Distresser Job Description Sample
Citigroup Global Markets Inc. seeks a Distressed Analyst for its New York, New York location.
Duties: Serve as Analyst on the US Distressed trading desk, which is responsible for market making, analyzing, and valuing stressed and distressed securities, loans, and trade claims in the U.S., Japan and Australia.
Perform research and analysis for valuation of underlying debt traded on the desk. Analyze and calculate intrinsic value of instruments to assess risk and reward from prospective investment in purchasing distressed debt, considering potential for restructure from debt to equity, such as warrants, post-reorg equity, preferred equity or convertible notes. Build financial models to forecast future profitability, including analysis of capital structure and debt priority, debt recovery value, industry forecasts, comparable analysis, supply and demand dynamics, per-unit-mathematics, fixed and floating cost analysis, free cash flow analysis, cash conversion cycle analysis, Black-Scholes Model, discounted cash flow (DCF) analysis, liquidation analysis, going concern analysis, and waterfall recovery analysis.
Apply transactional methodologies for Distressed Credit transactions and Distressed Credit trading operations within the Japanese and American markets to facilitate the execution of these Distressed Credit transactions. Use Bloomberg API for distressed research and analysis methodologies to calculate a recovery value for debt instruments. Review of legal documents outlining rights of creditors, including potential loopholes and ways in which rights may be compromised.
Apply understanding of bankruptcy processes in the US and Japan, and different ways game theory can affect the recoveries of securities. Monitor positions over a six to twelve month period regarding capital structure and company direction. Liaise with US and Japanese customers, legal professionals, and financial advisors for proper valuation of the company's debt securities to aid the desk in trading these situations.
Requires a Bachelor's degree (3 or 4 year) in Finance, Accounting, Law or related field and 4 years of experience as a Distressed Analyst, Bankruptcy Lawyer, Investment Banker, High Yield Analyst, or related role involving operational strategy for Distressed Credit operations in the Japanese financial market. 4 years of experience must include: 1.
Credit analysis; 2. Credit trading experience in market making capacity; 3. Trading strategies using Credit Default Swaps (CDS) and bonds; 4.
U.S. Bankruptcy Code; 5. Japanese Corporate Reorganization Law; 6.
Covenant analysis; 7. Knowledge of local regulatory framework and market conditions; and 8. Bloomberg API.
Position requires verbal and written fluency in Japanese. Qualified applicants submit resumes referencing job code MS/DA/MN to Citigroup Recruiting Dept., 3800 Citigroup Center Drive, Tampa, FL 33610. Citigroup is an EEO employer.
Citigroup is an EOE Employer. This position is eligible for incentives pursuant to Citigroup's Employee Referral Program. Direct applicants only.
Associate, Credit Strategies – Distressed Team, Liberty Mutual Investments
Advance your career at Liberty Mutual Insurance- A Fortune 100 Company!
Liberty Mutual Investments is seeking an experienced professional to join the growing Credit Strategies investment platform of Liberty Mutual Investments – the asset management arm of the global insurance company – as an Associate on our Distressed Team. The associate will assist the team in all aspects of investment sourcing, analysis, structuring, asset management and risk monitoring of distressed investments, both directs and in funds. The position will allow the candidate to interface with multiple aspects of the business and gain exposure to primary and secondary investments in corporate stressed and distressed situations, NPL and non-core asset acquisition, financing and restructuring, management of relationships with external partners, portfolio management & monitoring/reporting. Candidates in a similar role are preferred. This role has great opportunity for growth and career development.
