About ANX: Founded in 2007 by nurses whose visions for the company are built on client-focused quality care for patients and their families first– ANX is committed to providing expert, reliable care utilizing best practices with an emphasis on community health. ANX Hospice Care: ANX also provides 24/7 hospice care for individuals with limited life expectancies or for patients no longer willing to seek aggressive medical treatment. Hospice care is provided by our specially-trained team of health care professionals, including a medical director/physician, medical social worker, skilled nurse, home health aide, spiritual counselor and hospice volunteer. With these strong values, we are able to partner with multiple insurances, offer an array of services, and have been awarded with: Best Places to Work (2017 to 2023) - SF Business Times/Silicon Valley Business Journal Gold Seal of Approval from The Joint Commission for meeting rigorous performance standards in delivering quality, safe care CMS - Center for Medicare & Medicaid Services Certified Health Plan of San Mateo Preferred Partner Kaiser Permanente Preferred Partner Dignity Health Preferred Post-Acute Care Partner 5.0 Star Reviews on Indeed 4.6 Star Glassdoor Rating with 95% CEO approval Position Summary of a Nurse Practitioner (NP): The Hospice Nurse Practitioner (NP) works in collaboration with ANX Hospice staff to provide comprehensive, quality hospice and palliative care services to patients under the direction of the supervising Medical Director. The HNP will be responsible for providing patient visits for palliative care patients both new and established and coordinating their plan of care with other designated hospice staff, especially the palliative care team. The HNP will function as an integral member of the Hospice provider staff. The HNP on an as-needed basis will fulfill the requirements of the "face-to-face encounter" with a Medicare and Medicaid beneficiary enrolled in ANX Hospice. A patient visit will include visits to patients' homes, facilities, hospitals, and the Hospice Inpatient Unit. In addition, The HNP will engage in independent decision-making about a patient's healthcare concerns and provide hospice or palliative care services on an as-needed basis. ANX medical directors will be available for consultation, collaboration, or referral. FLSA: This position is Per Diem (Variable-Hour) Non-Exempt. Benefits Of Joining ANX offered to our Per-Diem employees: Pays $69 to $75/hour DOE Employee Discount Program Paid Sick Leave Essential Duties and Responsibilities: The main function of the HNP will be to provide medical support and coordination to palliative care patients and family members. This includes such duties as provides medical expertise on pain, symptom management, and the evaluation of terminal prognosis to a patient, family members, and staff ordering of appropriate therapies and tests when needed Ensures that the care being provided is based on established hospice and palliative care guidelines and standards; Interacts with attending physicians, as necessary, regarding the care and treatment of patients in the Palliative Care program and works collaboratively regarding potential referrals to Hospice; Performs patient visits primarily in, private residences, long-term care facilities, assisted living facilities, hospital or other locations; Provides expertise and oversight of pharmacy formulary and medication expenditure Provides ANX Hospice Medical Director with face-to-face encounter documentation including the following A brief narrative explanation of the clinical finding that supports a life expectancy of six months or less Signed/dated face-to-face encounter attestation form including the following information Date of encounter The attestation of the information collected during the encounter was provided to the ANX Medical Director. KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED: Knowledge of patient electronic medical record and obtaining patient histories Knowledge of health education theory and practice Knowledge of clinical operations and procedure Ability to maintain quality, safety, and/or infection control standards Knowledge of current principles, methods, and procedures for the delivery of medical evaluation, diagnosis, and treatment in hospice and palliative care Strong interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in a diverse community Knowledge of related accreditation and certification requirement Knowledge of Medicare 'Face to Face Encounter' criteria Knowledge of the interdisciplinary team concept Ability to work collaboratively with referring, primary, consulting physicians and other members of the interdisciplinary team to provide appropriate palliative care to patients Ability to work with other health care providers in long term care facility settings; Demonstration of leadership skills Excellent organizational skills Ability to work with detailed and confidential material Computer experience required Work Location: San Francisco and San Mateo territories OTHER RESPONSIBILITIES: Be available to provide needed weekend F2Fs May be asked to visit active patients or new admission/s after hours or on holidays for a symptom or wound management as directed by the Director of Hospice or Medical Director. Minimum Qualifications of a Nurse Practitioner (NP): MSN from an accredited nursing school; current State of California licensure as a Registered Nurse and Nurse Practitioner in good standing 2- 4 years experience in a medical specialty involved in the care and treatment of patients diagnosed with serious, advanced or terminal illnesses Must be able to drive to all territories Must have a DEA license Minimum of 2 years of clinical experience in Oncology, Pain & Symptom Management, Palliative Care, and Hospice, healthcare in a hospital or physician practice setting