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RN Advance Practice Nurse Palliative Care

at Centura Health

Posted: 2/19/2019
Job Reference #: 482849100A3
Keywords: nursing

Job Description

Located in the scenic, historic and charming Southwest Colorado town of Durango, Mercy Regional Medical Center (MRMC) is a full-service, acute care hospital with Level III Trauma designation. Recognized by Healthgrades (a leading, independent health care ratings company) with awards for Outstanding Patient Experience and Patient Safety Excellence, as well as an “A” Hospital Safety rating  from The LeapFrog Group,  Mercy Regional Medical Center blends state-of-the-art technology  with a serene and comfortable environment to promote well-being and healing.  Specialty services include emergency care, surgical care, cardiac care, an Orthopedic and Spine Center of Excellence and a Family Birthing Center equipped with every amenity and a dedicated surgical suite.  Durango residents experience an exceptional quality life with world-class outdoor recreation including snow sports, river sports, hiking, biking and more. Learn more about us at: http://www.mercydurango.org/


Job Description/Job Posting ID: 130984

Recruiter Contact: Jenny Coddington jennifercoddington@centura.org

Clinic/Department: 8683 MRMC PALLIATIVE CARE 






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.


Bachelors in Nursing

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


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


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

Prescriptive authority and DEA 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

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. 


Application Instructions

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