Analyzing and making recommendations on distressed opportunities across the capital structure in the US and Europe
Monitoring and sourcing partner relationships with managers and other parties focused on distressed investing
Communicating regularly with sell-side distressed trading and research desks
Developing and maintaining models for LBOs, single asset cashflows, securitized products
Reviewing and negotiating documentation for private primary transactions and fund investments
Reviewing legal documentation related to opportunities in various tranches of debt in the secondary market
Sourcing stressed and distressed opportunities in the secondary market
Supporting portfolio managers and traders to screen secondary market opportunities
2-5 years of experience on a buy-side investment team or sell-side investment banking / restructuring team
Extensive experience with corporate and asset financial modeling and transaction structuring on executed transactions
Previous experience with distressed securities, loans, and/or assets
Strong attention to detail, interpersonal and communication skills, especially written communication
Data-driven and analytical mindset
Strong Excel and PowerPoint skills
We value your hard work, integrity and commitment to positive change. In return for your service, it's our privilege to offer you benefits and rewards that support your life and well-being. To learn more about our benefit offerings please visit:
BFC Product Associate - US Special Situations Group Distressed
The Global Credit & Special Situations (GCSS) Finance team is part of the CFO organization. The primary focus of our team is to support the GCSS Distressed Trading business through the implementation and execution of key control processes including legal financial books and records, valuations control, regulatory matters, forecasting, P&L explain, and balance sheet analysis. The desk trades in a range of products including Loans, Bonds, Equities, CDS, Interest Rate Swaps, Aviation Leases and Trade Claims. Key priorities for our team include proactive execution of controls, accurate reporting and analysis of financial results and forging strong relationships with business partners to assist in decision making.
Areas of responsibility include
Financial reporting and disclosures
General ledger close and reconciliations
Management reporting and analysis
Regulatory capital disclosures
Stress Test and Forecasting
Process analysis, documentation of policies and procedures and evidencing of results are also of primary importance in this role. Trading desk support, including interpretation of accounting policies and ad hoc reporting, is another critical requirement. Throughout the tenure of the role, the teammate should gain exposure and acumen in the Global Markets/FICC area of the organization and develop or improve the following skills: GAAP (with a focus on Fixed Income), Management and Regulatory/SEC reporting, as well as written and oral communication skills.
Bachelors Degree required - Accounting/Finance preferred
1-4 years financial industry/banking experience
Strong financial analytics experience
Advanced experience/skills with Excel and complex spreadsheets
Candidate must be able to work both independently and as team member
Strong communication and presentation skills
Strong problem solving and analytical abilities
Posting Date: 05/09/2018
Location: New York, NY, 250 VESEY ST (NY3004), - United States
Full / Part-time: Full time
Hours Per Week: 40
Shift: 1st shift
Credit Markets – Distressed Debt Credit Analyst
Citi, the leading global bank, has approximately 200 million customer accounts and does business in more than 160 countries and jurisdictions. Citi provides consumers, corporations, governments and institutions with a broad range of financial products and services, including consumer banking and credit, corporate and investment banking, securities brokerage, transaction services, and wealth management. Our core activities are safeguarding assets, lending money, making payments and accessing the capital markets on behalf of our clients.
Citi's Mission and Value Proposition explains what we do and Citi Leadership Standards explain how we do it. Our mission is to serve as a trusted partner to our clients by responsibly providing financial services that enable growth and economic progress. We strive to earn and maintain our clients' and the public's trust by constantly adhering to the highest ethical standards and making a positive impact on the communities we serve. Our Leadership Standards is a common set of skills and expected behaviors that illustrate how our employees should work every day to be successful and strengthens our ability to execute against our strategic priorities.
Diversity is a key business imperative and a source of strength at Citi. We serve clients from every walk of life, every background and every origin. Our goal is to have our workforce reflect this same diversity at all levels. Citi has made it a priority to foster a culture where the best people want to work, where individuals are promoted based on merit, where we value and demand respect for others and where opportunities to develop are widely available to all.
Citi's Distressed Debt business engages in the trading of stressed and distressed bonds, bank debt, CDS and trade claims (among other products). The desk trades with a large range of institutional customers including, but not limited to, Hedged Funds, Mutual Funds, ETFs and Private Equity Funds. Citi is one of the top Distressed Debt platforms on the street with a consistent top tier ranking from Greenwich, the main survey for Distressed Debt desks.
Fundamental research, including understanding of legal documents and bankruptcy process
Interfacing on a daily basis with salespeople and customers
Generating trade ideas
Generating positive P&L
Strong understanding of credit fundamentals
Legal Background/interest helpful
Understanding of Leveraged Finance Markets
At least 2 years of relevant work experience in Markets, CMO or CIB.
