Nurse Practitioner D-SNP

JOB PURPOSE:

In collaboration and consultation with physicians, staff RN's and other health care professionals, provides holistic, compassionate care to patients and families and provides care coordination and care management activities on behalf of the Pruitt Health Premier Plan.

Practices within the context of collaborative management with the physician(s) in diagnosing, managing, and preventing acute and chronic illness and disease, and promoting wellness. D-SNP Nurse Practitioners will visit members in their home as well as conduct telehealth visits for health risk assessments for new and post care transition members.

Nurse Practitioners haveanadvancednursing practice that includes independent nursing functionsbasedonnursingstandardsofcareandaroleinmedicalmanagementworkingwithinacollaborative agreement with a physician(s).

• Proven ability to perform comprehensive, adult/geriatric admission history and physical exam
• Demonstrates ability to identify, diagnose and document episodic, acute and chronic disease in adults
• Demonstrates ability to recognize conditions, characteristics, and behaviors that place seniors at risk
• Proven ability to pursue feedback, continuing education and professional development
• Ability to effectively reconcile medications
• Demonstrates ability to identify and document the needs of clinically complex patients
• Work collaboratively with physicians, case managers, social workers, family members, key care givers and any appropriate ancillary medical personnel as appropriate
• Participates in Quality Assurance Performance Improvement (QAPI) activities
• Assesses the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
• Coordinates care as member's transition through different levels of care and care settings, ensures that the ICP is communicated immediately and/or no later than 24 hours to the receiving care setting

Graduate of an accredited Adult or Family Nurse Practitioner Master’s Degree program or Physician Assistant Studies

Minimum 2 years clinical experience as a Nurse Practitioner or Physician Assistant in geriatric, adult or family practice setting. Proven ability to perform comprehensive adult/geriatric physical exams.

• Current and unrestricted, RN and NP licensure, or PA licensure in state of practice. Board certification by AANP or ANCC, in Adult, Family Practice and Geriatrics or Adult-Gerontology Primary Care. Current CPR certification
• Active DEA license
• Must have an active national provider number (NPI) and an active Medicare provider number
• Must be eligible to participate in the Medicare program as a provider and registered

Graduate of an accredited Geriatric, Adult or Family Nurse Practitioner Master’s Degree program. Previous experience visiting clients in their homes preferred.

• Pertinent Clinical Work Experience which is relevant to population being served.
• Reviews and interprets the medical and social history of members
• Interprets laboratory data, recommend appropriate follow-up, reconcile medications
• Manages both medical and behavioral chronic and acute conditions effectively in collaboration with a physician or specialty provider
• Synthesizes information and easily diagnoses and creates a comprehensive plan of care.
• Complete all regulatory required monthly, quarterly, and/or annual visits and acute visits as needed.
• Maintain appropriate and compliant documentation within our EMR (electronic medical record) software
• Ensures all diagnoses are ICD-10…