Registered Nurse - Advanced Practice Nurse - Palliative Care

Westminster, CO
Jan 25, 2018
Feb 24, 2018
Contract Type
Part Time
Help care for people in all of the places they call home. Centura Health at Home is Colorado’s largest provider of home care, and end-of-life-care. Whether you prefer the support and camaraderie of a residential setting, or the autonomy and flexibility of delivering care and comfort in a home setting, we hire RNs, CNAs, LPNs, rehab/therapy professionals, clinical leaders and activity coordinators to be part of our team. Our nurses are highly skilled professionals providing many types of technical treatments to our home health patients including but no limited to: specialized wound care including Wound Vac Therapy, Infusion Therapies, PICC Line Care, Phlebotomy, Catheter Care, Ostomy Care as well as Coordinating Care for those patients with Remote Monitoring (Teleheath). Enjoy highly competitive pay, some of the best benefits in the industry and a philosophy of individualized care that affords you a deeper connection with your patients and their families.

Job Description/Job Posting ID: 122127

Recruiter Contact: Danielle Octavi,

Clinic/Department: 4254 CHC PALLIATIVE CARE

Schedule: Part-Time

Shift: Days


The Palliative Care Advanced Practice Nurse (APN) provides leadership and oversight in the development and growth of the of the palliative care program. Provides direct and indirect clinical support to patients and families experiencing a chronic and/or terminal illness effecting quality of life. Works in the professional role as an expert clinician, consultant, leader, educator, and translator of research. The APN collaborates with an interdisciplinary team, the referring physician, and coordinates the care of patients and families. The APN ensures the palliative care program is in compliance with legal, regulatory, and clinical policies and procedures. Supplements and support the hospice service line as appropriate. EDUCATION REQUIREMENTS

Bachelors in Nursing

Masters in Nursing and/or Post-Masters Certification as an Advanced Practice Nurse WORK EXPERIENCE REQUIREMENTS

1 year in management and leadership, preferred

1 year experience working as part of an interdisciplinary team, preferred

1 year experience as an advanced practice nurse, preferred LICENSE/CERTIFICATIONS

Current unrestricted RN license in state of CO

Nurse Practitioner or Clinical Nurse Specialist in state of CO

Board Certified as a Nurse Practitioner or Clinical Nurse Specialist

Advanced Certified Hospice and Palliative Care Nurse (ACHPN) through National Board for Certified Hospice and Palliative Nurses within 1 year of hire

Basic Life Support

Advanced Cardiac Life Support preferred



Provides independent advanced practice nursing care including but not limited to completions of assessment, diagnosis, outcome identification, planning, implementation and evaluation. Performs comprehensive physical, psychological, social, spiritual, and cultural assessments . Follows the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care (NCP, 2009); the Scope and Standards of Hospice and Palliative Nursing Practicing (ANA, 2002), Hospice and Palliative Nursing: Scopes and Standards of Practice (HPNA, 2007). Prescribes and/or recommends changes or enhancements to care plan including symptom management. Actively participates and collaborates with the patient and family in the transitioning/discharge care planning. Employs evidenced based, collaborative guidelines in designing and implementation of plan of care. Completes comprehensive and descriptive documentation addressing the NCP (2009) guidelines including the wishes and goals of the patient and family.


Assures that clinical protocols, utilization review, case management, quality improvement, and compliance are implemented according to program policies and needs. Assures compliance with Joint Commission and other regulatory standards. Identifies opportunities for improvement in the structure and process of care delivery. Submits bills for all patient visits and meets routinely with finance to review process and make changes as needed. Design an organizational culture to support palliative care growth within and outside the system. Participates in the development of short and long term strategic planning for program growth. Establish workflow systems (e.g. flow of information, maintenance of records, delivery of care). Develop and provide input for financial sustainability of the program. Assist with establishing policies, procedures and processes for program operations. Implement auditing process to monitor and ensure regulatory standards are being met. Spokesperson for the palliative care program internally and externally. Collaborates with leadership to enhance the palliative care program’s community outreach to physicians, the public, healthcare facilities, and other applicable organizations in the community.