Strong background in fundamental credit skills and document analysis
Team-oriented: work hand in hand with salespeople, traders and clients
Strong verbal communication skills in interacting with internal and external stakeholders
Attention to detail
Resilient: Markets can be extremely challenging, must be able to handle the volatility as well as the wins and losses with an even hand
Bachelor's degree required
Applicable licenses: Series 7 and 63
Distressed Finance&Restructuring Associate/Analyst
Jobtitle: Distressed Finance & Restructuring Associate/Analyst
CorporateTitle: Associate/ Analyst
Location: New York, NY
BusinessUnit: Global Markets
Nomura Securities International is the USsubsidiary of Nomura Group, a global investment bank headquartedin Asia with an integrated global network spanning over 30 countries. NomuraSecurities, headquartered in New York, is a full-service investment bank, and hasgrown rapidly since 2008, expanding from approximately 600 US employees toapproximately 2,300 US employees today.
Founded in 1925, Nomura Group is builton a tradition of disciplined entrepreneurship, serving clients with creativesolutions and considered thought leadership. For further information about
Nomura, visit www.nomura.com
Seeking incomingfirst-year Associate or incoming second/ third-year Analyst position. Candidate must have at least 1 year of investment-banking workexperience to be placed in the Distressed Finance & Restructuring Group.Role will involve modelling and credit analysis in a distressed context,including valuation, modelling cash flows, and analysing financing structures.
· Role will also involveassisting in pitching and structuring of financing transactions
· Strong credit and modelling background(including familiarity with leveraged finance/ LBO modelling, DCF, and comparables analysis) is required. Strong interest inrestructuring/ distressed/ bankruptcy is required.
· Strong Excel skills and at least1 year in an investment banking/ leveraged finance role is required
Nomura has formed a new initiative situatedwithin Global Markets to focus on distressed finance/ restructuring. Opportunity to be part of a team where credit skills, distressedexperience, and client management/ relationship skills will be developed.Opportunity to work directly with a managing director/ grouphead.
Nomura is an Equal Opportunity Employer
Event Monitor, Ag & Equine Facility
The mission of Laramie County Community College is to transform our students' lives through the power of inspired learning. Our over-arching goal is that our accomplishments as a community college will distinguish LCCC from others in the nation, in turn benefiting our communities and bringing pride to the Great State of Wyoming. Our core values include Passion, Authenticity, and the Desire to Make a Difference.
This is a temporary, part time position. Mutliple openings under this listing.
Core responsibilities of this position include: Represent Laramie County Community College to community organizations and individuals in a professional manner. Visually monitor facility, event participants, spectators and animals. Communicate and enforce LCCC facility and safety rules. Contact the appropriate level of support required for emergency situations, issues or incidents. Report incidents or issue to Facilities & Events office. Unlock and lock the facilities – hay room, stalls, outdoor pens, and arena and show office. Monitor animals stalled or penned by visually checking for signs of distress and health concerns. Respond by performing basic animal care procedure; such as taking temperature and checking eyes. Check auto watering system to ensure it is working. Feed animals. Perform setup and teardown of specialized event equipment; such as panels and indoor stalls. Control specialized heating, fans, sound system and lighting. Prepare and maintain the indoor dirt floor in the indoor and outdoor arena; operating specialized equipment – tractors with drags and water truck. Regularly clean manure from the Arena floor, cattle runs, pens and chutes. Clean bleacher that seat up to 3000. Work Independently. This position requires availability outside of the normal business hours, including weekends, nights and early morning. The shifts may be longer than eight hours.
Other tasks may be assigned based on contemporary institutional need.
Compensation: $10.77/hr., commensurate with experience.
Screening Date: Open until filled, screening to begin immediately.
Start Date: As soon as practical after offer is made. Start dates may vary depending on events schedule.
