Nurse Practitioner in Venice, FL

Job Description Summary As a Primary Care Advanced Practice Provider (APRN), you will have the opportunity to make a meaningful impact on the health and well-being of your patients by delivering comprehensive, patient-centered care across the continuum. Working collaboratively with physicians and an interdisciplinary care team, you will manage acute, chronic, and palliative care needs, conduct comprehensive assessments, develop individualized care plans, diagnose and treat conditions, interpret diagnostic results, prescribe medications, and coordinate services that support optimal patient outcomes.

Your clinical expertise and decision-making will play a vital role in ensuring patients receive timely, evidence-based care while building trusted relationships with patients, families, and  this role, you will practice at the top of your license while driving quality outcomes through care gap closure, HCC documentation, chronic disease management, and preventive care initiatives. You will serve as a patient advocate and clinical leader, collaborating with primary care providers, specialists, home health services, therapy providers, and community resources to ensure seamless care coordination.

You will also support patients with advanced care planning and symptom management needs while contributing to a value-based care model focused on improving outcomes, enhancing the patient experience, and reducing unnecessary healthcare utilization. Timely documentation, accurate billing, and effective communication with the care team will be essential to your success.

How will you make an impact & Requirements How will you make an impact & requirements:

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Is responsible for the total care of all assigned patients in collaboration with the community-based physician/provider and patient care team.

Is responsible for patient assessments and care planning, risk management plan development, addressing quality measures and HCCs, and providing acute interventions, chronic care management, and palliative care services within their scope of practice.

Provides services to meet patient needs and prevent unnecessary Emergency Department utilization when appropriate.

Ensures all pertinent and active medical conditions are documented in the electronic medical record in a timely manner, consistent with Millennium Physician Group (MPG) policy, and in a compliant manner with Centers for Medicare & Medicaid Services (CMS) and other insurance carriers.

Exhibits strong clinical skills to improve patient care for an aging, adult population; as well as excellent interpersonal relationship skills in interpreting and communicating health care information to the patient, family, and patient care team.

Provides leadership in the application of the nursing process to client care, organizational processes and/or systems improving outcomes at the program or service level and initiates interdisciplinary projects to improve organizational performance.

Identifies patients who are appropriate and would benefit from skilled nursing/therapy and initiates appropriate process for qualifying value-based patients. Follows all CMS guidelines and ensures patients are admitted to a qualifying SNF. Completes all required documentation and works with other members of the health care team to ensure continuity and patient safety.

Instructs and counsels patients regarding compliance with prescribed therapeutic regimens and health maintenance.

Accountable for identifying patients needing additional assistance and making referrals to home care, social services, behavioral health, and other available community resources, when needed and appropriate.

Works collaboratively…