Oversees the medical care and treatment of Hospice patients and provides direction and guidance to the staff and volunteers to assure quality care. Consults and cooperates with the patients’ attending physicians. Works under general direction.
- Participates in the evaluation and recertification of the terminal prognosis of patients at indicated intervals.
- Collaborates with interdisciplinary team (IDT) in the development, implementation, and ongoing revision of the physician plan of care (PPOC).
- Completes documentation of all patient care services provided.
- Intervenes when there is a possible revocation; reviews all revocations with the other members of the IDT.
- Provides medical expertise to admission and patient care staff on issues and challenges involving evaluation of terminal prognosis and pain and symptom management. Reviews patients’ medication regimens for adverse reactions, inappropriate usage, and inappropriate duration.
- Collaborates with attending, referring, and/or inpatient physicians regarding issues and challenges involving determination of terminal prognosis and pain and symptom management, as well as transfer of patient from home care to inpatient care.
- Provides home visits based on the agreed upon plan of care and as directed by the Hospice Team Manager (HTM) based on patient and family needs.
- Provides for the general medical needs of the patients to the extent that these needs are not met by the attending physician, including but not limited to, E prescribing when attending physician chooses not to or not licensed to do so, signing death certificate and/or accepting full responsibility for the care of the patient if the attending physician does not desire to provide care to the patient.
- Provides family members with information about the medical management and prognosis of the patient, within HIPPA guidelines.
- Provides medical care within Hospice regulations and VNSNY guidelines, policies, and procedures.
- Performs other related duties as required.
Licensure: Licensed and currently registered to practice medicine or osteopathy in New York State required. DEA license required. Board eligible/certified in Internal Medicine, Family Practice, or other related specialty with a working knowledge of the principles of palliative medicine and symptom management required. Valid driver's license may be required, as determined by operational/regional needs. CPR (Cardiopulmonary Resuscitation) Certification preferred. Education: Medical Degree required. Experience: Minimum of two years of experience in a medical practice, preferably in a hospice or palliative care setting OR one year of fellowship training in Hospice and Palliative Care OR Hospice and Palliative Care Board eligible/certified required. Bilingual skills may be required, as determined by operational needs required. CA2020
The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Countries. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost effective healthcare in the home and community. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life. Each day, more than 13,000 VNSNY employees - including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals - deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 44,000 patients and members, helping them to live the best lives possible in their homes and communities.