Palliative Care NP/ARPN

Company Overview

Christus Hospice & Palliative Care, a part of LHC Group is hiring!


The role of the Palliative Care Nurse Practitioner/APRN provides direct patient and family care through home based palliative

care consultation to ensure specialty services to patients with serious illness by proactively identifying patient centered

opportunities to improve the patient and family's experience of illness, anticipate and treat distressing symptoms. As a member

of the palliative care interdisciplinary team, provides and facilitates evidence based plan of care that improves the quality,

efficiency and effectiveness of needed health related interventions and resources in their lives. The NP/APRN will provide

specialized assessment, diagnose and implement high quality palliative plan of care utilizing evidence based treatment protocols

to provide patient centered goals of care, symptom management, disease trajectory, prognostic education and counseling.

Actively fosters team processes that support appropriate referral for setting management. Closely communicates with the

patients referring physician to make recommendations and discuss the ongoing plan of care. Provides outreach to community

agencies and health care settings (such as nursing homes) to provide direct patient care in those settings when consulted. Under

the direction and in collaboration with the Palliative Care Medical Director, patient's referring physician, collaborating physicians,

Palliative Care Manager/Administrator, and Palliative Care Interdisciplinary Team assures practice is in compliance with legal,

regulatory, clinical protocols, policies, and procedures.


Essential Functions

Essential Functions

  • Demonstrates effective and ethical use of approved evidence based palliative medicine practices in the delivery of all patient

    care based on physical, emotional, spiritual, psycho/social, ethical, educational, safety and related criteria, appropriate to the

    ages of patients served.

  • Demonstrates knowledgeable clinical expertise by incorporating palliative care body of knowledge to formulate an effective

    plan of care.

  • Gathers pertinent information systematically from all sources, including medical records, family history, caregivers, and

    thorough specialty physical, emotional psychosocial and spiritual clinical patient assessment.

  • Completes a comprehensive assessment utilizing the palliative care domains of assessment, interprets findings, medication

    reconciliation assessment and formulates problem related diagnosis, initiates plan of care utilizing therapeutic interventions

    and evaluates the results of these actions for adequate outcome responses.

  • Provides thorough assessment of distressing symptoms utilizing appropriate scales and assessment techniques and prescribes

    evidence based medications and adjunctive interventions for the palliation of symptoms.

  • Formulates diagnosis and documents a problem list which reflects the appropriate history, physical examination, and results of

    diagnostic tests.

  • Demonstrates professional consult etiquette and effective communication skills when discussing the plan of care and

    appropriate recommendations with medical director, patients' primary care provider, specialist providers and interdisciplinary

    team to insure the appropriate communication concerning the plan of care.

  • As indicated by patient /caregivers needs, appropriately performs and documents an ongoing reassessment of the problems,

    and implications for revision of management, utilizing problem oriented documentation.

  • Demonstrates effective therapeutic communication /counseling techniques performing illness counseling and conducting family

    conferences with patient, caregivers, family and/or significant others to discuss patients plan of care. Interacts in a positive

    manner with the family unit, providing appropriate information, emotional and spiritual support.

  • Contributes to the health teaching of patients, caregivers, families and significant others regarding the patient's

    anticipated/active distressing symptoms, identified diagnosis, disease trajectory, advance directives, prognostic awareness and

    end of life issues with appropriate teaching materials and strategies.

  • Functions independently, autonomously without supervision, utilizing time constructively and organizing assignments, for

    maximum productivity.

  • Provides timely, effective medical record documentation, coding and placing charges utilizing appropriate professional clinical

    language and approved abbreviations.

  • Available daily to triage referrals to the palliative care service to determine appropriate level of intervention and urgency of


  • Maintains contact with patients' Home Care and Hospice Care providers to assists in care management as necessary to

    facilitate optimal care.

  • Assist in leading interdisciplinary team meetings, to facilitate interdisciplinary collaboration through discussion of patient plan

    of care, progress, significant events or patient decline, caregiver needs and family dynamics on an as needed basis. Makes

    recommendations to the team when needed.

  • Demonstrates an attitude of inquiry towards medical/nursing practices and assists in developing evidence based

    nursing/medical protocols for quality outcomes.

  • Assists in the orientation new members of the palliative care interdisciplinary team while serving as a resource and preceptor.

    Acts as a role model for open communication and collaboration will all members of the team.

  • Consults with the medical director and collaborating physicians when needed.

  • Pursues problems to resolution and/or refers them through the appropriate chain of command.

  • Participates in assigned departmental activities and committees, working in a constructive manner.

  • Reviews current professional literature and utilizes evidence based medical/nursing research to improve own clinical practice

    and stay updated.

  • Maintains required continued education for APRN licensure, prescriptive authority, certifications, technical skills, training and


  • All other duties as assigned.


Education & Experience

License Requirements

  • MS/MSN/MN or PhD of an U.S. Accredited School of Nursing

  • RN/APRN licensure in State of Practice

  • Nurse Practitioner/CNS with prescriptive authority. Must maintain all requirements for licensure

  • 5 years of clinical nursing Experience. 1-2 years as APRN with Hospice, Palliative Care or Oncology preferred

  • Advanced practice palliative care certification (ACHPN) is preferred. Certification in an appropriate advanced practice area will

    be considered. BCLS Licensure requirement. ACHPN Certification is encouraged following 2 years of employment

LHC Group
Full time
Shreveport, LA 71101, US