Represent Laramie County Community College in a professional manner. Visually monitor facility, livestock, horses, event participants and spectators. Communicate and enforce facility use and safety rules. Contact the appropriate level of support required for issues or incidents. Report incidents or issue to the Ag & Equine Facility Manager and the Facilities & Events office. Unlock and lock the facilities – hay room, stalls, outdoor pens, and arena and show office
Monitor livestock and horses by visually checking for signs of distress and health concerns. Respond by performing basic animal care procedure; such as taking temperature and checking eyes. Check auto watering system to ensure they are working. Feed livestock and horses
Perform setup and teardown of specialized event equipment; such as panels and indoor stalls. Control specialized heating, fans, sound system and lighting. Prepare and maintain the indoor dirt floor in the indoor and outdoor arena by driving specialized equipment – tractors with drags and water truck. Regularly clean manure from the Arena floor, cattle runs, pens and chutes. Clean bleacher that seat up to 3000
An employee in this position may perform some of these responsibilities on an infrequent basis:
- Clean lobby and restrooms
Knowledge, Skills, and Abilities:
Knowledge of livestock and horse health to include recognition of an animal exhibiting signs of distress or health issues
Knowledge of basic procedures to perform when evaluating an animal is in distress
Knowledge of farm and ranch equipment
Ability to communication in professional manner when under pressure or in an emergency situation
Ability to assess emergency situation and act appropriately
Ability to act with authority and enforce rules with occasionally uncooperative customers with regard to inappropriate behavior, unsafe behavior or behavior that violates LCCC policy procedure rules
Physically able to lift up to 20 pounds and occasionally lift or move up to 50 pounds
Physical ability to stand, walk and run
Physical ability to tolerate loud noise
Physically and mentally capable of working shifts longer than eight hours
Mental ability to function calmly and professionally in an emergency
Mental ability to make quick and accurate decisions
Mentally capable of enforcing rules in an authoritative manner with occasionally uncooperative customers
At least 18 years of age
Physically able to lift up to 30 pounds and occasionally lift or move up to 50 pounds
One year experience in the care of livestock and horses
Valid Driver's License
High School Diploma or Equivalent
Experience operating equipment such as tractors, skid loaders, big trucks and forklifts
Experience operating audio system equipment
Experience in Ag or Equine Events
LCCC DOES NOT SPONSOR H1B VISAS. Equal Opportunity and Affirmative Action Employer Laramie County Community College is committed to providing a safe and nondiscriminatory educational and employment environment. The college does not discriminate on the basis of race, color, national origin, sex, disability, religion, age, veteran status, political affiliation, sexual orientation or other status protected by law. Sexual harassment, including sexual violence, is a form of sex discrimination prohibited by Title IX of the Education Amendments of 1972. The college does not discriminate on the basis of sex in its educational, extracurricular, athletic or other programs or in the context of employment. The College has a designated person to monitor compliance and to answer any questions regarding the college's non-discrimination policies: Please contact: Title IX and ADA Coordinator, Room 205B, Pathfinder Building, 1400 E College Drive, Cheyenne, WY 82007, 307-778-1217,TitleIX_ADA.Coordinator@lccc.wy.edu. http://lccc.wy.edu/http://www.lccc.wy.edu/about/humanresources
Administrative Case Manager
Under the direction of the Assistant Director of Student Support and in consultation with other campus units including Student Health and Counseling, the Administrative Case Manager coordinates services and campus response to UC Davis students experiencing varying degrees of emotional distress related to mental health issues, meeting basic needs, financial issues, academic difficulties, interpersonal concerns, etc. The Administrative Case Manager works as part of a team responsible for ensuring the coherent and effective integration and deployment of services that constitute the campus' students of concern response system.
Serves as a point of contact to provide information, advice, and assistance to stakeholders who are dealing with distressed students. Charts action plan for assessing and managing individual needs of distressed students as well as those of other stakeholders affected by the situation. Assists students in accessing on ¬and off¬ campus resources and support services, including mental health services, meeting basic needs, financial problems, academic difficulties, interpersonal concerns, etc.
Provides trainings for members of the campus community related to distressed students and students of concern. This position also serves as a Respondent Services Coordinator (RSC) providing comprehensive services and assistance to respondents (undergraduate, graduate, and professional students) alleged to have engaged in sexual misconduct (sexual assault, sexual violence, dating/domestic violence, stalking or sexual harassment).
Position responds to crisis situations and interacts with potentially dangerous students.
Position is a mandatory reporter for known or suspected child abuse and requires that a statement acknowledging the requirement to report child abuse be signed.
UC Davis is a smoke and tobacco free campus. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.
Background Check Required:
This position is a critical position and subject to a background check. Employment is contingent upon successful completion of background investigation including criminal history and identity checks.
Demonstrated knowledge of student mental health and basic needs issues.
Experience working with students in distress and responding to crisis and high-risk situations related to students.
Knowledge of general needs of college students, developmental stages, and risk factors for college student population.
Experience working in a higher education setting providing advice, guidance, and support.
