Job Description

Job Title: CRNP Staff- Palliative
Job ID: 728877
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: UPP10_Palliative Care PSI APPs
Location: 200 Lothrop Street, Pittsburgh PA 15213

Description

If you are an Advanced Practice Provider who loves an upbeat environment, working hands on with patients and their families, then why not consider a job at UPMC?

University of Pittsburgh Physicians is hiring a full-time Certified Registered Nurse Practitioner to help support the Palliative Care Department. This position will work Monday through Friday  8 hour daylight shifts rounding at Presbyterian campus.

The Staff Advanced Practice Provider (APP) is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care delivery team. The Staff APP is responsible for setting the standards for the level and quality of care. The Staff APP has responsibility, authority and accountability for the provision of care through supervision by and collaboration with a physician. The Staff APP manages and provides patient care activities for a group of patients and their families through the application of independent judgment, communication and collaboration with all team members. The role of the Staff APP encompasses the beginnings of leadership, partnership, collaboration and supervision. The Staff APP establishes and maintains collaborative relationships with physicians, other health care providers, patients and their families, to achieve desired patient outcomes throughout the continuum of care. The Staff APP begins to demonstrate a commitment to the community and to their health care profession.

The successful candidate will be placed according to years and months of experience for employment purposes.


Responsibilities:
  • 1. Position Specific: Care Delivery Triages palliative care consults and all patient care-related issues. This triage requires advanced assessment of patient care needs, as well as precise communication with the referring provider regarding reason for consultation. Performs comprehensive physical, psychosocial, functional, and family assessments for patients referred to palliative care using standardized palliative care tools and measurement sets. Applies evidence-based practice as a regular aspect of professional practice. Determines diagnostic and therapeutic procedures and develops treatment plans for pain and symptom management that align with preferences and goals for care to ensure that the treatment plan reflects these goals. Appropriately prepare both patient and family for the dying process and for death when it is anticipated, including exploration of hospice options, and provision of bereavement support. Documents patient information and care provided in the patient medical record; including history and physical examination, consultations, progress notes, transfer notes, and discharge summaries in a timely manner
  • 2. Position Specific: Education and Leadership Serves as a resource to nursing staff, faculty, students and other health care personnel in the acquisition of knowledge and skills related to Palliative Care for the utilization in the expansion and improvement of patient care and outcomes. Analyzes and disseminates current medical and nursing literature for utilization in the expansion and improvement of patient care and outcomes
  • 3. Position Specific: Collaboration of Care/Teamwork Collaborates with medical and surgical specialty services, nursing staff, social work, medical ethics, physical therapy, occupational therapy, dietary, home health liaisons, and other services to provide integrated care and continuity of care. Practices solid communication skills, and is able to articulate and translate the patient's condition to other care providers and to negotiate and make recommendations for changes in patient care and clinical practices. Assesses patient/family psychosocial, emotional/spiritual needs and engages ancillary services, including Music Therapy, Pet Therapy, Massage Therapy and Pastoral Care.  Outreach and follow up for recently discharged families to address questions regarding patient care, practical home care needs, or symptom distress. Participates in weekly interdisciplinary team meetings for each inpatient Palliative Care service.
  • 4. Position Specific: Relationships/Family Support Builds relationships with patients, families and colleagues.  Counsels, educates and supports the patient and his/her family regarding his/her diagnosis, test results, medications, disease course and management, treatment plans, and long-term goals in an understandable and realistic manner, along with benefits and burdens of treatment options. Facilitates patient/family meetings to discuss and review prognosis, assess patient goals of care and treatment preferences, address code status orders and POLST completion, as appropriate.  Supports family and staff during grieving process.
  • 5. Position Specific: Professional Development  Maintains current working knowledge in state of the art palliative care by self-directed learning, attendance at scholarly/academic learning sessions, and certification as available/appropriate.  Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis.  Constructively seeks, accepts and utilizes performance feedback from peers, preceptors and unit/department leaders as a learning opportunity and to improve practice.  Participates in self-review, sets new goals and objectives for self on annual basis
  • 6. Position Specific: Administrative Timely and accurate entries in Kronos  Completes accurate, and timely billing Demonstrates timely response to all administrative requests, responsibilities and compliance requirements (i.e. PPD, CPR, training, licensing, certifications and expenses) Maintains a conscious balance between work and personal life through prioritization and delegation of responsibilities. Complies with requirements of appropriate regulatory agencies (i.e. OSHA, PA Department of Health).
  • Actively engages in clinical development of all members of the healthcare team. Requests opportunities to learn advanced professional practice techniques from senior healthcare team members. Seeks, accepts and utilizes performance feedback from peers, preceptors and unit/department Leaders as a learning opportunity and to improve practice. Demonstrates enthusiasm for continuous learning and identifies and creates a plan for the continuation of learning and development. Identifies patient and family needs for education and provides basic education to support the episode of care. Seeks professional development and involvement through membership in a professional organization and/or reading professional literature on a regular basis.
  • Applies basic professional practice knowledge and skills appropriate for practice setting. Communicates effectively, both verbally and in documentation. Demonstrates critical thinking in all areas of professional practice. Learns to incorporate acceptable standards of professional practice as well as business unit and health system's goals to improve patient safety, quality and satisfaction. Formulates a plan of care that considers individual patient needs. Demonstrates initiative and seeks formal and informal opportunities to improve clinical practice. Seeks guidance and asks questions to continuously improve professional practice. Builds relationships with patient, families and colleagues. Identifies ethical situations within patient care or within the workplace and seeks assistance. Professionally accepts assignments that gradually increase patient load and complexity.
  • Demonstrates a basic knowledge of research, how it affects practice and who/what resources are available to assist with evidence based practice by asking questions, demonstrating interest, participating in journal clubs. Clinical practice demonstrates knowledge of how quality and innovation impacts patient satisfaction, safety, and clinical quality outcomes. Identifies opportunities for improvement on the clinical area.
  • Demonstrates accountability for professional development that improves the quality of professional practice and the quality of patient care. Makes recommendations for the improvement of clinical care and the health of the workplace and welcomes and participates in change initiatives. Leads by investing and building healthy relationships among colleagues and other disciplines. Shows the ability to set priorities. Begins to serve as an engaged member of a team supporting colleagues in service to patients and families and may participate in task forces or other initiatives.
  • Demonstrates the ability to communicate clearly and effectively with all members of the health care team. Begins to demonstrate awareness of cultural diversity, horizontal violence and impairment in the health professions. Cares for patients and self by supporting safety in the workplace.
  • Prepares, distributes and communicates to colleagues comprehensive patient summaries and sign-outs for weekend management of patients and continuity of care. 
  •  Maintains Palliative Care Service statistics including location of discharge and deaths.

Qualifications

Qualifications:
The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the patients served as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures.

CRNP:
  • The successful completion of an approved nurse practitioner program is required
  • BSN, MSN is preferred
  • Professional nursing experience and/or nurse practitioner experience is preferred
  • Special Skills and Abilities Required: 
  • Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. 
  • Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. 
  • Critical thinking, analytical and problem solving abilities required as related to various aspects of patient care. 
  • Good clinical judgment. 
  • Critical thinking skills necessary to exercise and to lead others in application of acceptable standards of practice. 
  • Mobility and visual manual dexterity. 
  • Physical stamina for frequent walking, standing, lifting and positioning of patients. 
This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice.

Licensure, Certifications, and Clearances:

CRNP:
  • Current state RN license and CRNP certification are required
  • National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing
  • Current CPR certification is required
  • Act 34 Clearance required
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $36.07 to $57.47

Union Position: No

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