with a Level 3 Emergency Department, and multiple Community-Based Outpatient Clinics (CBOCs). There is a large outpatient psychiatric population, with admissions for medical co-morbidities. Home-Based Primary Care is provided in the veteran's home.

Responsibilities

• Independently manages a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice.
• Develops and implements an individualized plan to achieve optimal population health and disease management.
• Demonstrates leadership and works collaboratively with the interdisciplinary team.
• Orders and interprets labs, tests, and diagnostic studies.
• Prescribes pharmacologic and non-pharmacologic interventions.
• Initiates referrals and consults to specialty services.
• Provides education to patients and their families.
• Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes.
• Exemplifies the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence.
• Collaborates with the interdisciplinary team across services, including but not limited to mental health, pain management, whole health, education, primary care, home oxygen, laboratory services, radiology services, innovation, Physical Medicine & Rehabilitation Services (PM&RS), complementary/integrative health, social work, pharmacy, physical therapy, occupational therapy, surgical services, telehealth, and nursing services.
• Conducts palliative care consultations in conjunction with palliative care team members, including engaging in goals of care conversations and addressing symptom management needs.
• Communicates palliative care consultation findings with the referring medical provider, the veteran, and/or their medical decision-maker.
• Completes or updates Life-Sustaining Treatment orders for veterans receiving palliative and/or hospice consultations after discussions with the veteran or their medical decision-maker.
• Provides education to palliative care team members and medical staff on palliative care topics, contributes to policies, protocols, and strategic planning for palliative care at the CVAHCS, and generates reports on palliative care services for MEB and other requested meetings.
• Tracks and analyzes palliative care surveys and data.
• Affords hospice eligibility assessment and handles recertifications.
• May provide coverage for the Community Living Center and/or Home-Based Primary Care as needed.
• Works within the context of the interdisciplinary Residential Rehabilitation Treatment Program (RRTP) and primarily provides medical services for Veterans admitted to the RRTP or to the acute care ward for substance use disorder (SUD) and/or post-traumatic stress disorder (PSTD).

Qualifications

• Advanced Practice Nurse (Nurse Practitioner) Basic Requirements
• Education: A post-master's certificate or master's or doctoral degree as a Nurse Practitioner.
• Licensure - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia.
• Basic Board Certification - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP) from one of the following: the American Nurses Credentialing Center (ANCC), American Academy of Nurse Practitioners Certification Board (AANPCB), or other nationally recognized certifying body in the area in which the Nurse Practitioner is academically prepared.