Experience working within a multi-cultural and highly diverse environment. Understanding of how these aspects of life experience may be relevant to crisis situations.
Demonstrated communication skills to listen, speak and write effectively about sensitive subjects, including interviewing skills to elicit and synthesize information, and to effectively confront difficult situations and individuals.
Critical thinking and applied problem-solving skills to address complex, sensitive, and multifaceted situations.
Advanced degree in counseling or psychology; or the equivalent combination of education and experience.
Knowledge and experience using Advocate or other electronic case management systems.
Experience working with a behavioral intervention team (BIT).
Experience negotiating and exchanging ideas, information, and opinions with others to formulate action plans and arrive jointly at decisions, conclusions, and solutions.
Duties & accountabilities
Manage client portfolio(s)/Agency trades in our loan Trade Settlement outsourcing services
Communicate proactively and effectively with clients
Coordinate with trade counterparties to receive and review par and distressed trade documentation
Coordination with legal counsel and follow up, when needed, for distressed trades and participations
Coordinate trade closings among clients, counterparties, and agents
Review trade documentation, includes trade confirms, assignment agreements, and funding memos for discrepancies prior to settlement including using third party systems
Follow up on outstanding trades and keep current comments updated
Deliver closing packets to custodians and clients before stated deadlines
Report client metrics and trends on a monthly basis
Education and experience
BA or BS in Accounting or Finance
Knowledge of par and distressed loans and the documentation
Knowledge of trade fee calculations
Ability to read and interpret credit agreements
Experience with daily loan transactions
Exposure to ClearPar/TSI/Markit WSO systems a plus
Excellent attention to detail
Strong work ethic
Takes initiative and ownership of job responsibilities
Must be able to perform job duties accurately and timely
Must adhere to deadlines and targets given
Strong customer service skills
Strong verbal and written communications skills
Prepare various reports and metrics needed by internal management or special client requests
Must be able to work well with others in a team environment
Assist other WSO groups during quarter-end or other high-volume periods
It is the policy of IHS Markit to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, IHS Markit will provide reasonable accommodations for qualified individuals with disabilities.
We maintain a drug-free workplace. For candidates in the US, we are a participant in E-Verify (see link below).
EEO is the Law
EEO is the Law Supplement
Right to Work
Pay Transparency Policy
Current ColleaguesIf you are currently a colleague with IHS Markit please apply internally via Workday.
Lifeguard FT & PT
Performance Hospitality is a lifestyle hospitality management company that aims to be a significant contributor to the success of the operations in which we provide our services. We focus on cost-efficient hands-on management of lifestyle hotels from the owners perspective. We strongly believe in self-actualization and individual and team development as part of our primary principles and objectives.
To promote the safety and well-being guests swimming, riding, playing and enjoying the overall experience of our water resort. Lifeguards interact directly with guests by providing courteous, friendly, and professional assistance.
CUSTOMER SERVICE FOCUS
To support our vision of being recognized by our customers as the best in our business through ensuring a culture that makes kids happy! You should champion this culture in every touch point of our business from our associates, guests, owners and communities. The service and courtesy you extend and promote on a daily basis will ensure a healthy and productive culture of serving others with excellence.
Ensure the safety and well-being of guests enjoying our water resort.
Monitor guest activity and secure designated area assignments.
Understands and applies all water park rules and regulations consistently.
Provides assistance to guest by:
Assists guests onto tubes
Assists in lifting/carrying tubes to appropriate pools
Dispatches riders down waterslides and tube rides
Assists swimmers in distress in water and guests in distress in hotel/resort
Assists small children with activities
Assists guest with lost items/children
Coordinate emergency procedures and provide first aid in emergency situations as trained and authorized.
Project and maintain positive, professional relations/interactions with guests.
Perform general maintenance and care of facilities and equipment as requested.
Inspect and maintain attractions and surrounding areas, including but not limited to:
Straightening up chairs and tables
Cleaning surface areas and restrooms/locker rooms as necessary
Eliminating potential slip and fall hazards
Organize and stack tubes securely
Attend regularly scheduled staff meetings, training programs and in-service training as required.
Perform other duties as assigned, requested or deemed necessary by management.
Associates are expected to learn all areas of the Water Resort Aquatics department and cross-train as a public space attendant, and CoCo Mascot. Associates may be required to work alternate positions if business needs dictate.
