ISNP Nurse Practitioner, Medical Provider

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*** THIS POSITION MAY BE ELIGIBLE FOR UP TO A $15,000 SIGN-ON BONUS (restrictions may apply) ****

Nascentia Health is expanding our Institutional Special Needs Plan (ISNP) service to provide seamless, coordinated, and comprehensive care for our facility-based patients.

We recognize the unique contributions of Nurse Practitioners (NPs) to improving the overall health of their patients and we want you to be on our team!

We follow an NP led patient-centered, value-based care model and we are looking to add experienced NPs to our team as we work to transform healthcare for our members.

The ISNP Nurse Practitioner Medical Provider (NPMP) is a position that embraces a collaborative Team approach to enhance care. You will be supported by a great group of physicians and NP partners who are knowledgeable and extremely approachable. You will be overseeing member care as the NPMP, consulting regularly with the interdisciplinary staff and allied health providers to provide a seamless delivery of care and services in accordance with CMS guidelines.

As a key member of the clinical team, you will practice evidence-based medicine within your scope of practice, including: preventive screening and health promotion; diagnosis and treatment of a wide variety of common, acute, and complex problems; ordering and interpreting diagnostic tests; prescribing medications; referring to specialists and collaborating other providers as appropriate; providing basic emergency care if necessary; and providing education and resources to members, families, and staff.

Responsibilities

Clinical

• Perform comprehensive assessments and document findings in a complete, concise manner that is compliant with Nascentia documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
• Deliver cost-effective, quality care to assigned members
• Regularly evaluate the plan of care for cost effectiveness while meeting the needs of members, families and providers to decrease high costs, poor outcomes and unnecessary hospitalizations
• Manage medical and behavioral, acute and chronic conditions effectively, and in collaboration with a Care Team providers or specialty providers.
• Responsible for ensuring that all diagnoses are ICD
  10, coded accurately, and documented appropriately to support the diagnosis at that visit
• The NPMP is responsible for ensuring that all quality elements are addressed and documented per Nascentia and CMS guidelines
• The NPMP will perform scheduled medication reviews and post-hospitalization medication reconciliations
• Facilitate agreement and implementation of the member’s plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
• Evaluate the effectiveness, necessity and efficiency of the plan in conjunction with the Team, making revisions as needed
• Utilizes evidence-based practice guidelines and protocols established by Nascentia and CMS
• Must attend and complete all mandatory educational and training requirements
• Must attend and provide evidence of population-based CME training annually

Care Coordination

• Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers
• Assess 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
• Coordinate and communicate plan of care as members transition through different levels of care and care settings
• Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
• Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the member’s needs and wishes
• Regular and effective communication with Care Team members, family or key decision-makers, nursing staff and specialists
• Actively…