About Us

At Envision Hospice, we believe in dignified, compassionate end-of-life care. Serving communities across Washington, our interdisciplinary team provides patients and their families with comfort, peace, and holistic support during life’s final journey.

Position Overview

We are seeking a compassionate and experienced and reliable Part Time, Hospice Nurse Practitioner (NP) who is passionate about providing quality care to patients and families within our service area in Washington State. That includes King County, South Snohomish County, Pierce County, Kitsap County. and some of Thurston County.

Assists in the medical aspects of the agency’s hospice and palliative care program.

Serve as consultant and advisor to the Director, offering his/her expertise to assess and interpret medical problems. The Hospice and Palliative Care nurse practitioner serves as consultant to the primary physician of agency patients but does not take over the medical direction of the patient’s care. Serves as consultant to the Interdisciplinary Group.

Primary Responsibilities

• Provides nursing assessment, care and evaluation to seriously ill patients in inpatient and community-based palliative care programs.
• Provides counseling areas within Hospice and Palliative Care to ensure that these areas consistently meet patient and family needs.
• The Hospice Medical Director, Nurse Practitioner, and contracted physicians, in conjunction with the patient’s attending physician, are responsible for the palliation and management of terminal illness and conditions related to the terminal illness.
• In coordination and collaboration with the Medical Director assumes overall responsibility for the medical component of the Hospice and Palliative patient care program, functions as part of the Hospice IDG, and acts as consultant for medical care.

The duties and responsibilities of the nurse practitioner include, but are not limited to:

• Consultations in hospital inpatients, skilled nursing and visits to patients in their private homes.
• In coordination with the Medical Director, oversees the implementation of the entire physician, nursing, social work, therapy and counseling areas within Hospice and Palliative Care to ensure that these areas consistently meet patient and family needs.
• Responsibility for medical components in conjunction with the Medical Director of the Hospice and Palliative patient care program.
• Participates in and acts as a medical resource to the IDG and Hospice leadership.
• Reviews the clinical information for each Hospice patient and provides written documentation of clinical findings from the face-to-face encounter to the certifying physician for use in determining whether the patient has a life expectancy of 6 months or less if the illness runs its normal course.

The physician must consider the following when making this determination for certification:

• The primary terminal condition.
• Related diagnosis(es), if any.
• Current subjective and objective medical findings.
• Current medication and treatment orders.
• Information about the medical management of any of the patient’s conditions unrelated to the terminal illness.
• Before the recertification period for each patient the nurse practitioner designee must review the patient’s clinical information and provide a face-to-face encounter with every hospice patient to determine the continued eligibility of the patient.
• Participates in the establishment and implementation of the plan of care, which is
• coordinated with the attending physician and IDG prior to providing care.
• Participates in conjunction with the attending physician and IDG to review, update and sign the plan of care when changes are made and at least every fifteen days.
• Consults with attending physicians, if requested.
• Is available to patients on a 24-hour basis to manage their terminal illness and medical needs to the extent that the attending physician is absent or not able to meet these needs.
• Acts as a liaison with other physicians in the community serviced by Hospice and Palliative Care and facilitates communication.
• Participates in educational programs for staff, when requested.
• Is a member of and participates in designated interdisciplinary group activities.

Provides advice, guidance and assistance to Hospice staff until a satisfactory resolution is reached when a medical order:

• Is of a questionable nature.
• Contains a discrepancy.
• Lacks clarity.
• Continues to be a concern for the staff after consultation with the primary physician.
• Provides medical consultation and direction when the attending physician or their designee cannot be reached and there is a change in the patient’s condition requiring medical attention.

Qualifications

• Graduate from an accredited school with a Master of Science in Nursing (MSN) or a Doctor of Nursing Practice (DNP).
• Practicing nurse practitioner currently licensed in the state of Washington.
• Certified in Hospice Care is preferred.
• Must know and understand the principles of Hospice care and a willingness to work as a Hospice team member.
• Demonstrated knowledge and well-developed skills in medicine, oncology, pharmacology; pain and symptom control; psychology of loss; and acceptance of Hospice and Palliative principles of care.
• Must be able to work independently and make judgments based on assessments and data available and act accordingly.
• Must have a current valid driver’s license, auto liability insurance, and reliable transportation.

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