Participates in weekly interdisciplinary team meetings to review patient and family cases. Consults with health care team, referring physician. Identifies self to colleagues for consultation surrounding clinical expertise, leadership, education, and research. Acts as a consultant to the system and community. Participates in the development and implementation of performance improvement projects. Participates in bioethics committee. Promotes advocacy, ethics, and systems thinking. Consults with patient and families; identifies self as a resource and describes role. Facilitates and coordinate patient and family conferences addressing anticipatory guidance.


Identifies learning needs of patient, family, staff, and system. Educates the patient and family on disease process, prognosis and treatments available. Participates in action plans addressing knowledge gaps surrounding palliative care within and outside the system. Provides continuous education at all levels for associates and system. Participates in the education of students and associates by serving as lecturer, preceptor, and/or mentor. Educates patients and families regarding advance directives, palliative care and end of life decision making based on the wishes and goals.


Identifies evidence based practice gaps; promotes best practices. Translates and integrates research findings into clinical practice. Identifies, initiates and participates in clinical, quality improvement and change projects. Disseminates research and clinical information through publications and/or local, regional, and national presentations. Collects data regarding patient care, program. Disseminates outcome information for peer and system review.

* This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.









We extend the healing ministry of Christ by caring for those who are ill and by nurturing the health of the people of our communities.


Integrity: Honesty, directness, and respect for commitments made.

Stewardship: Respectful use of all natural, human and financial resources.

Spirituality: Acknowledgment of its central role in facilitating mental, physical and emotional health.

Imagination: Creativity and innovation in all we do.

Respect: Respect for all persons and our Christian identify, heritage and missions of our sponsoring organizations.

Excellence: Striving to exceed the clinical quality, customer service and cost performance expectations of our customers.

Compassion: Sensitivity and responsiveness to persons in need.

Leadership: Uses appropriate interpersonal skills, styles and methods to guide individuals and/or groups toward organizational and department goal achievement. Develops positive working relationships with physicians, staff and community partners. Models behaviors in support of the mission of Centura.

Individual Effectiveness: Develops and maintains a team-oriented approach. Follows through on commitments while performing job responsibilities in a manner consistent with the organization’s mission and values. Uses resources effectively and efficiently while implementing strategies to increase revenue and reduce operational expenses.

Customer Service/Satisfaction: Seeks to provide services that exceed the expectations of customers by; anticipating and responding to customer/associate needs, measuring customer service via surveys, developing action plans to positively impact customer/associate satisfaction and integrating a service focus into daily routines.

Teamwork and Collaboration: Models teamwork via active participation as a team member on a departmental and organizational level, fosters collaboration among physicians and associates, recognizes and rewards the efforts and successes of individuals and teams. Seeks alliances, works well with others and strives to pursue collective goals. This competency includes building relationships, addressing conflict, collaboration with others, and creating a highly effective team.

Business Acumen: Understand Centura’s business model, industry and marketplace; demonstrates the cognitive ability to assess situations, diagnose problems and determine and appropriate course of action to enhance the effectiveness of the organization and in alignment with core values.

Change Management/Continuous Performance Improvement: Demonstrates the ability and willingness to continually enhance, improve and streamline operational processes and systems.

Engagement: Builds effective relationships with all others by willing the good of the other at all times. Uses effective listening and empathy and asks questions to understand what it is like to walk in another’s shoes. Creates and maintains a safe environment for conveying information openly, accurately and honestly, creates a common understanding amongst all parties.

Self-Management: Understand own strengths, growth opportunities, attributes, and emotions; models courage, authenticity, service, truth telling, love, and effectiveness; possesses the confidence in self to have confidence in others.

Developing Others: Provides development opportunities and supports others in their personal and professional objectives by offering and feed-forward and by creating a safe environment to be honest and take risks.

PHYSICAL REQUIREMENTS Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.

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