Advanced Practice Nurse Practitioner (APRN) – Hospice/Care Management

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Title: Advanced Practice Nurse Practitioner (APRN) – Hospice/Care Management

Department: Hospice / Care Management

Reports To: Director of Clinical Operations

Status: Exempt - Casual/PRN

Position Summary:

The Advanced Practice Nurse Practitioner reports to the VP of Clinical Operations the Vice President of Clinical Operations and works in collaboration with the Hospice Medical Director as a mid-level clinician. The Advanced Practice Nurse Practitioner is responsible for the completion of face- to-face client visits for the purpose of determining continued eligibility criteria for hospice care in collaboration with the Hospice Medical Director; provides comprehensive client assessment and ongoing hospice care as assigned, completes evaluation and management patient visits to assess for enhanced care management services, works in conjunction with the care management team and collaborates with patients primary care provider to address any care management patient care escalations; assists with community and facility educational presentations and public relations tasks, as assigned. The Advanced Practice Nurse Practitioner providers services in accordance with local, state, and federal regulations as well as the philosophy, goals and objectives of ruralMED Management Resources.


Education and/or Experience:

• Graduation from accredited advanced practice nursing program.
• Two years of acute care/long term care nursing experience within the last five years required.
• Experience in community health and/or hospice preferred.

Licenses/Certifications Required:

  • Current Nebraska issued Nurse Practitioner license required.

  • Valid Nebraska driver’s licensed and state required minimum automobile insurance coverage required.

  • Current CPR certification required.

General Requirements/Job Duties:

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:


  1. Adheres to the ruralMED mission, vision, and values.
  1. Provides client assessment and face to face visit for the purpose of establishing hospice eligibility criteria and documentation of criteria to ensure regulatory compliance.
  1. Complete evaluation and management visits with assignment of appropriate billing codes.
  2. Ensures the timely and adequate delivery of Hospice services to clients, including responsible for care plan management and oversight.
  1. Provides for development of the initial plan of care, evaluates client for any immediate needs such as medications, durable medical equipment or supplies and arranges for delivery.
  2. Maintains clinical record documentation according to agency policy/procedures and regulations.
  3. Actively participates as an Interdisciplinary team member, including offering insight and suggestions for care for all clients served by the team.
  4. Contributes to continuity of care and effective communication between client/family, Hospice team members, Home Health Agencies, Inpatient Facilities, Ancillary Services, and Physicians.
  5. Accepts responsibility of departmental and professional growth and development by evaluating delivery of care and serving as a role model.
  1. Accepts responsibility for providing on call, holiday and weekend nursing visits to Hospice clients, on an as needed basis during usual circumstances.
  1. Supports and interprets ruralMED Hospice and departmental philosophy and objectives.
  2. Participates as a team member to ensure that the department workloads and goals are met.
  3. Demonstrates professionalism through appropriate dress and conduct.
  4. Maintains knowledge of and adheres to established organizational and departmental policies and procedures.
  5. Participates in organizational departmental goals and performance improvement activities.
  6. Adapts to changing workload and work environment.
  7. Organizes and prioritizes work to complete responsibilities according to plan and with established timelines.
  8. Maintains a positive outlook toward employer, work responsibilities and customers.
  9. Follows safety and infection control policies and practices of the organization.
  10. Assures delivery of optimum service by following assigned work schedule.
  11. Participates in personal and professional growth by attending mandatory in-services and scheduled department meetings.
  12. Performs other duties and special projects as assigned by the supervisor.


Nonessential Duties:

  1. Participates in agency and community health programs to promote growth and understanding of hospice and home health services upon supervisor’s request.
  2. May attend funerals or memorial services of clients.


• Will have access to primary work location 24 hours a day.
• Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.

Equipment Used:

• General office equipment to include: fax, copier, computer, printer, etc…
• Telephone
• Use of home blood glucose monitoring equipment, standing scales, infusion pump, mechanical lift (e.g., Hoyer), wheelchair, walker, cane, splints, brace, hospital bed, commode, thermometer, sphygmomanometer, stethoscope, and oxygen equipment.

Patient Age Groups Served:


Essential Work Environment & Physical Requirements:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical ActivityNot
(0-35% of day)
(36-66% of day)
(67-100% of day)
Lifting (Floor to waist level)100 lbs.40 lbs.
Lifting (waist level and above)100 lbs.40 lbs.
Lifting (Shoulder level and above)100 lbs.40 lbs.
Carrying ObjectsX
Push/Pull100 lbs.40 lbs.
Reaching forwardX
Reaching OverheadX
Squat/kneel/ crawlX
Wrist Position DeviationX
Pinching/Fine Motor activitiesX
Keyboard use/ repetitive motionX
Sensory RequirementsNot ApplicableAccurate 20/40Very Accurate
Near VisionX
Far VisionX
Not ApplicableYesNo
Color DiscriminationX
Not ApplicableAccurateMinimalModerate
Depth PerceptionX
Environment Requirements
(Occupational Exposure Risk Potential)
Not AnticipatedReasonably Anticipated
Bloodborne PathogensX
Airborne Communicable DiseaseX
Extreme TemperaturesX
Uneven Surfaces or ElevationsX
Extreme Noise LevelsX
Dust/Particulate MatterX
Other (Listed)Pet exposure /
Tobacco Smoke
Shift Requirements8 hrs/day10 hrs/day12 hrs/dayOther (varied)
Usual workday hoursX
Not ApplicableYesNo
Reliable, punctual attendance for assigned shiftsX
Available to work overtimeX
Telecommuting available?No.