Must fully comply with Performance Hospitality Management rules and regulations for the safe and efficient operation of the hotel facilities.
Proficient in position required job skills and knowledge. Intelligent in grasping and integrating new information. Is an active learner with a strong sense of curiosity. Has natural instincts and insight for finding the best solution to unclear situations, issues and problems. Considers multiples resources and methods for analyzing problems. Makes great decisions.
Is effective in prioritizing work; consistently manages time and processes to create maximum efficiency with minimum disruption or redundancy. Is time sensitive, understands how work and processes fit in with other departmental or business priorities and objectives. Is able to adjust work to accommodate expected and unexpected changes. Is able to gauge progress with respect to overall impact and results.
Can think and act independently with confidence. Has personal fortitude and integrity when faced with challenges.
Energy & Drive
Energetic and takes initiative. Is pro-active and persistent in pursuing and completing tasks. Strives to exceed expectations and goals.
Personal & Interpersonal Skills
Welcoming and warm personality. Able to engage easily and actively connect with others. Is genuinely caring and compassionate; visibly demonstrates desire to understand others. Creates confidence and trust with others, is socially aware of self and others and is known for communicating the right message at the right time. Utilizes a variety of approaches and communication techniques tailored to each situation. Is comfortable in conversing with individuals from a variety of backgrounds and at all organizational levels. Is direct yet tactful and considerate of audience. Positively accepts and provides feedback.
Current Ellis and Associates International Lifeguard Training Program Shallow Water Lifeguard Certification which includes: lifeguarding, CPR, First Aid, and AED (Preferred).
Knowledge of terminology/techniques to operate general lifeguard and rescue equipment.
Ability to observe and analyze safety situations and determine appropriate course of action.
Communicate effectively both orally and in writing.
Interpret, apply and explain applicable rules and regulations, prepare and maintain clear, concise and accurate documentation.
Understand and follow oral and written instructions, remain calm, make sound decisions and respond appropriately in emergency situations.
Maintain personal physical endurance and agility.
Required to stand, walk, see and hear for long periods of time.
Ability to lift, push, pull and carry aquatic or other equipment on a daily basis; 20-40 lbs. and sometimes items up to 100 pounds.
Bending Bend to pick up dropped items as needed. Bend to assist in guests in pools or using aquatic equipment.
Mobility 95% of shift covering aquatic facilities in the water resort. May require quick, sudden movements both in and out of water at depths of up to five feet.
Swimming Able to swim and assist guests in distress in the aquatic facility.
Continuous standing to supervise assist various water resort outlets.
Climbing stairs, including water resort attractions.
Occasionally required to sit, pull, carry and reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl.
Specific vision requirements include close vision, distance vision, use of both eyes, ability to distinguish basic colors and shades; depth perception and peripheral vision. Lifeguard position requires 20/20 corrected vision at all times.
Previous lifeguard experience preferred but not required.
Lifeguard, safety, first aid and CPR equipment.
While performing the duties of this job, the associate is regularly exposed to water, moving mechanical equipment and water apparatus. Indoor Water Resort is a wet, humid and warm environment.
Work area contains exposure to chemicals such as chlorine and other water purification chemicals.
Noise level in the work environment is usually moderate to noisy.
Background and drug screenings are required for all candidates. Performance Hospitality Management, Inc. is an equal opportunity employer.
Palliative Care Np/Arpn
Wuesthoff Hospice, a proud member of LHC Group has an opportunity for a Palliative Care Nurse Practitioner.
The role of the Palliative Care Nurse Practitioner/APRN provides direct patient and family care through home based palliative
care consultation to ensure specialty services to patients with serious illness by proactively identifying patient centered
opportunities to improve the patient and family's experience of illness, anticipate and treat distressing symptoms. As a member
of the palliative care interdisciplinary team, provides and facilitates evidence based plan of care that improves the quality,
efficiency and effectiveness of needed health related interventions and resources in their lives. The NP/APRN will provide
specialized assessment, diagnose and implement high quality palliative plan of care utilizing evidence based treatment protocols
to provide patient centered goals of care, symptom management, disease trajectory, prognostic education and counseling.
