Advanced Practice Clinician

Overview

Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter‑professional and para‑professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes.

Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner’s scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program.

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer‑matched retirement saving funds
• Personal and financial wellness programs
• Pre‑tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

• Manages and provides the full scope of advanced nursing practice for targeted patient populations, which may include short‑term treatment of members at the point of care. Evaluates patient responses to therapy/interventions. Ensures revision of the inter‑professional plan of care as necessary to achieve quality outcomes.
• Serves as the clinical authority on individualized care teams and leads rounds and interdisciplinary care team meetings.
• Manages and provides comprehensive, advanced nursing care, including post‑discharge aftercare visits, annual comprehensive assessment visits, palliative care‑management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non‑pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education.
  
  Establishes a treatment plan based on clinical findings and determines when further evaluation by the collaborating physician, specialist, or emergency care is warranted.
• Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings.
• Manages and provides clinical services in compliance with standards of Patient‑Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.
• Manages inter‑professional team efforts regarding the medical, nursing, therapy and ancillary care provided to patients to ensure quality outcomes are achieved.
• Participates in on call coverage schedule to ensure 24/7 access to practice clinicians.
• Assesses, educates, and improves client and caregiver knowledge of chronic disease, self‑care management, and identification of changes in health status, including appropriate responses and actions through individualized education and inter‑professional interventions.
• Observes and analyzes team performance patterns related to population under care and assists in developing interventions to improve team performance. Provides remedial support and guidance to interdisciplinary team members to address implementation/evaluation of plans that maintain/increase customer experience with care, cost‑efficiency, and quality care compliance with regulatory standards.
• Communicates with internal and external care partners regarding the needs of the patient or population to ensure interventions occur in a timely and appropriate manner. Intervenes as needed when the care plan is not executed and remediates the…