Job Information

University of Utah Health Nurse Practitioner, Oncology - Huntsman Cancer Hospital at Home Advanced Practice in SALT LAKE CITY, Utah

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

The HCI Huntsman at Home program is a new initiative at the leading edge of palliative healthcare delivery which is strengthened by being integrated with the acute Hospital. This is a new initiative by the HCI that will provide multidisciplinary acute clinical care, palliative care, and Hospice care support to HCI patient’s in the patient’s own home. The Huntsman at Home care will take place in the patient’s own home 7 days a week, 365 days a year supporting the goals of admission avoidance, reduction of emergency room vists and early discharge support from the hospital, in both palliative and end of life care.

The post holder will report operationally to the Manager of Huntsman at Home and have professional line management to the HCI APC Director and Huntsman at Home leads. They will work collaboratively with the Strategic Director of Huntsman at Home. They will have weekly check-ins with the Huntsman at Home APCs and Leads and work collaboratively and in consultation with the medical director. Nurse Practitioner (NP) role is a new position and as such will entail spending time working with patients, the local home health agencies, hospitals and other community services. The role in this role will cover the 3 rural Utah counties of Grand, Emery and Carbon. It would be an advantage to this role if the candidate lived in or close to these communities although this is not required. If not, the NP will need to travel to these counties on a weekly basis initially for at least the first 6 months of operations which may require overnight due to travel times. Travel is reimbursed. Once the role is established in the 3 counties frequency of travel may be reduced as telehealth visits are increased. The APC will demonstrate a high level of expertise within the palliative care and oncology fields in the assessment, developing a care plan and implementation of a care for the patients on service care. The APC will also be responsible for Advance Care Planning and Goals of Care conversations with HCI patients and their families and will oversee the patient care in all aspects of the program. They will be responsible for contributing to the ongoing development of clinical practice, research and standards of care within the service, as well as policies, protocols, guidelines and service developments in collaboration with Huntsman at Home medical director and team leads. To ensure the safety and well-being of service users, and always work in a manner that promotes dignity and human rights through the adoption of person centered care principles.

Responsibilities

  • Work operationally in community both autonomously and collaboratively with Huntsman clinicians, managing HCH patients and designing a care plan around the patient and family needs, which may include additional support from RN’s, nursing aids or social worker.

  • Collaborate when necessary with Home Health Nursing Staff, hospital nurses, oncology physicians, and others as needed to discuss identified patient needs, to order medication adjustments, treatments and other care.

  • Visit patients in their own home to provide initial assessment and ongoing assessment and treatment plans as needed in the patient’s home initiating treatment plans for the patient’s care needs and using advanced clinical skills: assessment, diagnosis and treatment plans.

  • To complete advanced holistic and physical assessment and provide interventions such as intravenous therapy, managing acute infection such as Community acquired pneumonia, urinary tract infections, complex wounds, IV cannulation, re-hydration, cancer pain management with prescriber (Supportive Oncology and Support Services and Hospice Medical Director) and other complex symptom management.

  • Order and perform any diagnostic tests to identify and assess the patient's clinical problems and health care needs.

  • Performs other therapeutic or corrective measures as indicated, including urgent care interventions as necessary.

  • To work collaboratively and fully participate in the multidisciplinary team, maximizing the contribution of each discipline, developing the team and meeting the needs of patients referred to the service.

  • To ensure that patients receive high quality clinical care and exceptional patient experience as would be expected by HCI Clinicians, having regard for individual customs, culture, social circumstances, religious beliefs and doctrines.

  • To be responsive and flexible to the needs of the service concerning unplanned patient visits; ability to function in a work environment that can change at very short notice.

  • Demonstrating appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes the requesting of agreed diagnostic procedures/clinical investigations

  • Recognize and avoid situations that may be detrimental to the health and wellbeing of the individuals.

  • Direct, support, encourage and advise clinical, therapy and others in the teams, by the provision of specialist knowledge in the areas of hospice/palliative medicine and oncology and advice in the care of patients.

  • Participate in Virtual telemedicine with the patients own oncologist (in person or by video/teleconferencing), in relation to the management of patients

  • Initiates and/or recommends medical drug therapies or other forms of related therapeutic treatment and procedures in accordance with approved protocols/policy.

  • Complies with medical records policies regarding the complete and accurate documentation of patient care. Initiates and maintains required records and legal documents.

  • Responsible for the correct administration of prescribed medication.

  • Develop and evaluate assessment tools that will ensure an appropriate level of nursing intervention so that patients who present with the most complex needs receive the most appropriate specialist care.

  • Preform other duties as assigned.

Qualifications

Qualifications Required

  • Licensure to practice as a Nurse Practitioner in the State of Utah.

Qualifications (Preferred)

Demonstrated clinical competence and in-depth knowledge of specialty area; and demonstrated leadership, teaching, research and communication skills are required.

Utah State prescriptive privileges preferred.

  1. Board Certified in Palliative Care or Oncology

  2. At least one year with oncology patients and/or palliative and/or hospice care within hospital or community setting

  3. Ability to work autonomously in the care for the patients on your caseload designing care around the patient and family needs

  4. Considerable degree of independent skills and judgment necessary to monitor and respond to changes in patients’ condition.

  5. Interpersonal skills necessary to work effectively with patients and other members of the health care team.

  6. At least 2 years’ experience working as a Nurse Practitioner.

  7. Knowledge of palliative care with emphasis on symptom control associated with terminal illness.

  8. Knowledge of the holistic approach toward patient care and the nursing process as it applies to hospice patients and families.

  9. Monday to Friday that will require weekly travel and possible overnight stays in rural community.

Licensure is obtained by completing a Master's degree in Nursing or equivalency (the only equivalency to the Master's degree is current licensure as a Nurse Practitioner) and a National Certification which requires the successful completion of a nationally accredited examination.

UHPPM 1-56 requires that newly hired non-physician providers apply for credentialing and privileging at the time of hire.

Care is appropriate to the population served

Applicants must demonstrate the potential ability to perform the essential functions of the job as outlined in the position description.

Disclaimer

This job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to the job.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This position involves intensive work that may exert up to 100 pounds and may consistently require lifting, carrying, pushing, pulling or otherwise moving objects, such as medical equipment, or patients while providing medical care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients.

Work Environment and Level of Frequency that may be required:

Nearly continuously: in community in patients own home with some hospital working also.

Often: Infectious disease, oils (there is air or skin exposure to oils or other cutting fluids), hazards (includes a variety of physical conditions, such as proximity to moving mechanical parts, moving vehicles, electrical current, , or exposure to chemicals).

Physical Requirements and Level of Frequency that may be required

Nearly Continuously: Hearing, listening, talking.

Often: Repetitive hand motion (such as typing), walking, standing, sitting, driving.

Seldom: Bending, reaching overhead.

Physical Requirements

Non Indicated

EEO Statement

The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.

Requisition Number 45241
Reg/Temp Regular
Employment Type Full-Time
Shift Variable
Work Schedule 8-5 Mon-Friday, Rotating Weekends/Holidays
Location Name Huntsman Cancer Hospital
Patient Care? Yes
City SALT LAKE CITY
State UT
Department HCH CST 60N NURSING ADMIN
Category Nursing

The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.