Actively fosters team processes that support appropriate referral for setting management. Closely communicates with the
patients referring physician to make recommendations and discuss the ongoing plan of care. Provides outreach to community
agencies and health care settings (such as nursing homes) to provide direct patient care in those settings when consulted. Under
the direction and in collaboration with the Palliative Care Medical Director, patient's referring physician, collaborating physicians,
Palliative Care Manager/Administrator, and Palliative Care Interdisciplinary Team assures practice is in compliance with legal,
regulatory, clinical protocols, policies, and procedures.
- Demonstrates effective and ethical use of approved evidence based palliative medicine practices in the delivery of all patient
care based on physical, emotional, spiritual, psycho/social, ethical, educational, safety and related criteria, appropriate to the
ages of patients served.
- Demonstrates knowledgeable clinical expertise by incorporating palliative care body of knowledge to formulate an effective
plan of care.
- Gathers pertinent information systematically from all sources, including medical records, family history, caregivers, and
thorough specialty physical, emotional psychosocial and spiritual clinical patient assessment.
- Completes a comprehensive assessment utilizing the palliative care domains of assessment, interprets findings, medication
reconciliation assessment and formulates problem related diagnosis, initiates plan of care utilizing therapeutic interventions
and evaluates the results of these actions for adequate outcome responses.
- Provides thorough assessment of distressing symptoms utilizing appropriate scales and assessment techniques and prescribes
evidence based medications and adjunctive interventions for the palliation of symptoms.
- Formulates diagnosis and documents a problem list which reflects the appropriate history, physical examination, and results of
- Demonstrates professional consult etiquette and effective communication skills when discussing the plan of care and
appropriate recommendations with medical director, patients' primary care provider, specialist providers and interdisciplinary
team to insure the appropriate communication concerning the plan of care.
- As indicated by patient /caregivers needs, appropriately performs and documents an ongoing reassessment of the problems,
and implications for revision of management, utilizing problem oriented documentation.
- Demonstrates effective therapeutic communication /counseling techniques performing illness counseling and conducting family
conferences with patient, caregivers, family and/or significant others to discuss patients plan of care. Interacts in a positive
manner with the family unit, providing appropriate information, emotional and spiritual support.
- Contributes to the health teaching of patients, caregivers, families and significant others regarding the patient's
anticipated/active distressing symptoms, identified diagnosis, disease trajectory, advance directives, prognostic awareness and
end of life issues with appropriate teaching materials and strategies.
- Functions independently, autonomously without supervision, utilizing time constructively and organizing assignments, for
- Provides timely, effective medical record documentation, coding and placing charges utilizing appropriate professional clinical
language and approved abbreviations.
- Available daily to triage referrals to the palliative care service to determine appropriate level of intervention and urgency of
- Maintains contact with patients' Home Care and Hospice Care providers to assists in care management as necessary to
facilitate optimal care.
- Assist in leading interdisciplinary team meetings, to facilitate interdisciplinary collaboration through discussion of patient plan
of care, progress, significant events or patient decline, caregiver needs and family dynamics on an as needed basis. Makes
recommendations to the team when needed.
- Demonstrates an attitude of inquiry towards medical/nursing practices and assists in developing evidence based
nursing/medical protocols for quality outcomes.
- Assists in the orientation new members of the palliative care interdisciplinary team while serving as a resource and preceptor.
Acts as a role model for open communication and collaboration will all members of the team.
Consults with the medical director and collaborating physicians when needed.
Pursues problems to resolution and/or refers them through the appropriate chain of command.
Participates in assigned departmental activities and committees, working in a constructive manner.
Reviews current professional literature and utilizes evidence based medical/nursing research to improve own clinical practice
and stay updated.
- Maintains required continued education for APRN licensure, prescriptive authority, certifications, technical skills, training and
- All other duties as assigned.
MS/MSN/MN or PhD of an U.S. Accredited School of Nursing
RN/APRN licensure in State of Practice
Nurse Practitioner/CNS with prescriptive authority. Must maintain all requirements for licensure
5 years of clinical nursing Experience. 1-2 years as APRN with Hospice, Palliative Care or Oncology preferred
Advanced practice palliative care certification (ACHPN) is preferred. Certification in an appropriate advanced practice area will
be considered. BCLS Licensure requirement. ACHPN Certification is encouraged following 2 years of employment
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