Senior Long-Term Care Advanced Practitioner Clinician

Description

The Long-Term Care Advanced Practitioner (APP) is an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) who serves as a dedicated clinical partner within skilled nursing, long-term care, and post-acute facilities.

The APP serves as a consistent clinical presence within the facility, supporting resident care delivery, clinical decision-making, and overall medical management alongside the medical director. The AP practices with a high level of clinical autonomy while working in close partnership with facility leadership, nursing staff, attending physicians, and interdisciplinary care teams.

Specifically, the Long-Term Care APP’s primary focus areas include:

• Stabilizing medically complex residents within the facility environment
• Reducing potentially avoidable hospital transfers and ED utilization
• Supporting facility regulatory and clinical quality performance
• Improving condition change response time and clinical escalation pathways
• Enhancing communication with residents, families, and care teams
• Supporting efficient and appropriate healthcare resource utilization

Responsibilities

Advanced Resident Clinical Management

• Perform comprehensive and ongoing clinical assessments for long-term care and post-acute residents.
• Diagnose and manage acute and chronic disease processes common to LTC populations
• Order and interpret necessary diagnostic, laboratory and radiographic data.
• Develop, implement, and adjust individualized care plans in collaboration with facility teams.
• Provide advanced management of high-risk LTC clinical conditions including:
• Infection management and sepsis risk mitigation
• Wound care management
• CHF, COPD, and advanced chronic disease optimization
• Dementia and behavioral health symptom management
• Polypharmacy and medication risk reduction
• End-of-life and goals-of-care discussions when appropriate

Facility Clinical Integration & Operational Partnership

• Function as a consistent clinical presence within assigned facilities.
• Collaborate with facility leadership to support clinical workflow optimization and communication pathways.
• Assist with new admission clinical stabilization and transition-of-care management.
• Participate in interdisciplinary care planning and complex case review.
• Provide clinical education and support to facility nursing staff when appropriate.
• Support facility initiatives aimed at reducing readmissions and improving resident stability.

Regulatory, Survey, and Quality Performance Support

• Practice in alignment with federal and state long-term care regulations.
• Support facility clinical documentation readiness for survey and audit activity.
• Participate in root cause review of hospital transfers and adverse clinical events.
• Support infection prevention and clinical quality improvement initiatives.
• Contribute to performance improvement efforts tied to facility quality measures.

Documentation, Compliance, and Clinical Accountability

• Maintain accurate, timely, and compliant clinical documentation.
• Follow AMC clinical protocols and documentation standards.
• Maintain all licensure, certification, and continuing education requirements.
• Maintain compliance with HIPAA, OSHA, and infection control standards.

Independent Clinical Decision-Making

• Practice with strong independent clinical judgment within scope of licensure.
• Escalate care appropriately to collaborating physicians or specialists.
• Prioritize resident safety and early intervention for condition changes.

Technology and Data Utilization

• Utilize EHR and clinical documentation systems effectively.
• Participate in telehealth or virtual care models when appropriate.
• Utilize available clinical data to support risk identification and care planning.

Other

• Attends scheduled department staff and clinical meetings.
• Exercises utmost diplomacy and tact to provide excellent customer service for patients, practices confidentiality and privacy protocols in accordance to company policies and HIPAA requirements.
• Regional travel between facilities may be required.
• Other duties as assigned.

FLSA Status: Exempt

Benefits

• 401(k)
• Dental insurance
• Employee discounts
• Health insurance
• Paid time off
• Vision insurance

Work Location: In-person clinical care delivery within long-term care and post-acute facilities

Requirements

Required Qualifications

• MSN, DNP, MPAS, DMSc, or equivalent advanced degree.
• Currently registered/licensed in applicable State. Must maintain an active license in good standing throughout employment.
• Board Certification (AANP/ANCC/NCCPA).
• DEA and BLS certification.
• Excellent interpersonal…